Aches and pains from anxiety

10 Most Common Physical Symptoms of Anxiety : Intrepid Mental Wellness, PLLC: Psychiatric Nurse Practitioners

10 Most Common Physical Symptoms of Anxiety

Anxiety and panic disorders can produce a wide range of distressing physical symptoms. Many people are unaware that their symptoms are caused by anxiety, which can make the problem worse, as many people worry that their symptoms are caused by an underlying disease, leading to further anxiety. This vicious circle can be broken by learning about anxiety and being able to recognize the physical symptoms. Here are the 10 most common physical symptoms of anxiety.

Fatigue

Fatigue is one of the most common symptoms associated with anxiety, panic disorder, chronic stress, depression and other mental health disorders. Chronic anxiety leaves the body and mind in a constant state of tension and high alertness. The mind is constantly scanning the external and internal environment for threats, leading to emotional distress and physical tension. This constant state of high alertness leads to mental and physical exhaustion, which will often persist even after a long sleep.

Increased Heart Rate

Anxiety is a natural response to danger and is needed for humans to survive. High levels of anxiety trigger changes in the body to help prepare for dealing with threats and danger, also known as the fight or flight response. However, if you're living with chronic anxiety, your body and mind are often unable to tell the difference between real and imagined dangers, which means that the fight or flight response may be continually active. One of the first changes to occur during the fight or flight response is an increase in heart rate.

Heart Palpitations

Heart palpitations are often one of the most distressing symptoms associated with anxiety, as they can feel scary and many people worry that they are having a heart attack, particularly when palpitations are combined with chest pain. Heart palpitations can feel like your heart is pounding, fluttering, beating too fast or missing beats. Some people can even feel their heart beating in their throat, neck or head. While heart palpitations can be scary, they usually pass within a few seconds.

Shortness of Breath

Shortness of breath is another distressing symptom that leads many people to worry that they are having a heart attack, choking or experiencing problems with their lungs. Shortness of breath is usually caused by breathing too quickly (hyperventilation), as the body is inhaling too much oxygen and exhaling too much carbon dioxide. Hyperventilation will not harm you, but you may feel as if you are choking, have a lump in your throat or are unable to take in enough air.

Dizziness

Feeling dizzy, faint or unsteady is often the result of hyperventilation, although it may also be caused by other issues related to anxiety, such as muscle tension in the neck and shoulders. Many people feel lightheaded and worry that they might pass out during a panic attack, but some people with an anxiety disorder also experience chronic dizziness and problems with balance.

Muscle Aches

Muscle aches and joint pain can be caused by tension, as well as general poor health. Anxiety causes the muscles to tense up, which can lead to pain and stiffness in almost any area of the body. Constant stress and worry can also prevent the immune system from working properly, leading to decreased resistance to infection and disease. Infection increases inflammation in the body, which can cause a range of symptoms, including joint pain.

Muscle Weakness

Another common symptom of chronic anxiety is weakness in the muscles, most commonly experienced in the legs and sometimes the arms. During the fight or flight response, the body is preparing to take action against danger. One of the ways in which the body prepares for this action is to redirect blood flow to the areas most needed, including the legs, which are needed to run away from danger. Increased blood flow to the legs can make them feel weak, tingly or like jelly.

Headaches

Headaches and migraines are often caused by tension, particularly in the neck and shoulders. Teeth grinding, facial tension, poor posture and hyperventilation can also cause headaches and migraines. Sharp pain, a dull ache or a feeling of pressure around the head and eyes are common symptoms associated with anxiety. As anxiety can also upset the balance of hormones in the body, some women notice an increase in migraines, as they can be triggered by changes in hormones.

Digestive Discomfort

Excess gas, bloating, stomach cramps, acid indigestion, heartburn, constipation and diarrhea can all be caused by stress and anxiety. Several digestive problems, including irritable bowel syndrome (IBS), have been linked to chronic stress and mental health problems. Anxiety can also increase the symptoms of food intolerance and sensitivities in some people.

Tingling Sensations

Pins and needles, tingling and numbness are common symptoms that mostly affect the extremities, but can also be experienced anywhere in the body. Tingling of the lips, face and arms can be particularly distressing, as many people worry they are having a stroke. Odd sensations in the body, including tingling and numbness, are usually the result of hyperventilation, but can also be caused by physical tension.

