Hey, I'm new here, but not new to anxiety. I have had anxiety for as long as I can remember. I was diagnosed with Panic Disorder a few months ago. I can definately say that panic attacks can leave you in physical pain. I have been in so much muscle pain after a panic attack. I especially feel it in the muscles in my jaws, which is I guess from where I clench them shut during an attack. But then for the next few days after a really bad attack. My jaw muscles hurt so bad, and I can barely open them to talk. It is horrible. My neck and back muscles are really tight and even there are other times that other things hurt as well. So I say definately say yes that panic attacks can leave you in physical pain.