Chronic stress frequently triggers or worsens back pain by causing prolonged muscle tension, shallow breathing, and poor sleep patterns that create a self-reinforcing cycle. Emotional pressures from work, relationships, or anxiety tighten muscles in the neck, shoulders, and lower back, reducing flexibility and irritating spinal structures. The pain is physical but often rooted in mental triggers. Experts recommend holistic approaches combining movement, yoga, meditation, and counselling with physiotherapy or minimally invasive procedures like radiofrequency ablation to break the cycle.

Three districts in India—Murshidabad and Nadia in West Bengal, and Karimnagar in Telangana—have caesarean delivery rates exceeding 90% in private hospitals, according to NFHS data, far above the WHO's recommended 10-15% range. These hotspots persisted from 2016 to 2021 despite a slight national decline in public facilities and rise in private ones. Experts point to infrastructure gaps, socio-cultural preferences for "auspicious" dates, and urban pressures driving unnecessary surgeries that increase maternal risks in low- and middle-income countries.