Anxiety can cause a wide range of distressing physical symptoms, but recognizing and accepting that these symptoms are temporary and harmless helps to alleviate fears and prevent further anxiety. The most common physical symptoms of anxiety include fatigue, increased heart rate, heart palpitations, shortness of breath, dizziness, muscle aches, muscle weakness, headaches, digestion, discomfort and tingling sensations.

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Chronic Pain | Anxiety and Depression Association of America, ADAA

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Muscle tension, body soreness, headaches. For people with anxiety disorders, pain like this may be all too familiar.

Pain can be a common symptom — and sometimes a good indicator — of an anxiety disorder, particularly generalized anxiety disorder (GAD).

Beyond everyday aches and pains, some people will also suffer a diagnosed chronic pain disease such as arthritis or fibromyalgia. And a co-occurring chronic pain disease can make functioning even more difficult for someone with an anxiety disorder.

But people can manage anxiety disorders and chronic pain to lead full and productive lives.

Chronic Pain and Anxiety Disorders

Many chronic pain disorders are common in people with anxiety disorders.

Arthritis is a wide-ranging term that describes a group of more than 100 medical conditions that affect the musculoskeletal system, specifically the joints.

Symptoms include pain, stiffness, inflammation, and damage to joint cartilage and surrounding structures. Damage can lead to joint weakness, instability, and deformities that can interfere with basic daily tasks. Systemic forms of arthritis can affect the whole body and can cause damage to virtually any bodily organ or system.

Anxiety, depression, and other mood disorders are common among people who have arthritis, and very often in younger arthritis sufferers.

Fibromyalgia is a chronic medical condition that causes widespread muscle pain and fatigue. Learn more.

Migraine is severe pain felt on one or both sides of the head, normally occurring around the temples or behind one eye or ear. Learn more.

Back pain is more common in people with anxiety and mood disorders than those without them. Illness, accidents, and infections are among the causes of back pain.

Symptoms include persistent aches or stiffness anywhere along the spine; sharp, localized pain in the neck, upper back, or lower back, especially after lifting heavy objects or engaging in strenuous activity; and chronic ache in the middle or lower back, especially after sitting or standing for extended periods.

Complications

An anxiety disorder along with chronic pain can be difficult to treat. Those who suffer from chronic pain and have an anxiety disorder may have a lower tolerance for pain. People with an anxiety disorder may be more sensitive to medication side effects or more fearful of side effects than, and they may also be more fearful of pain than someone who experiences pain without anxiety.

Treatment

Many treatments for anxiety disorders may also improve chronic pain symptoms.

Medications. Some people with an anxiety disorder and chronic pain may be able to take one medication for the symptoms of both conditions, such as treating fibromyalgia with a selective serotonin reuptake inhibitor (SSRI) and some anxiolytics, tricyclic antidepressants, and monoamine oxidase inhibitors (MAOIs) that are effective for headache pain.

Cognitive-behavioral therapy (CBT) is used to treat anxiety disorders as well as chronic pain conditions. It is one type of effective therapy.

Relaxation techniques help people develop the ability to cope more effectively with the stresses that contribute to anxiety and pain. Common techniques include breathing retraining, progressive muscle relaxation, and exercise.

Complementary and alternative treatment. Yoga, acupuncture, and massage are among the complementary and alternative techniques that relieve the symptoms of anxiety disorders as well as chronic pain.

Find a mental health professional who treats anxiety and depressive disorders in your area.

Lifestyle

Many lifestyle changes that improve the symptoms of an anxiety disorder also help the symptoms of chronic pain.

Exercise. Regular exercise strengthens muscles, reduces stiffness, improves flexibility, and boosts mood and self-esteem. Always check with your doctors before beginning an exercise regimen.

Sleep. A good night’s sleep is key for anxiety disorders and chronic pain conditions. Symptoms of both types of conditions often become worse without enough sleep.

Consistent sleep and wake times, a good sleep environment (comfortable room temperature, no TV or other distractions), and avoiding caffeine late in the day and at night can help promote restful sleep.

