Condition & Complaint

Stress and Tension: What Can Chiropractic Do?

Stress often causes tension in the neck, shoulders, and back. Read about tension complaints, what helps, and how chiropractic care can help — no referral.

Dr. Stephen Malone
Dr. Stephen MaloneBSc. Kinesioloog, D.C.8-jarig Canadees KwalificatietrajectBSc Kinesiologie — University of SaskatchewanDoctor of Chiropractic (DC) — CMCC TorontoCanadian Board Certified · DCF & SNRC Erkend
5 min read
Dr. Malone talking about tension and recovery
This page is also available in Nederlands

What is stress and tension complaints?

Stress is a normal reaction of the body to pressure or danger. It only becomes a problem when the tension continues: then physical complaints can arise, called tension complaints. Tense shoulders, a stiff neck, a nagging back, and headache are common ways ongoing stress shows up. Being overstrained or having a burnout is more than physical tension: it is serious and can require the GP or a psychologist, as Thuisarts also emphasises.

You can visit Embody Health Chiropractie without a referral from your GP; your first visit costs €39. After an intake and a full check you know immediately what the tension does to your posture and spine and whether chiropractic care can help you. Most Dutch health insurers (partially) reimburse chiropractic care from the supplementary package, often without touching your deductible. We do advise you to contact your GP first if you are in doubt or have unexplained complaints.

With our teams in Alphen aan den Rijn, Amersfoort, and Rotterdam we have helped more than 2500 people with tension and overload complaints over 12 years; our average Google rating is 4.9 out of 5.

“For a few months I struggled with severe headaches and neck and shoulder pain that seriously limited my daily life. It got so bad that I sometimes felt powerless. I first tried to find relief with a Thai neck and…”
Read the full review“For a few months I struggled with severe headaches and neck and shoulder pain that seriously limited my daily life. It got so bad that I sometimes felt powerless. I first tried to find relief with a Thai neck and shoulder massage, but unfortunately that did not help. On the advice of several acquaintances I decided to make an appointment with Dr. Malone, and that was absolutely the best choice I could have made. After just a few treatments I noticed a world of difference: my headaches are completely gone and the pain in my neck and shoulders is now almost gone. Although my treat”
Marta11 maanden geleden · Alphen a/d Rijn · Translated from the original

Symptoms of stress and tension

Stress shows itself differently in everyone, but the physical tension has a clear pattern. Do you recognize one or more of the following complaints?

  • tense shoulders and a stiff neck, as if the muscles will not let go
  • headache or a pressing feeling, often starting from the neck
  • nagging pain in the lower back or between the shoulder blades
  • a stiff or cracking feeling when moving, especially after sitting still for a long time
  • a tense jaw, clenching, or teeth grinding, often at night
  • fatigue, sleeping poorly, and trouble truly relaxing

Did you know most Dutch health insurers (partially) reimburse chiropractic care without using your deductible?

Check your coverage

Causes of ongoing tension

The physical tension with stress rarely comes from one thing. Usually several factors work together, all leaving their traces in the neck, shoulders, and back:

  • Ongoing stress: with long-lasting tension the nervous system stays in a vigilant state, so muscles remain tightened.
  • Sitting for long periods: hours behind a desk, phone, or steering wheel put extra pressure on the neck, shoulders, and lower back.
  • A tense posture: raised shoulders or a forward head posture strengthen the tension on the spine.
  • High work pressure or a difficult period: worrying, concerns, and deadlines keep the body unknowingly in top gear.
  • Too little movement: little variety makes muscles stiff and short, so tension is less easily released.

Our first step: together we find the right help

A careful screening is part of every first visit with us, and it starts with the question which help fits best. A burnout and ongoing stress can require professional help, and we honestly look together with you at which step fits best: physical care with us, the GP or a psychologist, or a combination — we guide you through that. We also always screen for serious signals that need immediate medical assessment, such as severe exhaustion with chest pain, palpitations, shortness of breath, or fainting, or a sudden panic attack with tingling, paralysis symptoms, or difficulty speaking. Where the GP or psychologist is the better step, you will hear it from us honestly; where chiropractic can support the physical tension, our door is open.

