01/12/2025
Chronic Pain & Maladaptive Stress
Chronic pain isn’t always driven by damaged tissues. Often it begins when the stress system stops switching off. A chronically activated fight-or-flight response disrupts cortisol rhythms, ramps up inflammation and sensitises both the spinal cord and brain. This makes the nervous system hyper-reactive, so even small inputs, think movement, pressure, emotional stress, can feel disproportionately painful.
This becomes a maladaptive biological loop. The stress system learns to stay on high alert, and pain circuits strengthen through repetition.
Fortunately, learned patterns can be unlearned. By calming the stress response, improving sleep, reducing inflammation and retraining the nervous system, the pain threshold becomes more flexible again. Chronic pain is changeable when we work with the driving factors.