Nutrition. People with anxiety should limit or avoid caffeine and alcohol, which can trigger panic attacks and worsen anxiety symptoms. Some types of food may aggravate some musculoskeletal conditions, including dairy products, gluten (found in wheat, oats, barley, and rye), corn, sugar, and members of the nightshade family (potatoes, tomatoes, eggplant, peppers, and tobacco).

Those who experience pain can reduce their intake of tea, coffee, alcohol, red meat, and acid-forming foods. A health professional can provide more guidance about healthful foods and which to avoid.

Getting Help

Find a Therapist near you.

Find Out More

ADAA Webinar - Understanding and Managing Chronic Pain & its Relationship with Mental Health

American Chronic Pain Association
Arthritis Foundation
Community Pain Center
National Institute of Neurological Disorders and Stroke: Chronic Pain
Back Pain Help Center (WebMD)

Heart alarm - For a healthy lifestyle! - Articles

Very often people complain of pain in the heart, but it turns out that the stomach hurts, suffers from osteochondrosis or stress has led to the development of depression. And the development of a heart attack is not recognized, they are attributed to the same stomach, osteochondrosis or even toothache. How to figure it out? Let's try to help.

angina pectoris. That was the name in the old days of the disease that we now call angina pectoris. A heart attack usually begins with a pressing or burning pain in the center of the chest (doctors say "behind the sternum") during exercise or stress, although it can develop at rest.

The pain is quite intense, can radiate to the lower jaw, shoulders and arms (more often to the left, but possibly both), to the neck, throat and back. Sometimes it disguises itself as bursting pains in the same areas or pains in the stomach (upper abdomen - epigastrium), simulating an intestinal disorder. The pain disappears at rest in a few minutes, and if you put a nitroglycerin tablet under the tongue (or spray a spray containing nitroglycerin) - almost instantly.

If such pain lasts longer than 20-30 minutes and its intensity increases, the development of a heart attack is not excluded. Timely assistance significantly reduces the risk of dying from a heart attack, so you need to call an ambulance team as soon as possible. Recording an ECG in a heart attack almost always helps to make a diagnosis.

Heart attack cancelled. Very often, young women come to the doctor with complaints of pain in the heart. How could it be otherwise, because through the heart we pass all our troubles, worries and joys. In this case, there is usually no cause for alarm.

In young women, "heart pain" is often functional, meaning it is not caused by angina pectoris. Female sex hormones protect blood vessels from the formation of atherosclerotic plaques. And if you look, “heart” pains bother women not in the area where “angina pectoris” likes to settle, but in the left half of the chest, in the armpit or under the left breast. They are, as a rule, in the nature of discomfort, stabbing or aching pain, and can last from half an hour to several hours or even days.

These feelings arise for various reasons. Stress, sleep deprivation, overwork, premenstrual periods…and, as a result, an anxiety or depressive disorder. The skeletal muscles are tense, on the shoulders they are compacted into painful lumps - “lumps of nerves”! Sometimes it is enough to have a short, but good rest, pleasant emotions.

In more serious cases, one has to seek help from a neurologist , a psychotherapist. Remember: the longer the depression lasts, the more difficult it is for the doctor to completely relieve you of discomfort, sleep disturbances and bad mood. However, in addition to stress, other reasons can lead to pain in the “heart area”.

"Bouquet of diseases". Osteochondrosis, a disease of sedentary people, leads to pinching of the nerve roots and the development of pain. If the thoracic spine is involved, then it is the heart that falls under the patient's suspicion - it pricks and pierces, lies on the chest with a lump or stone, catches with inhalations and sharp turns of the body, and aches for hours.

If such sensations occur during strong excitement, then the full impression of a heart attack can be formed. But the true cause of the pain in this case is the tension of the muscles of the neck and back. Unlike an attack of angina, which is quickly relieved by nitroglycerin, pain medications, massage, kneading the back with hydromassage jets can help, shock wave therapy. During examination, changes in the vertebrae can be found on an x-ray of the spine. But the ECG, even at the time of the most intense neuralgic pain, will be normal.

Chest pain may occur during a cold if it is complicated by bronchitis. Coughing can add discomfort, since already on the second day of a hacking cough, in addition to the bronchi, pectoral muscles will add to the pain. If the cold is complicated by pneumonia and pleurisy, then with a deep breath and exhalation, changes in pain can be noticed. The pain increases with inhalation, when the lungs straighten and “rub” against the inflamed pleura, and decreases with exhalation.

