How stress causes pain

Lesley Dobson / 28 November 2017

Is the pain in your neck making life miserable? Do you have back pain that just won’t go? Could stress be at the root of it?



It may be that you’ve slept in an awkward position, or strained your back by lifting something heavy. But the cause of your pain may have started in your head, as stress – and if that’s the case, it’s probably going to take more than just painkillers to make you feel better.

‘When people are stressed they tend to hunch their shoulders, tuck their head down, and almost roll forwards a little bit, which puts you in a poor postural position,’ explains osteopath and physiotherapist, Tim Allardyce. ‘The result of over-using your neck muscles like this, is that they tighten up, and cause neck and back pain.’

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‘You’ll often adopt a quicker, shallow breath as you get stressed, and that has an effect on your musculo-skeletal system. As well as over-using your neck muscles, you tend to under-use your diaphragm, so you get stiffness in your ribs and upper back.’

There’s a long list of health problems that can be caused by stress. These include:

  • Dizziness
  • Chest pain
  • Stomach ache
  • Indigestion
  • Feeling nauseous
  • Passing wind a lot
  • Gritting your teeth
  • Being constipated or having diarrhoea
  • Panic attacks
  • Developing rashes
  • Being constantly worried or anxious

These are some of the symptoms of stress. Unfortunately, we can be so stressed that we can’t always see the connection between what’s going on in our minds and our physical symptoms.

Stress can come from many sources – family, friends, neighbours, money, loneliness, grief, your work or volunteering – problems and situations that can affect us all.

You may have heard of the fight or flight mechanism. We all have this - it dates back to our ancient ancestors who often had to fight or run to keep attackers at bay, or to hunt wild animals, and to stay alive. ‘This is your body’s way of getting you out of danger,’ explains Tim Allardyce. ‘When we are stressed our bodies release high levels of Cortisol and Adrenaline, which activates our sympathetic nervous system.

‘By doing this your body gives you a huge burst of extra energy, to help you run faster, and give you extra strength. It can also dilate your pupils, so you can see better.’ All these changes can increase your chances of escaping from a predator or catching something to eat.

This series of changes would have helped our ancestors survive in times of danger. Most of us don’t need this reaction on a daily basis, unless we are in a life or death situation, but our stress responses are still active, and can cause pain and stress.

Because stress affects our minds and our bodies, it can cause on-going health problems alongside pain, such as:

And some of these conditions – depression for instance – can actually make your existing pain worse, creating a cycle of pain.

‘Stress makes the nervous system more active,’ explains Tim Allardyce. ‘And this makes us feel pain more. I see people with a lot of psychological stress, and they tend to have pain in multiple parts of their bodies. So patients come in and say ‘I’ve got pain in both my wrists, my hips, my back, my neck and my elbows….’

When this happens – and I see this on a daily basis – I ask, ‘What’s going on in your life? Is your home life OK? Is work life OK? Are you living with stressful situations?’ There are a wide range of problems and worries that can cause this pain, so I explain to my patients that these are not separate injuries, this is their body manifesting pain.’

If left untreated, the pain and the stress that has caused it may well become worse. Finding the source of the stress is an important first step, as you can then look at ways of dealing with cause of your pain.

How to tackle stress

Talking your problem through with someone close to you can be helpful. This may help you to see the problem from a different perspective, and to find a way of reducing your stress levels. Also, talk to your doctor – they will have seen many other patients struggling with stress-related pain. Your GP may recommend Cognitive Behavioural Therapy (CBT) – as this is often prescribed for people who have chronic pain, and gentle exercise, such as swimming, as this also helps.

5 tips for relieving lower back pain

Make sure you keep in touch with family and friends, try to do something you enjoy every day, and keep as active and social as you can. 

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