June 2, 2026
Can stress make back pain worse? Part 1: the breath and posture
Think about the word crestfallen.
We use it to mean disappointed or deflated — but it is also a precise physical description. When we feel let down, we fall at the crest. The chest drops. The shoulders round inward. The gaze goes to the floor. It happens before we have decided to do anything at all; the body simply reads the emotional signal and responds.
That is more than a metaphor. It reflects something real happening in the body.
Every breath you take has the potential to lift and open the chest — or to compress and close it. When we are calm and well, breathing tends to be slow, deep and three-dimensional, moving through the ribcage in a way that gently decompresses the spine with each inhale.
When we are stressed, anxious, or low, that pattern changes. Breathing becomes shallower. It shifts upward, into the chest and throat rather than down into the belly. The diaphragm — the great dome of muscle that separates the chest from the abdomen — stops moving through its full range, and the lower ribcage moves less.
The spine pays for these changes too. Not only because the breath is no longer fully expressed throughout its length, but also because the diaphragm attaches to the lower back. When it’s restricted, those attachments are no longer moving as they were designed to — rather like the hinges on a door that is rarely opened.
Add to that the subtle postural changes that often accompany stress — the forward head, the rounded shoulders, the reduced movement through the thoracic spine — and day after day the spine is being held under greater compression, even though nothing has been lifted and no injury has occurred.
These changes are usually so gradual that we barely notice them. They simply become the way we breathe, the way we stand and the way we move.
This is why, in the Buttafly Technique, breath is never an afterthought. It is the foundation. Deep spinal release is much harder to access in a body that is braced, collapsed or barely breathing.
In Part 2, we’ll look at another way stress influences the back: through the deep muscles that support the spine, particularly the psoas.
Ps. If any of this resonates, the 6-week course A Healthy Spine for Life begins with exactly this — helping you understand what your body has been doing, and giving it the conditions it needs to change.
Find out more at https://thebuttafly.com/events/
Loulou James | Founder of the Buttafly
Reflections from my work in natural back care and embodied spine health
May your spine be aligned, your body be at ease, and your spirit soar with vitality.