Can Stress Cause Back Pain? 

Can Stress Cause Back Pain? 

This content was updated for accuracy and relevance on March 25, 2024.


Whether you experience chronic stress or your stress levels have increased, you may notice accompanying back pain. But can stress cause back pain? Short answer… Yes!

Although many sources of back pain are caused by mechanical stresses, or due to imbalances in muscles or alignment, excessive force on a shock-absorbing disc, or overuse and repetitive physical activity, each of these painful conditions is influenced by our mental health and emotional state. Let’s look deeper into stress back pain.

What Does It Mean if Your Back Hurts Out of Nowhere?

How does this happen? And how can we experience different types of back pain when nothing is physically “wrong?” The answer lies in what we now know about the science of pain. The source of severe pain may not be something physical, like a muscle strain or a ligament sprain. How pain is “felt” is influenced by our past experiences, memories, and even our fears.

In some cases, stress can also be the culprit behind lower back pain and neck pain. So if you’re experiencing pain in those areas, it may be time to consider how to reduce your stress.

What Emotion Causes Lower Back Pain?

If a person is worried or anxious, stress hormones – chemicals that impact the function of our organs, like our kidneys and adrenal glands, growth, and our readiness for “fight or flight,” – are triggered and released. These chemicals can contribute to an elevated state of inflammation or irritation in our bodies.

The nerves that carry information about sensations such as pressure, vibration, pain, heat, and cold can also become hyper-sensitive, a state that is referred to as “central sensitization.” When nerves are sensitized, a person may feel the sensation of pain when there is seemingly no physical source or reason.

The science behind pain is incredibly complex. Along with the chemical irritation to nerve endings, pain often leads to a change in how much and the manner in which we move. Immobility can compound the sensation of pain by limiting normal circulation, joint and tissue nutrition that happens as we move. So that leads us to the question, can stress cause back pain?

Stress-related pain

Stress is a normal part of everyday life. When our nervous system is in a heightened state of “central sensitization,” emotional stress can cause an abrupt onset of low back pain or neck pain. Chronic stress and anxiety can lead to signals of muscle tension, causing spasms, and the resulting pain can shift and move to different areas.

Our stress response can lead to sharp pain, deep aches, or pain with certain movements. An existing anxiety disorder or psychological stress can impact how people’s bodies react to external influences. Not to mention, stress can also lead to poor posture, which is another reason for muscle tension in your neck, shoulder, and back.

How Do You Relieve Chronic Back Pain Caused by Stress?

The obvious answer is to reduce stress, but sometimes that is easier said than done. Using key strategies to reduce unexplained back pain symptoms can prevent lingering and chronic issues.

Keep moving

Exercise can be a powerful tool in combating stress-related back pain. Circulation brings oxygen and nutrition to all of our tissues. Movement also keeps tissues flexible and strong. Give the following a try:

  • Gentle Yoga Poses: Try poses like Child’s Pose or Cat-Cow Stretch to loosen tight muscles and improve flexibility.
  • Listen to Your Body: Ensure you do not push into pain while exercising.
  • Regular Walks: A 20-minute walk can merge physical activity’s benefits with nature’s calming effects, offering relief.

Address the stress

Don’t avoid it, face it head-on. Take time to think about what is causing your worries or anxiety. Home, work, family, and financial issues can feel overwhelming and fill your emotional “bucket” to the point of overflowing. Writing down worries and problem-solving steps to address each issue is a proven strategy to address anxiety.

Try meditation and deep breathing

Even 5 minutes of deep breathing, exhaling for twice the time of inhaling, can reduce blood pressure and the release of “stress” hormones, namely cortisol and adrenaline. Combining breathing with gentle stretching is also effective.

Proper Diet

The foods you choose to eat play an important role in both your stress level and back pain management. Consider incorporating the following to your diet:

  • Anti-inflammatory Foods: Eat foods rich in omega-3 fatty acids (like salmon and flaxseeds) and antioxidants (found in fruits and vegetables) to reduce inflammation.
  • Stay Hydrated: Drinking water is essential for every metabolic function and can greatly affect your mood and energy levels.


