Body Aches and Pains Anxiety Symptoms

Written by Jim Folk
Medically reviewed by Marilyn Folk, BScN.
Last updated August 25, 2024

Body Aches and Pains Anxiety Symptoms

Body aches and pain, such as pain, soreness, stiffness, and tenderness anywhere on or in the body, are common anxiety disorder symptoms, including anxiety and panic attack symptoms.

Anxiety-related body pain and aches can affect any area of the body, any parts of the body, or the entire body. Aches and pains can be momentary or persistent.

This article explains the relationship between anxiety and body aches and pains.

Body Aches and Pain common anxiety symptom descriptions

  • Aches, pains, soreness, stiffness, and tenderness anywhere on or in the body.
  • Muscle aches and pains.
  • Muscle tension.
  • Stiff and aching muscles.
  • Your muscles feel sore and uncharacteristically tender.
  • Your joints feel unusually tender, stiff, or sore.
  • You have a pain in the “bones” feeling.
  • You experience achy, painful, sore, and tender spots on the skin.
  • It can also feel like parts of your body are bruised.
  • Some people say it feels like they have been run over by a truck as every part of the body feels sore and achy.
  • A spot on your body, spots on your body, or your entire body feels achy, painful, sore, tender, or bruised.
  • It can also feel like every bone in your body aches.
  • You have aches and pains that feel “inside” the body.

Many people refer to these types of pains as “body pains.”

You can have aches, pains, soreness, stiffness, and tenderness in your arms, hands, fingers, toes, legs, feet, head, neck, face, stomach, abdomen, or anywhere on or in the body.

This symptom can persistently affect one area only, can shift and affect another area or areas, and can migrate all over and affect many areas repeatedly.

It’s also common to have pains in one part of the body that persist then disappear, only for another part of the body to become painful. Pain can also co-occur in many parts of the body simultaneously.

Anxiety aches and pain can:

  • Precede, accompany, or follow an escalation of other anxiety symptoms or occur by itself.
  • Precede, accompany, or follow a period of nervousness, anxiety, fear, and stress, or occur "out of the blue" for no reason.
  • Range in intensity from mild, to moderate, to severe.
  • Come in waves where it’s strong one moment and eases off the next.
  • Occur for a while, subside, and then return for no reason.
  • Change from day to day, moment to moment, or remain as a constant background during your struggle with anxiety disorder.

This symptom can seem more noticeable when undistracted, resting, trying to sleep, or waking up.

All the above combinations and variations are common.

Some people become immobilized due to the severity of their episodes of body pain.

When this symptom persists 24/7 and indefinitely, it’s often referred to as “chronic pain.” Fibromyalgia is another term used to categorize this type of pain.

To see if anxiety might be playing a role in your symptoms, rate your level of anxiety using our free one-minute instant results Anxiety Test, Anxiety Disorder Test, or Hyperstimulation Test.

The higher the rating, the more likely anxiety could be contributing to or causing your anxiety symptoms, including feeling like impending doom symptoms.

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Why Does Anxiety Cause Body Pain And Aches?

Medical Advisory

Talk to your doctor about all new, changing, persistent, and returning symptoms as some medical conditions and medications can cause anxiety-like symptoms.

Additional Medical Advisory Information.

Chronic stress, such as that caused by overly apprehensive behavior, takes a toll on the body. As a result, body-wide aches, pains, tenderness, and soreness can occur.

Some of the most common ways stress causes body pain include:

1. The stress response

Stress, including anxiety-caused stress, causes the body to secrete stress hormones into the bloodstream where they travel to targeted spots to bring about specific physiological, psychological, and emotional changes that enhance the body’s ability to deal with a threat—to either fight with or flee from it.

This is the reason the stress response is often referred to as the fight or flight response, the emergency response, the fight, flight, or freeze response (some people freeze when they are afraid like a “deer caught in headlights”), or the fight, flight, freeze, or faint response (since some people faint when they are afraid).[1][2]

Visit our “Stress Response” article for more information the many changes it causes.

One of the tasks stress hormones perform is cause muscles to contract (tighten).[1] Tight muscles make the body more resilient to attack when in dangerous situations.

