The world we live in gives us so much stress. The morning traffic is stressful. Once you get to work, the work itself is stressful. Even after work, our minds are usually filled with daily concerns and personal worries that lead to stress.
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In the state of fight or flight, our bodies respond to stressors by producing adrenalin. It is good short term, but when the condition prolongs, it disturbs the healthy hormonal balance. The first physical sign of adrenal exhaustion is lower back pain. (Incidentally, the Adrenal Glands are located near common acupuncture points used for lower back pain.) Also, I have treated neck and shoulder pain, spinal pain, allergic rhinitis, chest pain that mimics a heart attack, and insomnia as adrenal exhaustion. They all fall into the category of exhaustion.