Having a painful condition is stressful. Unfortunately, stress can contribute to an array of health problems, including high blood pressure, heart disease, obesity, diabetes, depression and anxiety. In addition, stress can trigger muscle tension or muscle spasms that may increase pain. Although people often think the pain is a purely physical sensation, pain has biological, psychological and emotional factors. Furthermore, chronic pain can cause feelings such as anger, hopelessness, sadness and anxiety. To treat pain effectively, you must address its physical, emotional and psychological aspects. Understanding and managing the thoughts, emotions and behaviors that accompany the discomfort can help you cope more effectively with your pain – and actually reduce the intensity of your pain.