Some of this may be of interest /helpful..
somatoform vs psychosomatic info results-
https://www.google.com/search?q=soma...+psychosomatic

Drs may be suggesting counselling to help with the mental /emotional part of pain..
Often they don't clearly say what, or how they mean something..

Are they hesitant to Rx stronger pain meds due to the lack of obvious test results of a cause/reason?

I haven't read all of your posts , not sure if anyone mentioned possible CRPS/RSD?
For more info on it-
http://neurotalk.psychcentral.com/forum21.html