The doctor will recommend an X-ray of the lungs, listen with a phonendoscope for wheezing in the lungs.

Do not forget about the stomach, pancreas and gallbladder. A common cause of chest pain is intercostal neuralgia, herpes zoster, and in women - mastopathy. Regular palpations of the mammary glands must be carried out by women after 30-35 years, and if there is pain or induration, consult a doctor who will most likely refer you to an ultrasound of the mammary glands and mammography.

Gender matters, because it is in women that “heart pain” during examination turns out to be a mask of other diseases, and in men over 40 any “gastritis, osteochondrosis attack or sore tooth” may turn out to be a first-time developed heart attack. A timely visit to the doctor is necessary if the heart is at risk.

On the other hand, all the pains in the chest should not be blamed on the poor heart either.

Let's try to figure it out, analyze our feelings and try to distinguish between an attack that can threaten health and functional pain.
- Stitching or aching pain in the left side of the chest, which does not give anywhere?
- The pain begins and goes away gradually, lasts a long time, for hours, and even days, if you are stressed?
- Physical activity does not cause or increase discomfort in the heart area, and sometimes even relieves it?
- The pain does not go away after taking nitroglycerin, but subsides with sedatives?

If you answered “yes” to most of the questions, you probably don't have to worry about your heart. If so, complete the Hospital Anxiety and Depression Scale (HADS) and the CES-D questionnaire. Perhaps the stresses in your life have led to the development of depression and the consultation of a psychotherapist will relieve your "heart anxiety".

treatment, how to get rid of anxiety, how to deal with anxiety for no reason

Anxiety is a negatively colored mood with feelings of worry, tension, and fear. In moderation, such emotions are useful: they help to mobilize forces and find a way out of extreme situations. But there must be grounds for concern, and normally it lasts a limited period of time.

If a person constantly experiences a feeling of anxiety and anxiety for no reason, this may indicate the presence of a mental disorder. In the absence of help, constant tension wears out the nervous system and the body as a whole, which leads to a breakdown in adaptation mechanisms and the development of chronic diseases.

If you notice that you cannot relax for a long time, then you should think about visiting a specialist.

In pathological cases, a state of anxiety and restlessness without a cause manifests itself both mentally and physically.

Mental symptoms:

constant feeling of fear and excitement for no reason,
poor concentration and attention,
sleep disorders,
emotional lability, irritability, tearfulness,
inability to relax and fully engage in daily activities or communication,
the need to reassure others that everything is okay. At the same time, words of support do not bring relief.

Physical symptoms:

rapid breathing and heartbeat,
headaches, pain in the abdomen and in the region of the heart,
excessive sweating,
eating disorders: increased or loss of appetite,
weakness,
shivering, chills,
stool disorders: frequent urge, constipation,
feeling short of breath,
nausea,
muscle spasms and pain.

Unreasonable anxiety and anxiety increase or smooth out from time to time. Exacerbations often accompany stress: conflicts, important events, illness. Normally, a person recovers quickly after the situation is resolved, but when upset, negative emotions do not go away.

The intensity of anxiety varies from mild to severe. The extreme is panic. If you ignore an anxiety state for a long time for no reason, then panic attacks can join it. They overtake unexpectedly and sometimes without a good enough reason, but after this episode, a person begins to avoid situations similar to the one in which it happened: public transport, an elevator, or just a crowd of people. This greatly reduces the quality of life and can lead to social isolation.

Causes of causeless anxiety and anxiety

The occurrence of anxiety disorder is influenced by heredity. It has been found that certain brain structures and features of biological processes play an important role in the emergence of fear and anxiety. Personal characteristics, somatic health problems, lifestyle and various types of addictions also matter. Sometimes there is no cause for causeless anxiety and worry. Negative feelings usually have a trigger - an event or thought that causes an anxious response. However, most people are not aware of their triggers and believe that their emotions are groundless. In this case, only a specialist will help to understand why excitement arises for no reason.

