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Can Anxiety Cause Muscle Weakness?

Saya Des Marais
Written by:
Saya Des Marais
Medical Writer
Dr. Michael Chichak
Medical Reviewer:
Dr. Michael Chichak
MD

Anxiety can come with various physical symptoms [1*] — a pounding heart, rapid breathing, trembling, or shaking. Less commonly, anxiety can cause muscle weakness — you might feel like your legs are going to give out or that you’re suddenly so exhausted that you can barely move.

Highlights

  • Anxiety can cause both the perception and physical experience of muscle weakness, especially during panic attacks or chronic stress.
  • Muscle weakness from anxiety may be triggered by hyperventilation, sleep issues, and long-term muscle tension.
  • Effective treatment options include therapy, medication, and self-care strategies like movement, breathwork, and distraction techniques.

Experiencing muscle weakness can be very scary and can make pre-existing anxiety worse. You might feel so distressed and worried about the weakness in your body that you become overwhelmed and stuck in a rumination loop. Muscle weakness from anxiety can also make day-to-day functioning very difficult. Just moving around or getting out of bed might start to feel nearly impossible.

Fortunately, anxiety can be treated. With therapy and medication (or a combination of both), you can learn to manage all the symptoms of anxiety disorders, including the physical ones like muscle weakness.

Get treatment online

See a medical provider to have symptom assessment and receive a personalized treatment plan for anxiety.

Can Anxiety Make You Feel Weak?

Anxiety is a mental health condition, but it absolutely has physical symptoms — including ones that affect your muscles. For example, you might have found that your muscles feel tense when you’re anxious — your shoulders and neck may hurt, and you might find it hard to relax your body. This is because of the stress response, which helps to get your body ready for fight or flight.

Physical weakness with anxiety isn’t as common as muscle tension, but it can happen when you’re experiencing more intense anxiety or panic attacks. Sometimes, it can even seem to come out of nowhere — for example, you might suddenly feel weak in your legs.

And it’s not just “in your head.” A research study [2*] has established a link between muscular dystrophy (progressive muscle weakness) with stress disorders like anxiety. In other words, your muscles can become objectively weaker when you live with anxiety.

What Does Muscle Weakness From Anxiety Feel Like?

Muscle weakness from anxiety can range from mild to severe. Sometimes, you might barely notice it — other times, it can have significant effects on your daily life.

When caused by anxiety, one or more muscles may feel weak, numb, heavy, or worn out to the extent that it becomes impossible to relax, loosen, or move a group of muscles. You may also feel exhausted as muscles do not support your weight or body movements.

You might experience:

  • Weakness in legs — legs that feel shaky, rubbery, or about to give out; this might feel like “jelly legs.”
  • Arms feel weak — sudden heaviness or fatigue in the arms or limbs.
  • Difficulty gripping or lifting objects.
  • A general sense of physical exhaustion or depletion.
  • Trouble standing, walking, or completing basic tasks.

This muscle weakness due to anxiety can even mimic symptoms of other severe illnesses like multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), or Parkinson’s Disease. So it’s essential to see a healthcare provider right away if you ever experience sudden muscle weakness, especially if it’s only on one side of your body.

If you feel significantly physically weak with no clear cause, or if you have weakness in one arm, or weakness on the left side of your body, seek medical help immediately.

How Long Does Anxiety Muscle Weakness Last?

Muscle weakness caused by anxiety can last anywhere from a few minutes to several hours. For some people, it resolves quickly once the anxiety episode subsides. For others, especially those with chronic anxiety, the sensation of weakness may go on for longer. Anxiety treatment can help reduce how often and how long this symptom lasts.

Receive an individualized treatment plan for anxiety online and learn how to manage your symptoms.

Why Does Anxiety Cause Weakness and Fatigue?

The link between muscle weakness and anxiety is complex, and can involve many different factors. Anxiety can result in both a “feeling” of muscle weakness and real (objective) muscle weakening.

