Can stress affect my pain? A common fear for patients when discussing pain is that their symptoms are all in their head or that they won’t be believed either by friends, family, therapists or workplace. This fear can be worse when there appears to be no obvious cause for their pain. 


Many of the models used in the past to define pain, explain that the intensity of pain will always be proportional to the severity of an injury. Pain is a warning system used by our nervous system to alert us to danger, and it doesn’t always mean damage has occurred. This means that the experience of pain can be influenced by many different factors and not exclusively tissue damage.


Part of the role of the nervous system is to sort through a huge amount of sensory input and interpret it in a meaningful way. When pain is considered to be a serious threat to the body, the intensity of the pain will be worse.

This can happen in many situations, for example:

  • The source of the pain is not well understood, leading to fear that the pain might be something very serious.
  • The nervous system is in a state of hyper-arousal, such as when you are stressed or tired.
  • The pain or injury could have a significant impact on your quality of life, career, relationships or hobbies.
  • The injury occurred through a traumatic event such as a car accident.


Along with our more traditional treatments, there are stress reduction strategies, mindfulness and addressing any emotional trauma associated with pain that can help to aid recovery and improve quality of life. Your physiotherapist is a great person to speak to about pain management strategies so you can get the most out of life while dealing with long-term pain.

Contact your local clinic to make an appointment with your physiotherapist about stress related pain.

None of the information in this article is a replacement for proper medical advice. Always see a medical professional for advice on your individual injury.