Diagram showing how stress and the pain cycle are related, including mood changes, depression, pain perception, anger, anxiety, activity avoidance, and deconditioning.

Understanding Stress and the Pain Cycle: How They’re Connected and How to Break Free

March 3, 2025

By Dr. Jason Moss

Stress and pain often seem like two separate experiences, but they are intricately connected in a cycle that can feel impossible to break. The pain cycle can feel like a never-ending loop, where stress triggers pain, and pain amplifies stress, leading to more discomfort, and so on. In this blog post, we’ll explore how stress and pain are linked, how they feed off each other, and what steps you can take to break free from this cycle.

The Stress and Pain Cycle Explained

1. Stress Causes Muscle Tension: When we experience stress, our body responds by releasing hormones like cortisol and adrenaline, triggering the “fight or flight” response. This is a natural survival mechanism. However, over time, if stress is chronic, these hormones keep the body in a heightened state of alertness. One common response to this constant state of stress is muscle tension. Tight muscles, particularly in the neck, back, and shoulders, are one of the first signs of stress. This tension can lead to physical discomfort or pain.

2. Pain Increases Stress: As muscle tension builds, it can cause pain in various parts of the body. This pain can become persistent or chronic if not addressed. The experience of pain can trigger emotional and psychological responses, such as frustration, anxiety, or depression. These emotions can amplify the perception of pain, making it feel more intense and harder to manage. Pain, therefore, adds to your overall stress level, making you feel trapped in a cycle.

3. Stress Increases Sensitivity to Pain: Not only does pain increase stress, but stress also makes you more sensitive to pain. Studies have shown that chronic stress can alter the way the brain processes pain signals, making the pain feel worse than it actually is. This is known as “central sensitization.” In simple terms, when you’re stressed, your nervous system becomes more reactive, making it easier to feel pain, even from minor triggers.

4. The Cycle Continues: As stress and pain feed off each other, the cycle becomes self-perpetuating. The pain you feel makes you more stressed, and the more stressed you get, the more your pain increases. This cycle can be physically exhausting and mentally draining, often leading to feelings of helplessness. It’s not just about physical discomfort – chronic stress and pain can significantly impact your mental well-being, leading to burnout, anxiety, or depression.

Breaking the Stress and Pain Cycle

Understanding the connection between stress and pain is the first step to breaking the cycle. Here are some strategies that can help you manage stress and reduce the impact of pain:

1. Practice Mindfulness and Meditation: Mindfulness practices such as deep breathing, meditation, and yoga can help break the cycle of stress and pain. By focusing on your breath and being present in the moment, you can activate your parasympathetic nervous system (the “rest and digest” system), which counteracts the “fight or flight” response. Regular mindfulness practice can reduce the intensity of pain and help you manage stress more effectively.

2. Exercise Regularly: Physical activity is one of the best ways to manage both stress and pain. Exercise helps release endorphins, the body’s natural painkillers, which can reduce the perception of pain. It also helps reduce muscle tension and improves circulation, which can alleviate stress-related physical discomfort. Whether it’s walking, swimming, or strength training, find a form of exercise that works for you and make it a regular part of your routine.

3. Nutrition and Hydration: Proper nutrition and staying hydrated can also play a role in managing stress and pain. Diets rich in anti-inflammatory foods like fruits, vegetables, and healthy fats can support your body’s ability to manage stress. Staying hydrated ensures that your muscles and joints are well-lubricated and can better handle physical strain. Avoiding excessive caffeine, alcohol, or processed foods can also help reduce stress and pain.

4. Myofascial Release: Myofascial release is a therapeutic technique that targets the fascia, the connective tissue surrounding muscles. By applying gentle pressure, it helps release tension, reduce pain, and improve flexibility. This treatment alleviates muscle tightness and enhances blood flow, promoting relaxation and overall muscle health.  Studies have shown that in just 20 minutes of therapy you can increase your serotonin and dopamine levels while reducing your cortisol and overall stress response. 

Final Thoughts

Stress and pain are often locked in a vicious cycle, but understanding how they interact can help you break free. By adopting a holistic approach that addresses both the physical and emotional aspects of stress and pain, you can regain control over your well-being. Remember, it’s okay to seek support, and small changes in lifestyle and mindset can make a significant difference in how you experience stress and pain. Breaking the cycle may take time, but with persistence and the right strategies, you can find relief and live a more balanced, pain-free life.

About the author: Dr. Jason Moss, DC, CFE, is the president and founder of MyoCore. He received his doctorate from Cleveland Chiropractic College and his bachelor’s degree in clinical psychology from the University of Iowa. Dr. Moss is certified in NBCE physiotherapy, as well as a certified functional evaluator (CFE). He was named a candidate for fellow of the American Board of Disability Analysts. Dr. Moss is an adjunct faculty member at Cleveland and a guest lecturer for the University of Missouri Kansas City School of Medicine’s integrative medical department.