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How Stress Effects Chronic Pain (and what to do about it)

Feb 24, 2025

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Stress and chronic pain are closely connected, as stress increases inflammation and pain sensitivity. Managing stress through relaxation, exercise, and proper sleep can help break the pain cycle and improve overall well-being.

The Connection Between Stress and Chronic Pain

Stress triggers the body's "fight or flight" response, releasing hormones like cortisol and adrenaline. While these hormones are useful in short bursts, prolonged stress keeps the body in a heightened state of tension, leading to increased inflammation, muscle tightness, and sensitivity to pain. For individuals with chronic conditions such as arthritis, fibromyalgia, or back pain, stress can make symptoms significantly worse.

How Stress Worsens Pain Perception

The brain and nervous system play a major role in how we experience pain. Stress can alter brain chemistry, lowering pain tolerance and making even mild discomfort feel more intense. Additionally, stress-related behaviors—such as poor sleep, lack of exercise, and unhealthy eating—can further contribute to chronic pain flare-ups.

Breaking the Stress-Pain Cycle

Managing stress effectively can lead to significant pain relief. Here are some strategies to help break the cycle:

  • Practice Relaxation Techniques: Deep breathing, meditation, and yoga can reduce stress and lower pain sensitivity.
  • Stay Active: Low-impact exercises like walking, swimming, or stretching help relieve tension and improve overall mobility.
  • Get Quality Sleep: Poor sleep increases stress and pain. Establish a relaxing bedtime routine and limit screen time before bed.
  • Seek Professional Help: Cognitive-behavioral therapy (CBT) and counseling can teach stress management skills that reduce pain perception.
  • Consider Physical Therapy: A specialist can guide you through exercises that relieve pain and improve movement.

When to Seek Medical Support

If chronic pain is significantly affecting daily life despite stress management efforts, it may be time to consult a specialist. 

Stress and chronic pain are closely linked, but taking control of stress can help minimize discomfort. By practicing relaxation techniques, staying active, and seeking professional support, you can break the stress-pain cycle and improve your quality of life.