Can I Get Neck Pain from Anxiety?

Neck pain is a common ailment that affects many, often causing discomfort and hindering daily activities. While physical factors like poor posture and muscle strain are often associated with neck pain, there is another crucial aspect that is frequently overlooked: anxiety.

In this blog, our aim is to explore the intricate relationship between neck pain and anxiety, highlighting the significant role played by the nervous system. By delving into the underlying mechanisms and exploring innovative treatment approaches, we hope to provide valuable insights and support those who are dealing with this dual challenge.

The Connection Between Neck Pain and Anxiety

Anxiety, body, and emotional pain often go hand in hand, with one influencing the other in a cyclical manner. Anxiety triggers a cascade of physiological responses, including muscle tension and heightened sensitivity, which can contribute to the development of neck pain.

Simultaneously, the presence of chronic neck pain can increase anxiety levels, leading to a continuous loop of discomfort and emotional distress.

What Causes Anxiety-Related Neck Pain?

Neck pain associated with anxiety can stem from various factors. Persistent stress and anxiety can lead to chronic neck pain by triggering muscle and anxiety-related tension and stiffness in the neck and shoulders. The body’s stress response can cause the muscles to tighten, leading to discomfort and pain. Additionally, anxiety can contribute to poor posture and increased muscle strain, further exacerbating neck pain.

Furthermore, the emotional and psychological impact of anxiety can amplify the perception of muscle pain, making neck pain feel more intense and bothersome. The mind-body connection plays a crucial role in this phenomenon.

By understanding the underlying causes of anxiety-related neck pain, we can develop effective strategies to manage chronic pain and alleviate both anxiety and its associated physical symptoms.

Signs and Symptoms of Anxiety-Related Neck Pain

Recognizing the signs and symptoms of anxiety-related neck pain is essential for proper identification and management. Here, we provide a comprehensive list of typical indications of neck tension and offer tips on how to discern if your neck pain is anxiety-induced.

  • Muscle Tension: Feeling tightness, stiffness, or knots in the neck and shoulder muscles.
  • Neck Stiffness: Difficulty in moving the neck freely due to increased muscle tension.
  • Headaches: Tension headaches that often radiate from the neck to the head.
  • Limited Range of Motion: Reduced ability to turn the head or move it from side to side.
  • Radiating Pain: Discomfort that extends from the neck to the shoulders, arms, or upper back.
  • Increased Pain with Stress: Neck pain worsens during periods of heightened anxiety or stress.
  • Emotional Distress: Feeling anxious, overwhelmed, or on edge, which may intensify neck pain.
  • Sleep Disturbances: Difficulty falling asleep or staying asleep due to neck pain and anxiety.

To identify if your neck pain is anxiety-induced, pay attention to any patterns between your anxiety levels and the onset or exacerbation of neck pain. Keeping a journal can help track the correlation between emotional states and physical symptoms.

The Role of the Nervous System in Managing Anxiety and Neck Pain

Understanding the function of the nervous system is crucial in comprehending the connection between stress, anxiety, and neck pain. The nervous system plays a pivotal role in managing anxiety and its impact on stress-related neck pain. When faced with a perceived threat, the nervous system triggers the body’s stress response system, most commonly known as the “fight or flight” response. This response involves the release of stress hormones, increased heart rate, and heightened muscle tension.

During periods of anxiety and stress, the muscles, including those in the neck and shoulders, become tense and rigid, potentially leading to neck pain. The sympathetic nervous system, a branch of the autonomic nervous system, controls the fight or flight response and regulates various bodily functions, including heart rate, blood pressure, and muscle tension. Prolonged activation of the fight or flight response and tight muscles due to persistent stress and anxiety can lead to chronic muscle tension, contributing to the development of neck pain.

The mind-body connection is also significant in understanding the role of the nervous system. Emotional distress can trigger physical symptoms, including neck pain, through this intricate connection. By reducing stress levels and engaging in activities that promote nervous system regulation, you can alleviate neck pain associated with anxiety.

Is Your Nervous System Dysregulated?

When the nervous system is dysregulated, it can significantly impact anxiety levels and contribute to the development or exacerbation of neck pain. Dysregulation can manifest as an overactive sympathetic nervous system (associated with the fight or flight response) or an underactive parasympathetic nervous system (related to rest and relaxation).

Research suggests that a dysregulated nervous system can intensify anxiety symptoms, leading to muscle tension symptoms due to heightened stress levels. The continuous activation of the sympathetic nervous system can cause chronic muscle tension, resulting in persistent neck pain. Moreover, a dysregulated nervous system may also impair the body’s ability to recover and heal, further prolonging neck pain from anxiety.

The Importance of a Comprehensive Treatment Plan for Anxiety-Related Neck Pain

A comprehensive treatment plan is essential when addressing neck pain that arises from anxiety. While neck stretches can be beneficial, it is crucial to take a holistic approach that considers both the physical and psychological aspects of this condition.

By addressing the underlying causes and contributing factors, a comprehensive treatment plan can provide long-lasting relief, relieve tension, and improve overall health and stress levels.

In addition to neck stretches, here are some other solutions that can be incorporated into a comprehensive treatment plan for neck pain arising from anxiety:

  1. Cognitive-behavioral therapy (CBT): CBT is a therapeutic approach that helps individuals identify and modify negative thought patterns and behaviors associated with anxiety. It can be effective in reducing both anxiety and its physical manifestations, including neck pain.
  2. Stress management techniques: Implementing stress management techniques like deep breathing exercises, progressive muscle relaxation, and time management strategies can help mitigate anxiety-related neck pain and improve overall stress levels.
  3. Ergonomic adjustments: Making ergonomic adjustments to your workspace or daily activities can reduce strain on the neck and promote better posture, which can alleviate discomfort caused by both anxiety and physical factors.
  4. Sleep hygiene: Prioritizing good sleep habits, such as maintaining a consistent sleep schedule, creating a conducive sleep environment, and practicing relaxation techniques before bed, can help reduce anxiety and improve overall sleep quality, which can indirectly benefit neck pain.
  5. Nervous system regulation: Because the nervous system plays a central role in managing both anxiety and neck pain, a dysregulated nervous system can exacerbate both. However, using a range of simple tools and techniques which promote regulation can help build a flexible, thriving nervous system and, in turn, reduce anxiety and relieve symptoms such as chronic neck pain.

To learn more about how HYNS can help you learn to regulate your nervous system, please click here.


In conclusion, managing neck pain resulting from anxiety requires a comprehensive approach that addresses both the physical and psychological aspects of the condition. Understanding the role of the nervous system in this relationship is crucial, as it plays a significant role in regulating stress and pain. 

By exploring solutions such as nervous system regulation, you can find relief. Don’t hesitate to take action and prioritize your health by seeking the necessary support to manage anxiety-related neck pain effectively.

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Dr. Linnea Passaler

Dr. Linnea Passaler

Dr. Linnea Passaler has dedicated 20+ years to serving patients, first to a small number of individuals as a successful surgeon and then to thousands of people worldwide as the CEO of a digital health startup. After overcoming her own struggles with a dysregulated nervous system, she created Heal Your Nervous System (HYNS) to empower others in their healing journey. Her combination of neuroscience and somatic work helps those struggling with overwhelm, trauma, burnout, and anxiety to heal their dysregulated nervous systems and thrive.