Understanding Muscle Tension, Anxiety, and How They’re Linked


Muscle tension and anxiety often go hand in hand, creating a vicious cycle that can significantly impact our physical health and mental well-being. At its core, anxiety-related muscle tension refers to the physical tightness and discomfort experienced as a result of heightened anxiety or stress levels. 

This tension can manifest in various areas of the body, including the neck, neck, shoulders back, jaw, and back. Understanding the connection between muscle tension and anxiety is crucial for effectively managing and alleviating both conditions.

In this blog post, we will explore the intricate relationship between muscle tension and anxiety, delve into the role of the nervous system and its effect on these symptoms, and highlight the benefits of a comprehensive treatment plan that addresses both the mind and body. By gaining insights into the relationship between muscle tension and anxiety, we can empower ourselves to find relief.

The Link Between Muscle Tension and Anxiety

Anxiety and muscle tension share a reciprocal relationship, each exacerbating the other in a cyclic pattern. When we experience anxiety, our body’s natural response is to activate the fight-or-flight response, triggering the release of stress hormones like cortisol. These hormones can cause our muscles to tense up, preparing us for potential danger.

However, prolonged anxiety can lead to chronic muscle tension, which, in turn, sends signals to the brain that something is wrong, further fueling our anxious state. This cyclical relationship creates a self-perpetuating loop, where anxiety intensifies muscle tension, and muscle tension heightens our feelings of anxiety. Understanding this interplay is vital for developing effective strategies to break this cycle.

Causes of Anxiety-Related Muscle Tension

Anxiety-related muscle tension can be caused by a variety of factors:

  1. Stress Response: The human body reacts to psychological stress or perceived danger by initiating a “fight-or-flight” response, which prepares the body to either confront or escape a threatening situation. This response can result in physical changes, such as rapid heart rate, increased blood pressure, and muscle tension. When someone experiences frequent anxiety, the body may be in a state of constant alert, causing muscles to remain tense for prolonged periods.
  2. Hypervigilance: Individuals experiencing high levels of anxiety might live in a state of constant alertness or “hypervigilance,” continuously scanning their environment for potential threats. This heightened state of alertness can also lead to prolonged muscle tension.
  3. Breathing Patterns: Anxiety can affect our breathing patterns, often leading to rapid, shallow breaths instead of deep, diaphragmatic breathing. This can result in decreased oxygen levels in the body, leading to muscle tension and discomfort.
  4. Poor Posture: Anxiety can lead to changes in posture, such as hunching the shoulders or curling inwards, which can put extra strain on certain muscles leading to tension and discomfort.
  5. Lack of Physical Activity: When people experience anxiety, they may also become less active, which can contribute to muscle tension. Regular physical activity can help to relieve muscle tension and reduce feelings of anxiety.
  6. Sleep Disruptions: Anxiety often causes disturbances in sleep, which can prevent the body and muscles from getting the rest and recovery time they need. This lack of rest can lead to increased muscle tension.

Remember, everyone’s experience with anxiety and muscle tension is unique. What may cause muscle tension in one person may not have the same effect in another. It’s always important to consult with a healthcare professional for personalized advice and treatment for relieving muscle tension.

Signs and Symptoms of Anxiety-Related Muscle Tension

Anxiety-related muscle tension can manifest in a variety of signs and symptoms, which can help identify if the muscle tension is induced by our natural stress response or by anxiety. Here are some common indications to look out for if you experience muscle tension:

  • Muscle tightness: Persistent tightness or stiffness in the muscles, commonly felt in the neck, shoulders, jaw, and back.
  • Muscle pain: Aching or soreness in the muscles, often accompanied by discomfort or tenderness.
  • Muscle spasms: Involuntary muscle contractions or twitches, which can be brief or prolonged.
  • Headaches: Tension-type headaches characterized by dull, aching, and chronic pain, often radiating from the back of the neck or temples.
  • Reduced flexibility: Difficulty in moving or stretching muscles to their full range of motion due to increased muscle tension.
  • Fatigue: Feeling tired or lacking energy, which can result from the constant strain on the muscles.
  • Restlessness: A sense of unease or the inability to relax, often accompanied by fidgeting or pacing.
  • Insomnia: Difficulty falling asleep or staying asleep, which can be caused by the physical discomfort of tense muscles.
  • Irritability: Heightened sensitivity or a short temper due to the discomfort and stress caused by muscle tension.
  • Heightened anxiety: Increased feelings of worry, fear, or uneasiness, which can intensify muscle tension and create a feedback loop.

