Neck and shoulder pain? The team from Osteopathic Centre Hong Kong explains why it might be stress-related.
“I feel like I hold all my stress from work in my shoulders. Is this true?”
This is something that osteopaths in our clinic hear very often; and yes, it’s partly true. Many people find that when life becomes stressful, they start to feel the physical effects in addition to the mental – particularly through tightness, aching muscles or restriction around the neck, shoulders and upper back. This is a natural bodily reaction to emotional or psychological strain.
When you experience stress, whether from work demands, personal pressures or environmental factors, your body activates its “fight or flight” response. This process releases stress hormones like adrenaline and cortisol, increasing heart rate and contracting muscles to prepare the body for action.
The muscles around the neck and shoulders are especially prone to tightening during this response, as they play a key role in protective postures – think shoulders raised, chest tight, breathing shallow, jaw clenched.
Longer-term effects
While short-term tension is normal, chronic or unrelieved stress keeps those muscles semi-contracted for long periods. Over time, this can lead to reduced joint mobility, stiffness, tension headaches, jaw discomfort and even altered breathing patterns. You might also notice changes in posture, digestive irritation or fatigue as the body compensates for ongoing strain.
So, when you say you “hold stress in your shoulders”, you’re describing a real and common mind-body connection. Utilising a holistic approach, we can develop effective management strategies to regulate and balance, supporting both your mental and physical wellbeing.
Osteopathic Centre Hong Kong
18/F, The Chinese Bank Building, 61-65 Des Voeux Road, Central
WhatsApp 9692 2205 | ochk.hk
This article on osteopathy in Hong Kong first appeared in Expat Living magazine. You can buy the latest issue or an annual subscription or read the digital version free now.
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