How Stress Affects Your Spine and Nervous System
- Dr. Erik Wells

- Sep 30
- 4 min read
Written by: Dr Erik Wells September 24, 2025

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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