It’s important to note that these symptoms may vary from person to person. If you experience these signs along with anxiety during periods of heightened stress, it is more likely that your muscle tension is anxiety-induced.

The Nervous System’s Role in Reducing Muscle Tension

The nervous system plays a vital role in managing stress and anxiety. One key aspect is the activation of the “fight or flight” response, which is controlled by the autonomic nervous system. When faced with a perceived threat or stressor, the sympathetic branch of the autonomic nervous system triggers a cascade of physiological changes. This response involves the release of stress hormones, increased heart rate, heightened alertness, and muscle tension, preparing the body to confront or flee from the threat.

However, in the case of chronic anxiety itself, this response can become dysregulated. Even in the absence of an actual threat, the body may perceive ordinary situations as dangerous, leading to persistent activation of the fight or flight response. This chronic activation contributes to prolonged muscle tension and exacerbates anxiety symptoms.

Moreover, the parasympathetic branch of the autonomic nervous system, responsible for promoting relaxation and restoration, plays a crucial role in counterbalancing the stress response. By activating the parasympathetic nervous system through relaxation and regulation techniques like deep breathing, meditation, or gentle exercise, we can help mitigate anxiety, relieve tension, and reduce muscle tension.

Understanding the intricate relationship between the nervous system, the fight or flight response, and anxiety is essential for implementing effective stress management techniques. By consciously engaging the parasympathetic branch and adopting strategies to regulate our body’s stress response, we can promote relaxation, and blood flow, reduce muscle tension, and cultivate a greater sense of calm.

How a Dysregulated Nervous System Contributes to Anxiety and Muscle Tension

A dysregulated nervous system refers to an imbalance or dysfunction in the autonomic nervous system, which can contribute to both anxiety and muscle tension. Normally, the autonomic nervous system regulates our physiological responses to stress and maintains a state of balance. However, when the nervous system becomes dysregulated from chronic stress and other factors, it can amplify anxiety and muscle tension.

An overactive sympathetic branch of the autonomic nervous system, responsible for the fight or flight response, can lead to heightened anxiety levels. This hyperarousal can trigger and perpetuate muscle tension, as well as increase feelings of other anxiety-related tension and unease.

Conversely, an underactive parasympathetic branch of the autonomic nervous system, responsible for relaxation and restoration, can contribute to chronic muscle tension and anxiety. When the body fails to activate the relaxation response adequately, it becomes difficult to alleviate muscle tightness, relieve muscle tension and reduce anxiety levels.

The dysregulation of the nervous system creates a vicious cycle: heightened anxiety exacerbates muscle tension, while persistent muscle tension further fuels anxiety. This interplay perpetuates the symptoms of both conditions, making it crucial to address the dysregulation and restore the nervous system.

The Importance of a Comprehensive Treatment Plan

A comprehensive treatment plan that addresses both the mind and body are essential for effectively managing muscle tension caused by anxiety. Simply targeting the physical symptoms without addressing the underlying anxiety will only provide temporary relief. 

A holistic approach recognizes the interconnectedness of the nervous system, anxiety, and muscle tension. Incorporating techniques to regulate the nervous system (such as those shared in The Nervous System Solution) and a comprehensive treatment plan can provide long-lasting relief. By addressing the root causes, a holistic approach empowers you to effectively manage anxiety-related muscle tension and improve your quality of life.

By engaging in regulation techniques for just a few minutes a day, you can experience significant relief from muscle tension. Dr. Linnea and the Heal Your Nervous System team recognizes the importance of addressing the nervous system’s role in anxiety muscle tension and provides accessible tools to reduce pain, promote relaxation and improve health.


In conclusion, by treating the body and mind as a connected system, you can learn to better manage your anxiety and muscle tension, breaking free from the vicious cycle that binds these conditions together. Holistic treatment approaches that incorporate nervous system regulation techniques can provide a valuable tool in this endeavor, helping to reduce pain, promote relaxation, and ultimately, improve overall health. With consistent effort and the right strategies, relief from anxiety-related muscle tension is achievable and within reach.

Seeking help and support from healthcare professionals or practitioners specializing in anxiety management is encouraged. If you’d like to get started on your nervous system regulation journey with guidance and support tailored to your needs, we’re here to help. Remember, you don’t have to face muscle tension and anxiety alone – support and effective strategies are available.

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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.