25/11/2025
There’s growing scientific evidence that chronic neck pain isn’t just about sore muscles, it’s closely linked to depression, especially through changes in the fascia of the trapezius (the connective tissue that wraps your upper back and neck). Research shows that in people with both depression and chronic neck pain, the deep fascia of the trapezius can become stiffer, thicker, and less elastic.
https://pubmed.ncbi.nlm.nih.gov/38461580/
This is important, because when the fascia is tight or restricted, it can increase pain sensitivity and worsen emotional stress creating a vicious cycle where pain fuels low mood, and low mood amplifies pain.
Myofascial release (a gentle, sustained type of massage) significantly reduced pain, stiffness, and depressive symptoms in people with chronic neck pain and depression. By working directly on the fascia, massage helps restore flexibility, calms down the nervous system, and improves overall well-being.
https://pubmed.ncbi.nlm.nih.gov/38759583/
Plus broader research has found that massage therapy has “potentially significant effects” in reducing depression.
https://pubmed.ncbi.nlm.nih.gov/20361919/
Bottom line: Regular massage, especially techniques that target the fascia, can be a powerful complement to mental health and pain management strategies. By releasing tension in the trapezius fascia, you're not just easing physical discomfort, you may also be helping your mood.