Here are the most typical reasons for anxiety to cause muscle weakness symptoms:

  1. The fight-or-flight response: During periods of intense anxiety, your body floods with stress hormones like adrenaline. These physiological changes can drain your muscles of energy and lead to a sensation of collapse or exhaustion.
  2. Hyperventilation or shallow breathing: Breathing too quickly or holding your breath can lower carbon dioxide levels in your blood [3*] . This can make you feel dizzy, faint, and weak.
  3. Blood sugar: Anxiety flare ups can affect your body’s blood sugar levels [4*] . When your blood sugar is too low or too high, you might feel weak, shaky, or lightheaded.
  4. Chronic muscle tension: Holding your muscles in a tense state over time can lead to fatigue and weakness. Overworked muscles become less effective and more prone to soreness.
  5. Sleep deprivation: Anxiety often interferes with sleep. Poor sleep can directly contribute to a lack of energy and muscle fatigue.
  6. Hyperfocus and health anxiety: When you’re too highly attuned to your body due to anxiety, you might perceive normal sensations as muscle weakness. This can make symptoms like muscle weakness feel worse than they actually are.

It’s also important to keep in mind that the relationship isn’t necessarily causal, meaning it can go both ways. Studies have found that anxiety and muscle strength are inversely related [5*] , which means that people who have weaker muscles are more likely to be anxious. Anxious people also have a higher risk of mobility and balance issues [6*] .

But it’s possible that this means that people who have more muscle strength are more likely to strength train — and exercising is also linked with better mental health. So it might not be that anxiety causes muscle weakness, but that training to prevent muscle weakness also prevents anxiety.

Can anxiety cause weakness

How to Overcome Muscle Fatigue From Anxiety

If you’re experiencing muscle weakness or overall fatigue from anxiety, try these self-help strategies.

Move Your Body

Take a walk, do yoga [7*] , or any other type of mindful exercise. Exercise can not only help make your muscles physically stronger, but it’s also been shown to be an effective strategy against anxiety [8*] . Movement can reduce cortisol, increase endorphins, and counteract the sense that your body is “shutting down.”

If you’re stuck in a loop of health anxiety, exercising can also serve to show your brain that your muscles are actually doing alright.

"It's important to remember that anxiety can make us think that the worst is happening. However, if it is truly anxiety, getting our mind off of things can help to counteract many of the effects of anxiety. Taking a walk, doing breathing exercises, and simply reassuring ourselves can help substantially. That being said, it is important not to oversimplify anxiety. Oftentimes, counseling and medication is needed to get on the right path."
Dr. Michael Chichak
Medical provider at MEDvidi

Use Breathing Techniques

Slow, deep breathing can help reverse the physical effects of anxiety. Try inhaling through your nose for four counts, holding for four, and exhaling for six. This type of breathwork helps regulate carbon dioxide levels, rebalances your nervous system, and reduces the physical sensation of weakness.

Distract Yourself

Especially if you have health anxiety and you’re hyperfocusing on perceived muscle weakness, distractions can help. Switch your focus from your muscles to something else — like doing mental exercises or puzzles, spending time outside, listening to music, calling a friend, or meditating.

Seek Professional Help

If none of these self-help techniques helps you get rid of muscle weakness from anxiety, treatment from a qualified mental health professional can help. Many people have found relief from their symptoms through therapy, medication, or a combination of the two.

  • Medication: If your anxiety symptoms are affecting your ability to function, a provider may recommend medication. Antidepressants or anti-anxiety medications can help regulate your brain chemistry and reduce physical symptoms like muscle weakness.
  • Cognitive-behavioral therapy (CBT): CBT is one of the most effective therapies for anxiety [9*] . It helps you understand how anxious thoughts impact your body and gives you practical tools to manage both cognitive and physical symptoms.
  • Exposure therapy: If your muscle weakness shows up as part of a panic attack or specific phobia — like your legs giving out when you’re faced with a fear — then exposure therapy might help. This therapy method gently guides you to face your fears in small, manageable steps.
"Exposure therapy is a tough one and not for the faint of heart. If you are dealing with a specific phobia, it may be something to consider, however, do not enter into this type of therapy without the guidance of a skilled therapist. That being said, it can be highly effective to help people finally conquer fear that has been holding them back. Talk to your healthcare provider about a specific plan of care."
Dr. Michael Chichak
Medical provider at MEDvidi

Bottom Line

Can anxiety cause weakness in your muscles? Yes, it can, especially during intense anxiety periods and chronic anxiety. Try to determine the causes so you can deal with the symptoms effectively and get rid of them.

