This could be any number of things, ranging from touch hypersensitivity to neuritis (inflammation of the nerves) to a learned behavior caused by being handled too roughly to an over-reaction from inadequate socialization.
I would start with a visit to your veterinarian to rule out biological problems - you'll want a complete physical and neurologic exam and a complete blood chemistry and differential cell count. This will probably run you several hundred dollars, but it will give your veterinarian a great deal of information about what the cause of the observed symptoms are. If there is neurologic inflammation (brain, spinal cord, peripheral nerves), any infection or a congenital defect that is pinching a nerve somewhere, this should find it.
If no biological basis for the observed signs is found, the next stop should be a referral to a veterinary behaviorist; I would suggest someone that is certified to do this and not just any dog trainer. A full behavior assessment as well as a detailed history of when your dog is screaming in pain, including what is going on at the time, will give your behaviorist a lot of information about the underlying cause of the behavior.
Although I would definitely want to rule out any biological problems, at this age and in this breed cross I would strongly suspect a behavioral problem rather than a biological problem. Small dogs in general, and designer cross-breeds in particular, seem to get a number of bad behavioral traits due to inadequate training and socialization as puppies; this often doesn't become a major problem until the dog is a year or two old.
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