When stress is caused by anxiety (worry, fretting, anticipating the worst) and not by a real physical threat where tight muscles could be beneficial for survival, the body still prepares against danger the same way…by causing muscles to tense and tighten.

Tight muscles can be painful.

Body pain due to an active stress response is a common cause of the anxiety symptom body pain.

2. Hyperstimulation (chronic stress)

When stress responses occur infrequently, the body can recover relatively quickly from the many stress response changes.

However, when stress responses occur too frequently, such as from overly apprehensive behavior, the body can’t recover.

Incomplete recovery can leave the body in a state of semi-stress response readiness, which we call “stress-response hyperstimulation” since stress hormones are stimulants.

Hyperstimulation is also often referred to as “hyperarousal,” “HPA axis dysfunction,” or “nervous system dysregulation.”[3][4]

Visit the “Hyperstimulation” article for more information about the many ways it can affect the body and how we feel.

Hyperstimulation can cause the changes of an active stress response even though a stress response hasn’t been activated.

As such, hyperstimulation can cause persistent muscle tension that presents as muscle aches, pains, tenderness, and soreness. As chronic stress increases and persists, so can muscle-related problems increase and persist.

Muscle tension problems can also affect the body’s joints, which can cause joint problems and pain, tenderness, soreness, and achiness.

Hyperstimulation is a common cause of chronic body pain and aches.

3. Nervous System Excitation and Dysregulation

Hyperstimulation (chronic stress) adversely affects the body’s nervous system, including its nerves and how they function.

The nervous system is responsible for receiving and sending sensory information to the brain. Neurons (nerve cells) are the main component of the nervous system.

These specialized cells communicate with each other using an electrochemical process (the combination of electricity and chemistry).

For example, when a nerve impulse is received from one of our senses, such as from the nerve endings in the dermis layer of the skin, neurons relay this nerve impulse information through the nervous system network to the brain for interpretation.

This system of communication works efficiently when the body and nervous system are healthy. However, hyperstimulation can disrupt the normal functioning of the nervous system, causing problems.

For example, because of their electrochemical properties, neurons are particularly sensitive to stress hormone stimulation. When they become overly stimulated, they can act erratically, causing them to “misreport,” “over-report,” and send “errant” nerve impulse information to the brain.[4][5]

These anomalies can cause many unusual sensory-based sensations and symptoms, including those associated with pain.

“Overactive nerves” is another term used to describe the cause of this symptom.

Hyperstimulation can negatively affect any part of the body, including the skin, muscles, nerves and nerve endings, joints, and bones. As such, body pains can occur anywhere on the body, including externally and internally.

For some people, the pain and tenderness are also accompanied by general fatigue and muscle weakness.

Since each body reacts uniquely to stress, each experience may be somewhat different. And because many anxiety symptoms are “sensory-based” — having to do with sensations and feelings — there can be many ways this symptom can be experienced and described.

Sometimes, these symptoms are caused by physical problems, such as infections, muscle tension or strain, sensitive nerves, or inflammation. Other times there is no physical cause.

Since the nervous system is responsible for how we receive and interpret sensory information, a stressed nervous system can cause odd and abnormal sensations and feelings even though there is no physical cause.

This is one of the reasons why medical tests can come back normal, yet anxiety symptoms can persist. We FEEL symptomatic even though there isn’t anything medically wrong.

4. Psychological stress can negatively affect pain modulation (the body’s ability to regulate pain).

The inability to regulate pain normally can cause issues with body pain.[6][7] You can read more about this here.

5. Inflammation

Hyperstimulation (chronic stress) can cause chronic inflammation problems.[8][9]

Inflammation can occur anywhere on or in the body, including joints, muscles, and organs. While inflammation doesn’t necessarily have to produce pain as a symptom, it often does.

Moreover, anxious and chronically stressed people often consume an unhealthy diet comprised of high sugar, high fat, and high-calorie foods, which fuel inflammation problems.

It’s the combination of elevated stress and an unhealthy diet that can create chronic inflammation and pain issues.

6. Pain

Chronic pain is often circular, meaning stress causes issues with pain, pain stresses the body, that stress fuels issues with pain, and so on.

