It’s mid-December. Your to-do list is longer than a child’s wish list for Santa. You’ve spent the last three hours hunched over wrapping paper, your shoulders are practically touching your ears, and you slept maybe five hours last night because your mind was racing about travel plans and dinner menus.

Suddenly, you reach for a roll of tape, and ouch—a sharp twinge shoots through your lower back.
Sound familiar?
For many of us, the "most wonderful time of the year" is also the most physically demanding. We often blame the cold weather or an awkward sleeping position on a guest bed, but there is a deeper physiological reason why our bodies tend to revolt during the holiday season. The connection between holiday stress and pain is real, and understanding it is the first step to feeling better.
How Stress Affects the Body
We tend to think of stress as purely emotional—a feeling of overwhelm or anxiety. But your body doesn't distinguish between a looming work deadline, a difficult family dinner, or a physical threat. To your nervous system, stress is stress.

When you are stressed, your body releases a cascade of hormones, primarily cortisol and adrenaline. This is your "fight or flight" response kicking into gear. While this was helpful for our ancestors running from predators, it’s less helpful when you’re just trying to navigate a crowded shopping mall.
Consistently high levels of cortisol can increase inflammation in the body. Furthermore, your nervous system remains in a state of high alert. This hypersensitivity means that nerves can fire more easily, making you more susceptible to pain. What might have been a minor ache in July can feel like a debilitating throb in December because your system is already dialed up to eleven.
Why Muscles Tighten During Stress
One of the most immediate physical reactions to stress is "muscle guarding." This is a reflex where your muscles tense up to protect you from injury and pain. It’s your body’s way of putting on armor.

When stress becomes chronic—like during a frantic holiday month—this muscle tension doesn't release. You might not even realize you’re doing it.
- Neck and Shoulders: We often carry the "weight of the world" here. When we are anxious, we unconsciously raise our shoulders, leading to tight trapezius muscles and tension headaches.
- Jaw: Clenching your jaw (bruxism) is a common stress response that leads to facial pain and headaches.
- Hips and Low Back: The psoas muscle (a deep hip flexor) is sometimes called the "muscle of the soul" because it is highly reactive to emotional stress. A tight psoas can pull on your lumbar spine, causing low back pain.
This muscle tension from stress creates a vicious cycle: stress causes tightness, tightness causes pain, and pain causes more stress.
Why Pain Flares Happen During the Holidays
It isn't just the biology of stress that hurts us; it's our holiday habits. Several environmental and behavioral factors combine to create a perfect storm for holiday pain flare-ups.
Reduced Movement: Despite running errands, we often abandon our regular exercise routines during the holidays. Our bodies crave consistent movement. When we stop our daily walks or gym sessions, joints get stiff.
Travel Posture: Whether it's a four-hour flight cramped in economy class or a six-hour drive to grandma’s house, travel forces us into static, awkward postures that wreak havoc on our spines.
Diet and Hydration: Holiday treats are often high in sugar and processed ingredients, which can increase systemic inflammation. Coupled with forgetting to drink enough water, our tissues become less pliable and more prone to injury.
Disrupted Sleep: Sleep is when our bodies heal. Late holiday parties and stress-induced insomnia rob us of this recovery time, lowering our pain threshold.
Common Holiday Pain Complaints
In our clinic, we see a predictable surge in specific complaints once the holiday season hits full swing. You aren't alone if you are experiencing:
- Neck Pain and Stiffness: Usually from looking down at phones while shopping or prolonged cooking sessions.
- Shoulder Tightness: Often related to stress guarding and carrying heavy shopping bags or luggage.
- Headaches: Tension headaches radiating from the neck are incredibly common.
- Low Back Pain: Triggered by standing for long periods at parties, sleeping on air mattresses, or lifting heavy boxes of decorations.
- Knee and Hip Pain: Flare-ups can occur due to colder weather affecting barometric pressure within the joints or increased standing.
What Actually Helps
The good news is that you don't have to grit your teeth until January. You can break the cycle of tension and pain.
Prioritize Gentle Movement: You might not have time for a full workout, but you have time for a 10-minute walk. Gentle movement increases blood flow, which flushes out inflammatory chemicals and helps relax tight muscles.
Breathe With Intention: Since stress changes our breathing patterns to shallow chest breaths, practicing deep, diaphragmatic breathing (belly breathing) can manually switch your nervous system from "fight or flight" to "rest and digest."
Mobility Work: Take five minutes morning and night to do simple stretches. Focus on opening the chest, mobilizing the thoracic spine (upper back), and stretching the hip flexors.
Physical Therapy for Muscle Tightness: If stretching isn't cutting it, a physical therapist can identify exactly which muscles are guarding and provide targeted release techniques and exercises to restore balance.
Chiropractic Care During Holidays: Adjustments can help restore proper motion to stiff joints, improving nervous system function and reducing that feeling of being "locked up."
Advanced Modalities: For stubborn chronic pain or tendon issues that flare up, therapies like shockwave therapy can stimulate healing and reduce pain sensitivity.
When to Seek Professional Help
While some holiday aches are temporary, others signal a need for professional attention. Listen to your body. You should consider seeking help if:
- Pain persists for more than 3-4 days despite rest and home care.
- The pain is sharp, shooting, or accompanied by numbness and tingling.
- You are waking up at night due to pain.
- You feel "stuck" or have significantly limited range of motion (e.g., you can't turn your head to check your blind spot).
Ignoring these red flags usually leads to a longer recovery road later. Addressing a flare-up early is always easier than treating a chronic condition.
Listen to Your Body This Holiday Season
The holidays are meant to be enjoyed, not endured. It is easy to put everyone else’s needs before your own during this season, but you cannot pour from an empty cup. If you are hurting, your body is trying to tell you something.
Listen to it. Take a moment to breathe, stretch, and check in with yourself. Acknowledge the connection between your stress levels and your physical comfort.
If you find that pain or discomfort persists, remember that support is available close to home. At Optimal Health Chiropractic & Physical Therapy, serving South Jersey with clinics in Egg Harbor Township and Washington Township, our experienced team is here to help you feel your best—especially during the demanding holiday season. Whether you need relief from muscle tension, help with pain flare-ups, or just want a professional opinion, our caring providers can guide you toward lasting comfort and wellness.

This holiday season, remember: self-care isn't selfish—it's essential for your well-being and happiness. If your body is sending you signals, don’t ignore them. A little proactive care can go a long way toward helping you enjoy the season pain-free.
Wishing you comfort, health, and a wonderful holiday ahead!