The pain spots centralized in the back and shoulders.

痛点集中在腰背部、肩背部。

youdao

Weighed down: Stones can cause marked symptoms from vomiting to spots and intense pain

疲于奔命：结石可引起明显症状，呕吐及剧烈的疼痛。

youdao

The pain can be sharp in a specific spot or more subdued but spreads to various spots.

这种疼痛是在一个具体的点的剧痛或者更加令人无法忍受，但是也会扩散到不同的点。

youdao

Squeezing the spots that develop is not recommended because it can cause pain and bleeding and it is likely to leave scarring.

BBC: Women in bikinis

Tension headaches can sometimes be difficult to distinguish from migraines, but unlike some forms of migraine, tension headache usually isn't associated with visual disturbances (blind spots or flashing lights), nausea, vomiting, abdominal pain, weakness or numbness on one side of the body, or slurred speech.

CNN: Tension headache

His whole body seemed to suck it up, bag after bag, and then his fever broke, and the spots on his skin began to fade like ordinary bruises, and the pain in his bones went away.

NEWYORKER: A Tiny Feast