7. Other Factors

Other factors can create stress and cause anxiety-like symptoms, as well as aggravate existing anxiety symptoms, including:

Select the relevant link for more information.

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How to get rid of the body aches and pains anxiety symptoms?

When this symptom is caused or aggravated by other factors, addressing those factors can reduce and eliminate anxiety-related body aches and pains.

When this symptom is caused by an anxiety-triggered stress response, calming yourself will end the active stress response and its changes. This symptom will subside as your body recovers from the active stress response.

Keep in mind that it can take up to 20 minutes or more for the body to recover from a major stress response. But this is normal and shouldn’t be a cause for concern.

When this symptom is caused by hyperstimulation, eliminating hyperstimulation will end this anxiety symptom.

You can reduce and eliminate hyperstimulation by:

  • Containing anxious behavior.
  • Reducing stress.
  • Regular deep relaxation.
  • Relaxed diaphragmatic breathing.
  • Regular light to moderate exercise.
  • Getting regular good sleep.
  • Eating a healthy diet of whole and natural foods.
  • Avoiding stimulants.
  • Passively-accepting your symptoms until they subside.
  • Being patient as your body recovers.

Visit our “60 Natural Ways To Reduce Stress” article for more ways to reduce stress.

As the body recovers from hyperstimulation, it stops sending symptoms of hyperstimulation, including body pains and aches.

However, eliminating hyperstimulation can take much longer than most people think, causing symptoms to linger longer than expected.

As long as the body is hyperstimulated, even slightly, it can present symptoms of any type, number, intensity, duration, frequency, and at any time, including body aches and pains.

Even so, since body pain is a common symptom of stress (acute and chronic), including anxiety-caused stress, it's harmless and needn't be a cause for concern. It will subside when unhealthy stress has been eliminated and the body has had sufficient time to recover and stabilize. Therefore, there is no reason to worry about anxiety-caused body aches and pain.

Short-term Remedies

Since anxiety body pain is most often caused and aggravated by stress, any stress reduction activity can reduce and eliminate this symptom.

However, keep in mind that each person can have a unique symptom experience since each person is somewhat physically, chemically, psychologically, and emotionally unique. What might work for one person might not for another.

  • Reduce stress – Since all anxiety symptoms are stress-related, reducing stress can alleviate this symptom. There are many ways to reduce stress. You can read many stress reduction strategies in Chapter 14 in the Recovery Support area of our website.
  • Regular good sleep – Getting good sleep each night (6.5 to 8 hours per night) can significantly reduce stress, which can improve all anxiety symptoms, including body pain.
  • Regular deep relaxation – Regular deep relaxation is a great way to reduce stress and overall stimulation. As stress and stimulation diminish, so will anxiety symptoms, including body pain.
  • Regular light to moderate exercise – Regular exercise is a proven way to reduce stress and improve stress symptoms. Regular exercise can also loosen tight muscles, causing a reduction in body pain. However, we don’t recommend strenuous exercise since it stresses the body.
  • Go for a leisure walk – Leisure walking is a great way to reduce stress and anxiety symptoms and loosen tight muscles due to hyperstimulation. Even short walks of 10 minutes can help reduce some anxiety symptoms, including this one.
  • Muscle relaxants – Can help tight and spasming muscles release and relax.
  • Pain management – If the pain has become great, which can stress the body and aggravate pain, over-the-counter pain medication can be helpful.
  • Tens machine – If you have a specific muscle or muscle group causing persistent pain or pressure, using a Tens machine can help reduce muscle-related pain and pressure. It can also help diffuse the pain and pressure, so the nervous system stops engaging them.
  • Talk with your doctor – If your body pain has become too painful, talk with your doctor about a prescription pain reliever or muscle relaxant.

There are many other natural and practical ways to reduce stress and anxiety symptoms. Again, you can visit chapters 4 and 14 in the Recovery Support area for more ideas.

Recovery Support

The Recovery Support area of our website contains thousands of pages of important self-help information to help individuals overcome anxiety disorder, hyperstimulation, and symptoms.