There are a number of diseases, the symptoms of which are constant anxiety. With causeless fear and anxiety, the reasons may be as follows:

Generalized Anxiety Disorder: Constant nervousness and worry about small things that are usually visible to others and last 6 or more months. It starts in adolescence and intensifies with age.
Obsessive-compulsive disorder: obsessive thoughts and fears that are accompanied by obsessive actions that do not bring relief. Obsessive-compulsive disorder is distinguished - a person is indomitably haunted by memories that reproduce a traumatic situation.
Phobias: irrational fear of any, even mundane, things. Accompanied by uncontrolled panic and physical manifestations.
Panic attack is an excruciating and sudden attack of panic, which is accompanied by a fear of death and vivid somatic symptoms. The regular occurrence of panic attacks means the development of a panic disorder.
Post-traumatic stress disorder: occurs after a severe traumatic situation and is accompanied by high levels of anxiety, avoidance and flashbacks.

These are the most common examples, but pathological anxiety can be a symptom of other disorders or the result of a failed stress management. If you want to understand why there is a feeling of anxiety for no reason, you should consult a doctor. Without clarifying the main factor and working on it, it is impossible to restore health and peace of mind.

What to do with causeless anxiety and anxiety

It is difficult to live in constant stress. If you experience causeless anxiety and fear of what to do, the following list will tell you:

Talk to someone you trust. This could be a relative, a close friend, a therapist, or a helpline employee. People are social creatures, so communication is a good way to relieve internal tension.
Find a way to calm down quickly. There is not always a person with whom you can share. Therefore, it is important to find a suitable method that will help you relax: breathing techniques, soothing music, aromatherapy, self-massage, and more. If you cannot independently choose a technique that quickly helps with anxiety for no reason, a specialist will tell you what to do.
Add physical activity to your life. It is a natural and effective remedy for anxiety. Moderate sport relieves stress, lowers stress hormones, and strengthens the nervous system. Get at least 30 minutes of physical exercise a day.
Normalization of lifestyle. Get enough sleep, eat well, give up bad habits. This stabilizes physical performance and neurotransmitter levels, which helps maintain emotional balance.
Start keeping a diary. Notes help identify patterns of anxiety flare-ups, understand the causes, and notice early signs of their occurrence. Also, thanks to this, you will begin to focus more on positive events that you might not have noticed before.

With excitement for no reason, everyone who regularly encounters this wants to know what to do. There is no universal method, however, the 5 steps listed above are recommended for every person with increased anxiety. This may be enough to alleviate symptoms. But if self-help techniques do not give the desired effect, then with a regularly occurring feeling of anxiety for no reason, you need to find out from a specialist what to do.

Treatment of causeless feelings of anxiety and restlessness

Regardless of the cause of pathological anxiety, professional help is the only complete method to eliminate the problem. If you have constant excitement and anxiety for no reason, you can quickly and effectively learn from a psychiatrist or psychotherapist how to get rid of this condition.

Due to the diversity of anxiety disorders, their therapy must be adapted to the individual clinical picture and diagnosis. Therefore, only a highly qualified specialist who has experience working with different types of anxiety conditions can tell you how to get rid of an anxiety state for no reason. For example, the therapy algorithm for a patient with obsessive-compulsive disorder (OCD) is different from the help for panic attacks.

For a state of anxiety and anxiety without a cause, treatment includes the following approaches:

Psychotherapy. The most promising direction, which not only eliminates the symptom, but identifies the cause and fights it. Therapy teaches when feeling anxiety for no reason, how to get rid of acute attacks of anxiety, relax, look at life situations differently. The doctor will help to uncover the main causes of your fears and work them out. The patient receives the tools to overcome anxiety and uses them successfully. Cognitive-behavioral therapy is usually used: in the course of treatment, the patient encounters an object of concern and gradually gains confidence that he can control the situation.
Medical therapy. Depending on the type of anxiety and the presence of associated mental or physical health problems, antidepressants, sedatives, sleeping pills, and other drugs may be prescribed. When anxiety is felt without a cause, drug treatment will alleviate the symptoms and improve the quality of life of the patient during his psychotherapeutic work on the underlying cause. Uncontrolled medication leads to dangerous side effects and withdrawal syndrome, so they can only be used according to the individual course prescribed by the doctor.
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