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How Stress Affects Your Spine and Nervous System

  • Writer: Dr. Erik Wells
    Dr. Erik Wells
  • Sep 30
  • 4 min read

Written by: Dr Erik Wells September 24, 2025

Person in white shirt and black pants lying on cracked asphalt across a white line, creating a surreal visual. Moody, artistic scene.

Stress isn’t just an emotional burden — it has real, measurable effects on your body. Over

time, chronic stress can tighten muscles, misalign spinal segments, and dysregulate your

nervous system. For many people, these changes contribute to neck pain, back pain,

headaches, and a general sense of tension. In this post, we’ll explore how stress physically

affects your spine and nervous system, how pain and stress reinforce one another, and how

chiropractic care can play a role in breaking that cycle.


The Body’s Response to Stress

When your brain senses danger — whether real or perceived — it activates the “fight-or-

flight” response, releasing stress hormones like cortisol and adrenaline (APA). These

hormones trigger multiple downstream effects:

- Muscle tension: Muscles contract to prepare for action. Over time, persistent contraction leads to stiffness, soreness, and fatigue. (APA)

- Circulatory changes: Blood flow is diverted away from “non-essential” functions (like digestion) to support heightened alertness. (PMC)

- Neural sensitization: Prolonged stress can lower your pain threshold and make you more sensitive to stimuli. (Frontiers in Pain Research)

- Inflammation & immune shifts: Elevated cortisol and other stress mediators can foster a pro-inflammatory state, which can worsen tissue irritation and slow healing. (Neuro & Spine Consultants)


How Stress Directly Impacts Your Spine & Nervous System

1. Muscle Tension & Postural Stress

Chronic stress often leads to tightened muscles in the neck, shoulders, and back. Over time,

these tensions pull spinal vertebrae slightly out of their optimal alignment (Iowa Atlas

Specific). This imbalance may:

- Restrict joint mobility

- Place pressure on nerves

- Distort posture (e.g. forward head posture, slumped shoulders)

For example, many people under stress unconsciously hunch or crane their necks forward,

which magnifies strain on the cervical spine and upper back (Iowa Atlas Specific).


2. Misalignment & Nervous System Disruption

Even small spinal misalignments (sometimes called subluxations in chiropractic

terminology) can interfere with normal neural signaling. The spine houses and protects the spinal cord and nerve roots that carry messages between the brain and body. When

vertebrae are misaligned, they can irritate or compress nerves, leading to pain, numbness,

tingling, or dysfunction (PMC).

One theory suggests that spinal manipulation helps modulate autonomic nervous system

balance and reduces stress-related neural interference (PMC).


3. The Pain–Stress Vicious Cycle

Pain and stress often reinforce each other in a loop: stress intensifies muscle tension and

neural sensitivity, which heightens pain; pain leads to more stress, which further aggravates

the spine and nervous system (Frontiers in Pain Research).


4. Neuroendocrine & Brain Effects

Chronic stress affects not only muscles and nerves but also the brain’s structure and

function:

- Altered synaptic connections: Chronic stress can lead to dendritic shrinkage or spine loss in brain regions like the prefrontal cortex (PMC).

- Allostatic load: Repeated stress responses cause “wear and tear” on the body’s regulatory systems (Wikipedia).

- Memory and cognition decline: Chronic exposure to stress hormones impairs working

memory and executive function (Wikipedia).


How Chiropractic Care Can Help

1. Restoring Alignment & Relieving Tension

Gentle spinal adjustments help reposition vertebrae, reduce joint restrictions, and relieve

abnormal stress on surrounding muscles and nerves. This can ease muscle tension and

promote freer movement (PMC).


2. Modulating the Nervous System

Chiropractic adjustments are thought to influence autonomic nervous system balance

(between the sympathetic “fight/flight” and parasympathetic “rest/digest” systems). Some

research suggests spinal manipulation may stimulate release of neurotransmitters or

endogenous chemicals that calm the brain and body (PMC).

One case report documented a patient’s reduced anxiety and lower salivary cortisol after

chiropractic sessions, alongside relief from neck pain and headache (Journal of

Contemporary Chiropractic).


3. Supporting Stress Management

Beyond adjustments, many chiropractors provide counseling on stress reduction, lifestyle

modifications, posture habits, stretching, and self-care strategies. In qualitative research,

chiropractic patients often expressed interest in holistic stress-management support as part

of their care (PubMed).


4. Breaking the Pain–Stress Cycle

Because chiropractic care helps reduce mechanical stress and supports better nervous

system balance, it can interrupt the reinforcing cycle of pain and stress (Frontiers in Pain

Research).


Practical Stress‑Relief Tips You Can Use Today

- Deep Breathing: Activates the parasympathetic system (APA)

- Gentle Stretching and Movement: Loosens tight muscles and improves circulation

- Micro-breaks and Posture Checks: Prevent prolonged strain

- Regular Sleep: Helps brain & body reset stress responses

- Mindfulness or Meditation: Reduces sympathetic activation

- Talk Therapy / Social Support: Unloads mental stressors


Real‑Life Example: When Care Made a Difference

In one documented case, a 40-year-old woman with chronic neck pain and frequent

headaches also reported anxiety symptoms. Over 12 chiropractic visits, she experienced:

- Reduction in neck pain and headache symptoms

- Improvements in function

- Decreased anxiety scores

- Lower cortisol levels


Stress has direct, physical effects on your muscles, spine, and nervous system. Chiropractic

care — when combined with healthy habits — offers a natural, evidence-backed way to

restore balance: aligning your spine, easing tension, and supporting nervous system

function.


If stress is causing tension, discomfort, or pain in your neck, back, or shoulders, you don’t

have to live with it. Reach out today to schedule a consultation and see how chiropractic

care may support both your physical and emotional well-being.

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