Due to the vast amount of information, including a private Discussion Forum, many of our Recovery Support members consider it their online recovery support group.

Therapy

Unidentified and unaddressed underlying factors cause issues with anxiety. As such, they are the primary reason why anxiety symptoms persist.[10][11][12]

Addressing your underlying factors (Level Two recovery) is most important if you want lasting success.

Addressing Level Two recovery can help you:

  • Contain anxious behavior.
  • Become unafraid of anxiety symptoms and the strong feelings of anxiety.
  • End anxiety symptoms.
  • Successfully address the underlying factors that so often cause issues with anxiety.
  • End what can feel like out-of-control worry.

All our recommended anxiety therapists have had anxiety disorder and overcame it. Their personal experience with anxiety disorder and their Master's Degree and above professional training gives them insight other therapists don't have.

If you want to achieve lasting success over anxiety disorder, any one of our recommended therapists would be a good choice.

Working with an experienced anxiety disorder therapist is the most effective way to treat anxiety disorder, especially if you have persistent symptoms and difficulty containing anxious behavior, such as worry.

In many cases, working with an experienced therapist is the only way to overcome stubborn anxiety.

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Prevalence

In an online poll we conducted, over 80 percent of respondents said they experienced body aches and pain because of their anxiety.

The combination of good self-help information and working with an experienced anxiety disorder therapist, coach, or counselor is the most effective way to address anxiety and its many symptoms. Until the core causes of anxiety are addressed – which we call the underlying factors of anxiety – a struggle with anxiety unwellness can return again and again. Dealing with the underlying factors of anxiety is the best way to address problematic anxiety.

Additional Resources

Return to our anxiety disorders signs and symptoms page.

anxietycentre.com: Information, support, and therapy for anxiety disorder and its symptoms, including Body Aches and Pain Anxiety Symptoms.

References

1. Chu, Brianna, et al. “Physiology, Stress Reaction.” StatPearls, 7 May 2024.

2. Godoy, Livea, et al. "A Comprehensive Overview on Stress Neurobiology: Basic Concepts and Clinical Implications." Frontiers In Behavioral Neuroscience, 3, July 2018.

3. Teixeira, Renata Roland, et al. “Chronic Stress Induces a Hyporeactivity of the Autonomic Nervous System in Response to Acute Mental Stressor and Impairs Cognitive Performance in Business Executives.” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, 2015.

4. Mariotti, Agnese. “The Effects of Chronic Stress on Health: New Insights into the Molecular Mechanisms of Brain–Body Communication.” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, Nov. 2015.

5. Schneiderman, Neil, et al. “STRESS AND HEALTH: Psychological, Behavioral, and Biological Determinants.” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, 2005.

6. Geva, Polly Christine, and Renata Roland Defrin. “The Douglas Hospital Research Centre.” Centre De Recherche Pour Les Études Sur Le Vieillissement De L'Université McGill | Centre De Recherche De L'hôpital Douglas, 2014.

7. AHMAD, Asma Hayati, and Rahimah ZAKARIA. “Pain In Times Of Stress.” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, Dec. 2015.

8. Sheldon Cohen, Denise Janicki-Deverts, William J. Doyle, Gregory E. Miller, Ellen Frank, Bruce S. Rabin, and Ronald B. Turner. "Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk." PNAS, April 2, 2012. DOI: 10.1073/pnas.1118355109

9. Liu, Yun-Zi, et al. “Inflammation: The Common Pathway of Stress-Related Diseases.” US National Library of Medicine, 20 June 2017.

10. Hofmann, Stefan G., et al. “The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-Analyses.” Cognitive Therapy and Research, U.S. National Library of Medicine, 1 Oct. 2012.

11. Leichsenring, Falk. “Is Cognitive Behavioral Therapy the Gold Standard for Psychotherapy?” JAMA, American Medical Association, 10 Oct. 2017.

12. DISCLAIMER: Because each body is somewhat chemically unique, and because each person will have a unique mix of symptoms and underlying factors, recovery results may vary. Variances can occur for many reasons, including due to the severity of the condition, the ability of the person to apply the recovery concepts, and the commitment to making behavioral change.