Visualize yourself moving and doing everything you like to do, without pain. It is important to avoid being fearful of moving normally.


Touching areas that hurt can desensitize the area from the sensation of pain. By closing your eyes and touching the painful area as well as surrounding areas, while visualizing whether it is right or left or high or low can be helpful in localizing chronic pain sensations and lowering thresholds for physical pain.

Don’t let your pain linger

If pain persists beyond 2-3 days, seek help from a physical therapist or your local health care provider. The earlier stress-related back pain is addressed, the more likely it can be managed in a short period of time.  Before your pain worsens, consider:

  • Consulting a Physical Therapist: A trained PT can provide tailored advice and treatment options, including manual therapy and exercises to strengthen your body.
  • Activity Modification: Learn how to adjust your activities to avoid aggravating your back pain, ensuring a quicker return to daily routines.

Sleep deeply

During periods of stress-related back pain, sleep is incredibly important to recovery. Our cells repair during deep sleep. Sleep helps reset the inflammatory process which lowers daily cortisol levels and combats central sensitization.

The mind and body work together to keep us healthy and feeling great. Oftentimes, when searching for pain relief, we need to look at any psychological factor just as much as we look at physical symptoms themselves.

Our emotions and mental health impact the internal chemistry just like an injury or trauma would. By recognizing how our worries, fears, and anxiety impact our physical well-being, we can prevent stress-related back pain and keep living and moving at our best.

How to Manage Stress

Getting to the root cause of your back pain can help you effectively manage it. If you think stress is the blame, start by:

  • Identifying Stress Triggers: Begin by pinpointing what causes your stress.
  • Journaling: Write down your thoughts and feelings to better understand and manage your emotions.
  • Incorporating Muscle Relaxation Techniques: Practice tensing and then relaxing each muscle group to reduce physical tension.
  • Using Meditation Apps: Use apps like Headspace or Calm for guided meditations that focus on stress reduction and pain management.
  • Creating a Routine: Make these practices a part of your daily life to decrease your stress level significantly and its impact on your body.
  • Engage in Regular Exercise: Physical activity is one of the best stress-relievers. Exercise is known to help release the brain’s feel-good neurotransmitters, otherwise known as endorphins.

Let Us Help!

If you are struggling with getting your chronic back pain to cease, contact your local Ivy Rehab Physical Therapy and schedule a free wellness screening so our experts can take a look at your physical pain and provide recommendations for treatment. Rehabilitation physical therapy provides relief to your pain and offers a solution. Screenings are available in-clinic and virtually through our telehealth platform. Schedule a physical therapy appointment today!

*Beneficiaries of federal health care programs are not eligible to participate in free screenings.


Article by Holly Lookabaugh-Deur, PT, DSc, GCS, CEEAA

Holly Lookabaugh-Deur, PT, DSc, GCS, CEEAA is a practicing physical therapist and a partner and Director of Clinical Services at Ivy Rehab Network. Deur is board certified as a geriatric clinical specialist and certified exercise expert for aging adults with more than 35 years of clinical experience.  She is certified as an aquatic and oncology rehabilitation specialist and serves as adjunct faculty at Central Michigan University and Grand Valley State University.  

The medical information contained herein is provided as an information resource only, and does not substitute professional medical advice or consultation with healthcare professionals. This information is not intended to be patient education, does not create any patient-provider relationship, and should not be used as a substitute for professional diagnosis, treatment or medical advice. Please consult with your healthcare provider before making any healthcare decisions or for guidance about a specific medical condition. If you think you have a medical emergency, call your doctor or 911 immediately. IvyRehab Network, Inc. disclaims any and all responsibility, and shall have no liability, for any damages, loss, injury or liability whatsoever suffered as a result of your reliance on the information contained herein.

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