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When Stress Settles in the Body: Fascia, Tension, and Fibromyalgia

  • Jane Leung
  • Oct 22
  • 4 min read

When Chronic Stress Settles in the Body

We often think of stress as something that lives in the mind — a racing heart, restless thoughts, worry that doesn’t switch off. But chronic stress doesn’t just stay in our thoughts. It lives in our tissues, shaping how our bodies hold, move, and even feel.


The Living Web Beneath Our Skin

Fascia is the thin, continuous web of connective tissue that wraps around every muscle, organ, and nerve in the body.It holds us together — literally — and allows our movements to flow with ease.Healthy fascia is flexible, fluid, and responsive.

Under stress, however, fascia can begin to tighten, thicken, and lose its gentle elasticity.


How Chronic Stress Changes Fascia

When we live in a state of ongoing pressure or emotional strain, the body stays on alert. Stress hormones like cortisol and adrenaline keep the nervous system ready to “fight, flee, or freeze.” Over time, this chronic activation can affect fascia in several ways:

  • Increased tension and stiffness — Fascia contains cells that respond to the nervous system. When the body is chronically tense, these cells contract and the tissue stiffens.

  • Reduced circulation and oxygen flow — Persistent muscle guarding limits nourishment to tissues, slowing down repair and increasing fatigue.

  • Altered repair and inflammation — High cortisol levels can change how fascia rebuilds itself, sometimes leading to thickening or micro-inflammation.

  • Heightened sensitivity — Fascia is rich in sensory nerve endings; when stressed or inflamed, it can amplify pain messages to the brain.


What begins as tension can gradually become widespread pain, exhaustion, and hypersensitivity — the hallmarks of fibromyalgia.


The Fascia–Fibromyalgia Connection

Fibromyalgia is a complex condition involving both the nervous system and the body’s connective tissues.While there isn’t a single cause, many researchers now believe that chronic stress, trauma, and prolonged autonomic arousal contribute to its onset and persistence.


In a body that has been on high alert for too long, fascia may become densely woven and over-responsive, and the nervous system may interpret even mild sensations as painful.

“It’s not in your head — it’s in the conversation between your body, brain, and stress response.”

It’s a pattern that unfolds over time, often long after the original stressor has passed.


Where Somatic Therapy Fits In

Somatic therapy works with the body directly — helping the nervous system, muscles, and fascia find safety again. It bridges what traditional talk therapy and physical modalities each touch, but rarely integrate: the lived experience of stress inside the body.


Through gentle awareness, breath, and movement, somatic therapy invites the body to shift out of survival mode. Over time, this can release long-held tension, improve fascia mobility, and help the nervous system relearn a sense of ease.

“When words are not enough, the body still speaks — and through somatic awareness, it can begin to rest again.”

Supporting Fascia and Soothing the System

Healing begins with listening to the body. Here are some gentle, evidence-informed ways to support both fascia and the nervous system:

  • Slow, mindful movement — practices like stretching, yoga, walking, or Tai Chi help keep fascia supple and remind the body it is safe to move.

  • Breathwork and somatic awareness — conscious breathing helps shift the body from “fight-or-flight” to “rest-and-repair.”

  • Body-based therapies — massage, myofascial release, craniosacral therapy, or gentle touch can restore circulation and soften fascial tension.

  • Emotional processing — therapy, journaling, prayer, or creative expression allow stored stress to move through, not just stay within.

  • Rest and pacing — deep rest gives fascia time to repair and the nervous system space to settle.


Healing fascia is not just about stretching tissue — it’s about creating safety within the body again.


Our bodies remember. They hold the echoes of our pace, our worries, our histories. But they also hold the possibility of release. As we slow down, breathe, and bring compassionate awareness to our tension, the fascia begins to soften — and so does the story of stress it carries.


Research Corner: What Science Tells Us

Modern fascia research supports what body-oriented therapies have sensed for decades — that chronic stress changes connective tissue and may contribute to fibromyalgia-like pain.

  • Fascia and the nervous system: Fascia is richly innervated and influenced by sympathetic activity. Prolonged stress can increase fascial tone and stiffness (Schleip et al., Front Physiol, 2012; Klingler et al., Clin Anat, 2014).

  • Fibroblast behavior: Stress hormones and mechanical strain can cause fibroblasts to become myofibroblasts, which stiffen fascia and reduce flexibility (Tomasek et al., Nat Rev Mol Cell Biol, 2002).

  • Pain and connective tissue: Imaging and histology studies reveal altered fascial and muscular properties in fibromyalgia (Langevin et al., Front Pain Res, 2021; Morf et al., Arthritis Res Ther, 2011).

  • Stress and trauma: Reviews consistently link chronic stress and early adversity to fibromyalgia through changes in the HPA axis and pain sensitivity (Häuser et al., Nat Rev Rheumatol, 2015; Thieme et al., Pain Res Manag, 2013).


Together, these findings support a biopsychosocial model: chronic stress affects both the nervous system and the fascial network, creating fertile ground for widespread pain and fatigue.

 
 
 

Jane Kwok-Yee Leung, LMFT, SEP

Somatic Resilience & Trauma Therapy Based in Walnut Creek, Pleasant Hill 

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