Does Stress Cause Neck Pain?

Understanding Nicole’s Neck Pain

One of the most common things we hear from our patients is that their pain started for “no apparent reason.” Like Nicole, people will wake up with a crick in their neck or notice a stiffness turning when driving in the car. It is also common for people to notice tightness in their upper back and neck after a long day.

So, what is actually the source of the pain? In most cases, there is an issue with the neck joints or the neck muscles due to prolonged positions. Our neck joints don’t like remaining in any position for extended periods. In Nicole’s case, she first noticed her pain in the morning, which may have been related to her neck position while sleeping. It is also important to note that in Nicole’s case, the first sign of any issue was in the morning when she woke up, unrelated to stress. 

As Nicole’s day progressed, her pain got worse. But this also was more likely related to how she held her neck while driving or sitting at her computer. In both cases, her posture, specifically how she held her neck, seems to have contributed to her pain. Prolonged sitting can lead to a forward head position, resulting in tension to soft tissue (i.e., muscles, tendons, and ligaments) or negative changes to our blood flow. 

The muscles of our neck function best when we move them. So, holding her head in one position likely led to irritation of the muscles and affected her ability to move her neck, which in turn caused stress.  

Stress “contributes” to neck pain because, when we experience stress, our bodies naturally respond by tensing up as a protective measure. This tension can lead to discomfort, particularly in the neck and upper back region. Research studies have found that individuals with higher stress levels reported increased neck pain as compared to those with lower stress levels. This is why we say “contributes” to, but not the cause of, neck pain.

How Physical Therapy Can Help Alleviate Neck Pain

We will target the source of your pain by performing a thorough examination, starting with your medical history and details about how, when, and where your symptoms began. As we saw with Nicole, determining how, when, and why the pain started helps us eliminate possibilities and get to the actual root cause(s). 

Our therapists will also analyze your posture and movement to identify any limitations or restrictions contributing to your condition. We’ll use this information to design a program that addresses your specific needs. 

Our treatment plans focus on relieving your pain and improving your posture, mobility, strength, etc., and educating you about managing your symptoms. Your program will likely include manual therapy (i.e., soft tissue work and/or joint mobilizations), targeted stretches, exercises, activity modification, or posture recommendations.

We’ll listen to your unique situation and specific issues and then work to help you find relief and get back to your normal routine.