When the Body Remembers: Understanding the Link Between Trauma and Chronic Pain and How Somatic Therapy Heals from Within

Discover the neuroscience behind the connection between trauma and chronic pain. Learn how somatic therapy helps regulate the nervous system, release stored tension, and restore mind-body balance. Written by trauma and somatic therapy specialists at Embodied Wellness and Recovery.

The Hidden Connection Between Trauma and Chronic Pain

Have you ever wondered why your body continues to ache even when medical tests show nothing is wrong? Why do old injuries flare during times of stress, or why does tension seem to live in your neck, jaw, or stomach? For many people, chronic pain isn’t just a physical condition; it’s the body’s way of communicating unresolved emotional wounds.

Modern neuroscience and somatic psychology suggest that chronic pain and trauma are deeply intertwined. The body remembers what the mind tries to forget. When trauma is left unresolved, it doesn’t simply vanish; it embeds itself in the nervous system, shaping posture, muscle tension, and pain perception for years to come.

At Embodied Wellness and Recovery, we specialize in helping clients understand and heal the relationship between trauma, chronic pain, and the nervous system. Through somatic therapy, EMDR, and other body-based approaches, clients learn to listen to their bodies’ wisdom and release the stored patterns that perpetuate suffering.

How Trauma Gets Trapped in the Body

When you experience something overwhelming, such as emotional neglect, abuse, an accident, or even ongoing stress, your body activates the fight, flight, or freeze response. This survival mechanism floods the system with adrenaline and cortisol, preparing you to act or escape. But if the threat feels inescapable, the nervous system can become stuck in that state of hyperarousal or shutdown.

In other words, the trauma response doesn’t end when the event ends. The body remains in a constant state of hypervigilance or collapse. This dysregulation may manifest as:

     — Chronic muscle tension or migraines
    — Stomach pain or gastrointestinal issues
    — Lower back pain without a structural cause
    — Autoimmune flare-ups
    — Fatigue or insomnia

Research shows that trauma changes the way the brain processes pain. The amygdala (fear center) stays overactive, while the prefrontal cortex (rational brain) becomes less able to regulate emotions or sensations. The insula, which helps you perceive internal body states, can also misfire, amplifying the sensation of pain even when there’s no new injury.

The result? A body that keeps sounding the alarm long after the danger has passed.

Chronic Pain as a Nervous System Issue

Many people with chronic pain feel dismissed by traditional medical approaches. They’re told their pain is “all in their head” or simply handed medication to manage symptoms. But chronic pain isn’t imagined; it’s embodied. It’s the language of a nervous system that never got the message that it’s safe again.

From a polyvagal perspective, chronic pain reflects a dysregulated autonomic nervous system. The vagus nerve, which connects the brain to major organs, plays a crucial role in regulating stress responses. When trauma disrupts this system, the body may oscillate between sympathetic overactivation (anxiety, tension, inflammation) and dorsal vagal shutdown (numbness, exhaustion, despair).

Somatic therapy aims to restore flexibility to this system, helping the body return to a state of regulation where healing can occur.

What Is Somatic Therapy?

Somatic therapy is a body-centered approach that helps clients reconnect with their physical sensations, emotions, and inner resources. Instead of focusing solely on cognitive processing, it emphasizes the felt experience, or how emotions manifest in the body.

At Embodied Wellness and Recovery, somatic therapy sessions may include:

     — Body awareness and tracking: Learning to notice tension, breath, and internal cues without judgment.
    — Grounding and orienting: Reconnecting with safety through present-moment awareness.
    — Pendulation: Gently moving between states of discomfort and calm to expand the nervous system’s capacity for regulation.
    — Resourcing: Identifying internal and external supports to stabilize the body during emotional processing.
    — Gentle movement or breathwork: Releasing stored activation and restoring flow through the musculature and fascia.

Over time, this work helps the body discharge old survival energy, completing what the trauma response was unable to finish. Clients often notice not only emotional relief but also reduced physical pain, improved sleep, and greater resilience.

The Neuroscience of Somatic Healing

Neuroscience confirms what many somatic therapists have long observed: the body and brain heal together. When clients tune into physical sensations with curiosity and compassion, the insula and anterior cingulate cortex, regions involved in emotional regulation and interoception, become more active.

This mindful awareness fosters neuroplasticity, enabling the formation of new neural pathways. The prefrontal cortex can once again modulate the amygdala, calming hyperarousal and reducing pain perception. Over time, the nervous system learns that it is safe to relax.

Somatic therapy doesn’t simply manage pain; it helps the body relearn safety, releasing the chronic muscle contractions and inflammatory responses that maintain suffering.

Why Trauma-Informed Care Matters

For individuals with trauma histories, traditional physical treatments like massage or chiropractic care can sometimes feel invasive or even re-traumatizing if the body isn’t ready. Somatic therapy offers a gentle, non-invasive alternative that honors the client’s pace.

At Embodied Wellness and Recovery, our trauma-informed approach ensures that every session centers on consent, empowerment, and safety. Clients are guided to develop internal resources before exploring distressing sensations or memories. This helps prevent overwhelm while supporting integration at both the emotional and physiological levels.

A Holistic Approach to Chronic Pain

Healing chronic pain isn’t just about addressing the physical body; it’s about repairing the relationship between body, mind, and emotion. That’s why we integrate EMDR, mindfulness, and relational therapy into somatic work.

This integrative model supports:

     — Nervous system repair through Somatic Experiencing and EMDR resourcing
    — Emotional release through safe exploration of stored sensations
    — Relationship repair by addressing attachment wounds that perpetuate tension and fear
    — Sexual and emotional intimacy restoration, when pain or trauma has disrupted connection

When trauma healing and body awareness come together, clients rediscover a sense of ease, vitality, and wholeness.

Asking the Right Questions

If you’re struggling with chronic pain, it can help to pause and ask yourself:

      — When did my pain first begin? Was it around a time of loss, conflict, or emotional stress?
      — Do I notice my symptoms worsen when I feel anxious or triggered?
      — Have I spent more time treating the symptoms of my pain than exploring its emotional roots?

Sometimes, the body holds answers that words cannot reach.

Hope Through Somatic Awareness

Chronic pain can make life feel small, restricting movement, joy, and connection. But within your body lies the map to healing. Through somatic therapy, you can learn to listen to what your body is communicating rather than trying to silence it.

At Embodied Wellness and Recovery, we guide clients through a process of reconnection and regulation, helping them feel safe in their bodies again. As the nervous system stabilizes, both pain and emotional distress tend to soften. The goal isn’t just the absence of pain; it’s the presence of vitality, agency, and inner peace.

Pain as a Messenger

Chronic pain is more than a medical condition; it’s often a messenger of unhealed experience. Somatic therapy offers a compassionate and scientifically grounded path toward understanding those messages and transforming them into wisdom.

Your body isn’t betraying you; it’s asking to be heard. And with the right guidance, it can finally exhale.

Contact us to schedule a complimentary 20-minute consultation with our team of somatic practitioners, trauma specialists, and relationship experts. Start your journey toward embodied connection and freedom from pain today.

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References

Levine, P. A. (2010). In an unspoken voice: How the body releases trauma and restores goodness. North Atlantic Books.

Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. W. W. Norton & Company.

Van der Kolk, B. A. (2014). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Penguin Books.