Your chiropractor is a primary-contact practitioner — tension complaints like yours is what we assess daily, often before anyone else does. That is exactly what we're trained for: we screen for the rare serious causes of tension complaints, and most of the time the answer is good news. Most tension complaints are harmless and well treatable. Only 4 signals are worth flagging on your own:

  • thoughts of suicide or the wish to no longer be here: talk to someone you trust and contact your GP or 113 Suicide Prevention directly
  • severe exhaustion with chest pain, palpitations, shortness of breath, or fainting
  • a sudden panic attack with tingling, paralysis symptoms, or difficulty speaking
  • so much tension that you can no longer manage your daily care, eating, or sleeping

These deserve attention the same day. Contact us — we have 24/7 telephone availability; our front desk will notify the chiropractor right away if it looks urgent, and we'll assess your tension complaints and tell you honestly whether it needs hospital care; you need no GP referral and no detour. Not sure? Talk it through with your GP or with us — but we're here, and we'll screen it with you.

Chiropractic treatment for tension complaints

Chiropractors are university-trained specialists in the interaction between the spine and the nervous system, exactly the place where tension settles. A Cochrane review of manipulation and mobilisation for neck complaints shows that this approach can reduce pain and improve mobility. Research into an effect of spinal manipulation on the autonomic nervous system itself is mixed: some studies see an effect of cervical manipulation on the parasympathetic system, but the evidence is limited. That is why we are honest: chiropractic care focuses on the physical tension, not on the psychological side of stress.

Our approach focuses on the physical part of your recovery, alongside the care you may already receive from the GP or psychologist. During your first visit we map your complaints extensively: your posture, the mobility of your neck and back, and the tension in your muscles. With gentle, precise corrections we restore the mobility of restrictions, so the muscles in the neck and shoulders remain less tense. Afterwards you get personal advice about posture at the desk, movement in between, and simple ways to let your body relax in between. If the tension comes from a period of burnout, we align our care with the guidance you receive elsewhere.

Your first visit costs €39; a single follow-up consultation costs €65 and a consultation in a recovery package €55. Check what your health insurance covers and the prices.

What you can do yourself with tension?

Moving is one of the best ways to release tension: walking, cycling, or sports helps the muscles relax and supports recovery. Build in rest moments, watch your sleep, and alternate screen time with movement. Whatever you notice: talk about it with someone you trust, and do not hesitate to ask your GP if the tension or complaints persist.

Dr. Malone and a patient in conversation during a consultation
This page was translated from Dutch. View original

Frequently Asked Questions

What does a stress and burnout treatment cost?

Your first visit costs €39. Follow-up consultations are €65 (single) or €55 per consult in a package; child consultations are €35. Most Dutch health insurers (partially) cover chiropractic care from the supplementary package.

Can a chiropractor help with stress or burnout?

Chiropractic care focuses on the physical side of stress: the tension that settles in the neck, shoulders, and back. It is supportive, not a replacement for the GP or psychologist. A burnout is serious and can require professional care; we assess honestly during the first visit whether chiropractic care fits your situation, or whether the GP or psychologist is the better first step.

Why does stress feel like it is in my shoulders and neck?

With ongoing tension, the nervous system stays in a vigilant state and the muscles remain tightened. That is why the shoulders and neck often feel stiff and painful. Gentle chiropractic corrections can help those muscles relax again and support the recovery of the neck and back.

What exactly does a chiropractor do for tension complaints?

During the first visit we map your posture, mobility, and muscle tension. With gentle, precise corrections we restore the mobility of restrictions, so the muscles in the neck and shoulders remain less tense. You also get practical advice about posture at the desk, movement in between, and simple ways to let your body relax.

Should I see the GP or psychologist first with a burnout?

That is often a sensible first step. A burnout is serious and can require professional care; chiropractic care works supportively alongside it, not instead of it. Always contact a professional with severe exhaustion with chest pain, palpitations, shortness of breath, or fainting, and with thoughts of suicide contact your GP or 113 Suicide Prevention directly.

How do I know whether my complaints come from stress or another cause?

That is not always easy to determine yourself: tension can go together with other causes, and complaints such as chest pain or palpitations first require medical assessment. During the first visit we look at your complaints carefully and refer you honestly if the GP or psychologist is the better step.

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