You can prevent muscle weakness from anxiety if you follow your treatment plan. Licensed healthcare professionals at MEDvidi are ready to provide you with high-quality care. We understand how much difficulty your mental health issues may bring into your life and are here to offer personalized treatment.

Sign up and request help by booking an appointment. Start your anxiety treatment online today!

FAQs

Anxiety-related muscle weakness can show up as weak legs. But there are also other medical causes for weakened legs, so it’s important to always get evaluated by a medical professional if your legs feel weak or if you have arm weakness for some time without a clear cause.

“Leg anxiety” sometimes refers to restless leg syndrome, which is a neurological condition that leads to an irresistible urge to move your legs. This is a different condition from anxiety, although the two can be linked [10*] .

The mind is powerful, and it’s possible to get muscle weakness just on one side of your body due to anxiety. But there are also much more serious causes for weakness on one side of your body (especially if it involves your left arm), including stroke [11*] — see a medical provider right away if you’re experiencing this.

Treating the underlying anxiety should help you manage physical symptoms, including weak legs. Mindful movement, like yoga or simple stretching, can also help you learn that your muscles are strong.

Sources

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11 sources
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  2. Sabharwal R. The link between stress disorders and autonomic dysfunction in muscular dystrophy. Front Physiol. 2014 Jan 29;5:25. doi: 10.3389/fphys.2014.00025. PMID: 24523698; PMCID: PMC3905207.
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  3. Folgering H. The pathophysiology of hyperventilation syndrome. Monaldi Arch Chest Dis. 1999 Aug;54(4):365-72. PMID: 10546483.
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  4. Wong H, Singh J, Go RM, Ahluwalia N, Guerrero-Go MA. The Effects of Mental Stress on Non-insulin-dependent Diabetes: Determining the Relationship Between Catecholamine and Adrenergic Signals from Stress, Anxiety, and Depression on the Physiological Changes in the Pancreatic Hormone Secretion. Cureus. 2019 Aug 24;11(8):e5474. doi: 10.7759/cureus.5474. PMID: 31485387; PMCID: PMC6710489.
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  5. Cabanas-Sanchez V, Esteban-Cornejo I, Parra-Soto S, Petermann-Rocha F, Gray SR, Rodriguez-Artalejo F, Ho FK, Pell JP, Martínez-Gomez D, Celis-Morales C. Muscle strength and incidence of depression and anxiety: findings from the UK Biobank prospective cohort study. J Cachexia Sarcopenia Muscle. 2022 Aug;13(4):1983-1994. doi: 10.1002/jcsm.12963. Epub 2022 Jun 8. PMID: 35678014; PMCID: PMC9398224.
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  6. Feldman R, Schreiber S, Pick CG, Been E. Gait, balance, mobility and muscle strength in people with anxiety compared to healthy individuals. Human Movement Science. 2019;67:102513.
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  7. Madanmohan, Thombre DP, Balakumar B, Nambinarayanan TK, Thakur S, Krishnamurthy N, Chandrabose A. Effect of yoga training on reaction time, respiratory endurance and muscle strength. Indian J Physiol Pharmacol. 1992 Oct;36(4):229-33. PMID: 1291472.
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  8. Kandola A, Stubbs B. Exercise and Anxiety. Physical Exercise for Human Health. 2020;1228(1):345-352.
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  9. Roshanaei-Moghaddam B, Pauly MC, Atkins DC, Baldwin SA, Stein MB, Roy-Byrne P. Relative effects of CBT and pharmacotherapy in depression versus anxiety: is medication somewhat better for depression, and CBT somewhat better for anxiety? Depression and Anxiety. 2011;28(7):560-567.
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  10. An T, Sun H, Yuan L, Wu X, Lu B. Associations of anxiety and depression with restless leg syndrome: a systematic review and meta-analysis. Front Neurol. 2024 Mar 18;15:1366839. doi: 10.3389/fneur.2024.1366839. PMID: 38562425; PMCID: PMC10982394.
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  11. CDC. Signs and symptoms of stroke. Stroke. Published 2024.
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Saya Des Marais
Written by:
Saya Des Marais
Medical Writer
Dr. Michael Chichak
Medical Reviewer:
Dr. Michael Chichak
MD
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This article contains scientific references. The numbers
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