The Psychophysiological Effects of Social Tensions and War on Physical Pain

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Release date: 12 April 2026
War and social tensions can have profound effects on the physical and mental health of individuals. In response to these tensions, the body releases hormones...

War and social tensions can have profound effects on the physical and mental health of individuals. In response to these tensions, the body releases hormones like cortisol and adrenaline, which in the short term increase alertness and readiness for action. However, prolonged exposure to these hormones can lead to numerous health problems.

Physical pain resulting from social tensions and war often stems from psychophysiological responses. Chronic stress increases inflammation in the body, which can exacerbate joint pain, muscle aches, and tension headaches. Furthermore, constant focus on potential threats keeps the nervous system on high alert, leading to extreme fatigue, sleep disturbances, and digestive issues. Additionally, traumatic experiences from war can result in Post-Traumatic Stress Disorder (PTSD), characterized by symptoms such as nightmares, panic attacks, and intrusive memories, which in turn can worsen physical pain.

Ultimately, these tensions can lead to depression and anxiety, and these mental states are closely linked to physical pain and discomfort, creating a vicious cycle of physical and psychological suffering.

Overactivation of the Sympathetic Nervous System

Under threat, the body enters a “fight or flight” mode. This results in:

  • Increased heart rate
  • Release of adrenaline and cortisol
  • Increased muscle tension

Chronic muscle tension, particularly in the neck, shoulders, and lower back, is a primary cause of:

  • Tension headaches
  • Lower back pain
  • Widespread muscle pain
  • Jaw pain and teeth grinding

The Role of Cortisol and Inflammation

Prolonged stress keeps cortisol levels elevated. While cortisol is beneficial in the short term, it has negative long-term effects, including:

  • Increased general inflammation
  • Stimulation of pain receptors
  • Reduced pain tolerance
  • Impaired tissue repair

This is why individuals may experience a recurrence of old pains during periods of social tension.

The Brain-Emotion-Pain Connection

The brain directly regulates pain perception. When an individual is exposed to:

  • Fear
  • Grief
  • Instability
  • Chronic anxiety

Pain processing circuits in the brain become overactive, and even mild stimuli are interpreted as more painful. This phenomenon is called “central sensitization” and plays a key role in chronic pain.

Impact of Sleep Disturbances

During periods of social crisis, many people’s sleep patterns are disrupted. Lack of sleep leads to:

  • Increased inflammation
  • Reduced pain tolerance threshold
  • Weakened immune system
  • Increased nervous system excitability

Sleep deprivation alone can double the intensity of muscle and joint pain.

Psychosomatic Pains

When the mind is under severe pressure, the body may exhibit physical reactions without actual injury. These pains are real but are primarily of psychoneurogenic origin, such as:

  • Chest pain
  • Shortness of breath
  • Stomach and intestinal pain
  • Muscle spasms
  • Tingling in hands and feet

This condition is very common in societies experiencing widespread tension.

Collective Effects (Social Anxiety)

Large-scale social tensions can lead to a wave of collective anxiety. Humans unconsciously influence each other through:

  • Facial expressions
  • Conversations
  • News
  • Public atmosphere

Collective anxiety can simultaneously increase individuals’ physical pain, even without a specific physical cause.

More Vulnerable Groups

Some individuals are more susceptible to pain caused by social stress:

  • Individuals with a history of anxiety or depression
  • Children
  • Elderly individuals
  • Economically or occupationally vulnerable individuals
  • Individuals with pre-existing chronic pain

Scientific Strategies for Pain Reduction During Tense Periods

Validated and recommended strategies include:

  • Breathing and relaxation exercises
  • Light daily exercise (walking, stretching)
  • Regular sleep
  • Reducing exposure to stressful news
  • Social connection and support
  • Meditation or yoga
  • Consulting a pain specialist or psychotherapist if symptoms worsen
کلینیک درد تسکین
Professor Dr. Cyrus Momenzadeh
Professor Dr. Cyrus Momenzadeh, a distinguished pain specialist and founder of the Taskin Pain Clinic, is one of the pioneers of modern and minimally invasive pain management in Iran. With years of scientific and clinical experience, he is recognized as one of the leading figures in the field of pain medicine.

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