Stress and back pain

We’ve written in the past about a variety of causes for back pain: poor posture, improper ergonomics at the office, even straining to lift heavy items like a baby improperly. But did you know that stress can also cause back pain?

The experts at Physiquality partner Kiss My Back! point out that any stress — from the home, the office, or the family — decreases oxygen to potential areas of discomfort, like the neck, shoulders and back. If you have a pre-existing condition or a history of chronic pain, this can exacerbate the problem.

Back pain often leads to less activity, which can increase the pain even more.To make it worse, “when someone is experiencing back pain,” says Laureen Dubeau, “they often decrease their activity level,” which leads to weaker muscles and joints — and more pain. A certified strength and conditioning specialist and MERRITHEW™ Master Instructor Trainer specializing in STOTT PILATES®, another Physiquality partner, Laureen cautions against letting the deep stabilizing muscles of the spine to weaken. If these muscles stop working to stabilize the spine, she says, the larger, superficial muscles become tense and overworked, which increases the pain (even more) and restricts movement.

If your stress leads to postural changes, like hunched shoulders, this will add to your muscular tension throughout your back. And if you start to lose sleep because of the stress, not only will you be crankier during the day, but your body won’t have the chance to recuperate and heal overnight, leading to… tense muscles and more pain.

So how can you break this cycle of stress and pain? Your physical therapist is an excellent resource for the best methods. In addition, being mindful of what is causing the stress and how you are handling it is vital. Kiss My Back! reminds readers that a lot of stress is caused by lack of or miscommunication. Talk to your colleagues or your family about what is creating the stress, and discuss ways to reduce the problems that are causing it.

Using a mind-body exercise like Pilates or yoga can allow you to strengthen your internal focus on your body, which calms the mind.Making time for exercise can also reduce both stress and pain. Laureen notes that increased activity will strengthen the muscles that support your back, while producing endorphins and increasing oxygen flow in your body, reducing pain in your back and elsewhere. Using a mind-body exercise like Pilates or yoga can also allow you to strengthen your internal focus on your body. This calms the mind, which improves your ability to deal with stress. In addition, she says, “the focus in Pilates on restoring ideal posture and reducing the force on joints can help restore a sense of support and control.”

Physiquality partner PowerPlay points out how important it is to be aware of your environment. Pay attention to how your desk is laid out at work, and make sure that it’s ergonomically correct. If you sleep on your stomach, consider sleeping on your side or your back, as it’s better for your back muscles, or read through these tips from the Mayo Clinic on how to improve your sleep posture when you have back pain. You may also need a new mattress or one that is more firm; if you haven’t bought one in the last 10 years, it’s time to start shopping. And don’t forget to think about what you wear every day — supportive footwear and a bag that is worn cross-body vs. over one shoulder can affect your back muscles as well.

In the short term, cold therapy, or even cold + compression therapy, can help to relieve pain, reminds Shawn Hickling, a physical therapist assistant and the founder of ActiveWrap, another Physiquality partner. If the back muscles are spasming, heat therapy, or a combination of heat and ice, may be better. Over-the-counter anti-inflammatories, known as NSAIDs, may also help to relieve pain, but beware of using them over a long time due to their side effects.

Relieving neck pain

Neck pain is a common and debilitating problem. While some cases can be caused by serious conditions, according to Gini Davis, a physical therapist and owner of Crescent City Physical Therapy (a Physiquality member in New Orleans), the most common cause of neck pain is poor posture. This can be due to a variety of reasons:

  • Sitting and standing incorrectly.

While it’s easy to recognize when someone else is slouching, it’s much harder to correct the behavior in ourselves. As Kristina Holland noted in a previous Physiquality blog, “Good posture takes self-awareness and effort to maintain correct alignment, whereas poor posture is giving in to the constant pull of gravity.”

  • Looking at your gadgets.

Gini points out that many people look down at their laptop/iPad/iPhone/other electronic gadgets with the head forward and down, putting strain on the back of the neck. In fact, a 2012 study found that 90% of the subjects texted with their necks flexed, or bent at more than 10 degrees. The author, Judith Gold, told Forbes last year that “the more the participants in her studies texted, the greater the chance that they would experience neck or shoulder pain.” (And texting doesn’t just cause neck pain; excessive texting has also been shown to cause pain in the wrists, fingers and thumbs.)

READ MORE