Pain as a result of stress

The Body’s Stress Response
Stress is a natural response of the body to challenges and demands. In acute situations, this response helps us stay alert, perform effectively, and be ready to take action. As soon as the brain perceives a situation as stressful, it activates the autonomic nervous system and triggers the release of stress hormones such as adrenaline and noradrenaline. These hormones place the body in a heightened state of alertness:
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Heart rate and blood pressure increase.
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Breathing becomes faster.
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Attention and focus improve.
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Muscles become tense and prepared for action.
What Happens During Chronic Stress?
This increased muscle tension is fundamentally useful. It enables the body to react quickly to challenges and demands. However, problems arise when stress is not merely temporary but persists for weeks, months, or even years. In such cases, the muscles often remain in a state of elevated baseline tension. The areas most commonly affected include:
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The neck and shoulder muscles
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The jaw muscles
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The muscles running along the spine
Because this process usually develops gradually, many people are initially unaware of the persistent tension. The body adapts to the increased level of tension and eventually perceives it as normal. At the same time, the mobility of certain muscle groups may decrease, creating pulling and compressive forces on surrounding joints, tendons, and fascia.
Persistent muscle tension can also impair local blood circulation and make it more difficult for tissues to receive sufficient oxygen and nutrients. At the same time, metabolic waste products are removed more slowly. As a result, pain receptors may become more sensitive, and symptoms can develop that initially occur only during certain movements but may later persist even at rest.
Why Does Pain Develop?
In addition to these physical changes, chronic stress also affects the way pain signals are processed by the nervous system. The brain remains in a prolonged state of alertness and becomes more sensitive to stimuli. Consequently, pain is often perceived more intensely, and existing symptoms may worsen.
This creates a cycle in which stress leads to muscle tension, muscle tension causes pain, and pain in turn generates additional stress. For many people, muscle tightness and discomfort therefore persist even after the original trigger has long disappeared. The body has adapted to the heightened level of tension and can no longer easily return to a relaxed state without support.
The Role of Acupuncture and Manual Therapy
Acupuncture and manual therapy can help break this cycle. By applying targeted stimulation to the tissues, tense muscles and fascial structures can be released, mobility can be improved, and body awareness can be enhanced. Many people become aware for the first time of how much tension they have been unconsciously holding over an extended period.
These treatments are often most effective when combined with stress-management strategies such as regular physical activity, adequate recovery and rest, breathing exercises, or other relaxation techniques.
From a holistic perspective, chronic muscle tension is often not merely a local problem affecting individual muscles but rather an expression of prolonged strain on the entire organism. Treatment with acupuncture and manual medicine can therefore be an important step in helping the body regain mobility, relaxation, and overall well-being.
If desired, I would also be happy to provide guidance on nutrition (including balanced macro- and micronutrient intake) as well as practical exercises for active muscle relaxation and stress reduction that can be easily incorporated into daily life.
References:
Bruce S. McEwen, Ph.D (1998) Protective and Damaging Effects of Stress Mediators
Bialosky et al. (2009) The mechanisms of manual therapy in the treatment of musculoskeletal pain: A comprehensive model
