Together, those two developments have caused great strain on the budget for the coming year.

Therapists say such behavior is normal; still, it can cause strain.

The trade tensions are causing new strains in the two countries' relationship.

Neither action was to prove effective, but the litigation caused personal strain.

Stress not only causes depression and mental strain, but it has a big physical impact on your body as well.

Drivers spend long hours behind the wheel, which can cause strain on the back muscles.

And the extra hours put in to prepare the hospital for yesterday's review have caused additional strain.

Promotions in rank, he said, can cause strain, especially if the person promoted is a friend.

Europe is beset by problems, but leaders also see his actions as having caused strains.

Ninety-one percent reported that the testing had not caused strain on their relationship.