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What is the Connection Between Stress and Back Pain?

Erin J. Hill
Erin J. Hill

Stress and back pain are heavily linked because stress is a common cause of upper and lower back pain. The main cause of this is tension in the muscles during times of stress or anxiety. This is true for many individuals, although the opposite is also a common occurrence. When back pain becomes severe or troublesome, many individuals may experience stress due to long-term discomfort and the associated lack of sleep or limited activities.

When stressed, it is natural for the muscles to contract and tense. When in danger, this is a protective response because it prepares the muscles to work harder in case of having to fight or escape from danger. This is part of the fight or flight response and is caused in part by adrenaline released during stressful situations. When this happens too often, the constant tension in the muscles can lead to pain and stiffness.

Neck pain can be caused by stress.
Neck pain can be caused by stress.

In this case, back pain can usually be alleviated by reducing stress and relaxing the muscles. If the stress has been present over the long term, this may take time. Severe anxiety can often be alleviated with medication. Environmental stresses, such as job worries or divorce, may not be preventable. Patients can find ways to better handle these situations, such as deep breathing, meditation, or back massage.

Stress is a common cause of lower back pain.
Stress is a common cause of lower back pain.

When stress and back pain occur occasionally, this is usually an indicator that stress is to blame. Sometimes, though, back pain may occur first and lead to anxiety later on. Arthritis, strains, and other conditions may lead to severe back pain. This discomfort can lead to trouble sleeping, reduced physical activity, and the inability to partake in everyday activities like shopping or working. These issues can lead to severe stress.

Back pain can lead to stress and anxiety.
Back pain can lead to stress and anxiety.

Most stress and back pain causes can be alleviated with prescription medication. Sometimes additional therapies may be needed, such as acupressure, acupuncture, meditation, and chiropractic care. Occasionally, back pain may be caused by an underlying health condition, such as kidney malfunction. These situations will have to be treated by a medical doctor.

A person's muscles contract and tense when under stress, leading to back pain.
A person's muscles contract and tense when under stress, leading to back pain.

Both stress and back pain can be reduced by getting enough sleep, sitting upright on chairs and sofas, and exercising the correct way. Maintaining a good posture while walking is also important. When sitting for long periods of time, especially if hunched over a desk typing, it is a good idea to stand and stretch regularly. By taking care of the back muscles and spine, stress may have less of an impact when it occurs and pain may be lessened.

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    • Neck pain can be caused by stress.
      By: Eric Gevaert
      Neck pain can be caused by stress.
    • Stress is a common cause of lower back pain.
      By: Lovrencg
      Stress is a common cause of lower back pain.
    • Back pain can lead to stress and anxiety.
      By: olly
      Back pain can lead to stress and anxiety.
    • A person's muscles contract and tense when under stress, leading to back pain.
      By: WavebreakmediaMicro
      A person's muscles contract and tense when under stress, leading to back pain.
    • Chronic back pain often leads to restless nights and reduced physical activity, both of which can trigger stress.
      By: zea_lenanet
      Chronic back pain often leads to restless nights and reduced physical activity, both of which can trigger stress.