How to treat burning sensation in the back after anxiety disorder

In general, a burning sensation in the back caused by anxiety may be due to autonomic nervous system dysfunction, back muscle tension, anxious states, generalized anxiety disorder, or somatic symptom disorder. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve symptoms under a doctor's guidance through non-pharmacological management, medications, and other approaches. Specific analyses are as follows:

1. Autonomic Nervous System Dysfunction: Anxiety stimulates dysregulation of the autonomic nervous system, causing abnormal constriction and dilation of blood vessels in the back, leading to a burning sensation. Immediately stop any activities triggering anxiety, practice slow deep breathing to calm emotions, and gently apply a cool towel to the back for 10 minutes to help relieve localized burning discomfort.

2. Back Muscle Tension: Prolonged anxiety causes sustained muscle tightness in the back, resulting in accumulation of metabolic waste products and a burning, aching pain. Perform daily back stretching and chest-expanding exercises; before bedtime, wipe the back with warm water around 40°C and combine this with gentle massage to promote blood circulation and metabolism.

3. Anxious State: Obvious anxiety that does not yet meet diagnostic criteria for a mental disorder can manifest physically as a burning sensation in the back. Patients should follow medical advice when using medications such as lorazepam tablets, alprazolam tablets, or estazolam tablets, while also practicing 15 minutes of mindfulness meditation daily to regulate emotional state.

4. Generalized Anxiety Disorder: Characterized by persistent anxiety and prominent autonomic nervous system symptoms, with frequent episodes of back burning sensations. Treatment requires medications such as paroxetine tablets, sertraline tablets, or fluvoxamine tablets under medical supervision, along with cognitive behavioral therapy to correct maladaptive thought patterns related to anxiety.

5. Somatic Symptom Disorder: Anxiety leads to somatization, where patients excessively focus on the burning sensation in the back, amplifying the perceived severity of symptoms. Follow medical advice when using medications such as venlafaxine extended-release tablets, duloxetine enteric-coated tablets, or mirtazapine tablets, combined with psychological counseling to reduce excessive preoccupation with physical symptoms.

In daily life, avoid spicy and stimulating foods, and reduce intake of coffee and strong tea. Wear loose, breathable clothing to prevent friction and irritation on the back. Engage appropriately in relaxing exercises such as yoga or tai chi to enhance emotional regulation. Comprehensive self-care strategies can help alleviate discomfort.