How Stress Affects Back Pain

Stress can create a frustrating cycle of tension and discomfort in your spine and whole body. Understanding the link between stress and back pain—and adopting effective coping strategies—can help you manage pain more effectively and improve your overall well-being.

How Stress Contributes to Back Pain

When you're stressed, your body reacts by tensing muscles, increasing inflammation, and heightening pain perception. Over time, this can lead to chronic pain, stiffness, and discomfort in the back and neck.

  • Muscle Tension & Spasms: Stress triggers the body's fight-or-flight response, causing muscles to tighten. Prolonged muscle tension results in pain, spasms, and reduced mobility.
  • Increased Inflammation: Chronic stress elevates cortisol levels, contributing to inflammation that exacerbates conditions like arthritis, herniated discs, and other spine-related issues.
  • Altered Pain Perception: Anxiety and emotional distress can heighten pain sensitivity, making even mild discomfort feel more intense.
  • Poor Posture & Movement Patterns: Under stress, people often hunch over desks or unconsciously clench muscles. These habits can cause spinal distortion and back pain.

Coping Strategies for Stress-Related Back Pain

Managing stress effectively can help break the cycle of pain and discomfort. Here are some evidence-based strategies to help you reduce stress and alleviate back pain.

  • Practice Mindfulness & Relaxation: Deep breathing exercises, meditation, progressive muscle relaxation, yoga, and tai chi can help reduce tension, improve flexibility, and strengthen muscles.
  • Exercise Regularly: Low-impact activities and strength training relieve tension, improve circulation, reduce strain, and promote spinal health. 
  • Improve Sleep Hygiene: Maintain a consistent sleep schedule, create a relaxing bedtime routine, and use a supportive mattress and pillow to keep your spine aligned.
  • Adopt Healthy Posture Habits: Use an ergonomic chair and adjust your workstation to reduce strain on your back and neck when working and be mindful of your posture. 
  • Seek Professional Help: A physical therapist can develop a personalized exercise plan to relieve pain and improve mobility. Counseling or cognitive-behavioral therapy (CBT) can provide tools for managing stress and reducing its impact on physical health.

“Stress and back pain are closely linked,” said fellowship-trained physical medicine and rehabilitation doctor Dr. Lauren Mogk. “By addressing stress through healthy habits, relaxation techniques, and physical activity, you can break the cycle of tension and discomfort.”

If your back pain persists despite these efforts, consult an expert at Carolina Orthopaedic & Sports Medicine Center to explore additional treatment options tailored to your needs. Our advanced spine team of Dr. Lauren Mogk and Dr. Tejas Parikh offers the solutions you deserve. Please call 704-865-0077 or schedule an appointment online.

stressed man with back pain