Is there a perfect sitting posture?

Zac poor posture on couch

The Truth About Sitting Posture: Physical Therapy Tips for Preventing Neck and Back Pain

When it comes to preventing neck and back pain, most people have heard the usual advice: sit up straight, keep your feet flat on the floor, and support your lower back. While these tips can be helpful, they don’t tell the full story of how to sit comfortably for long periods.

The truth is, there’s no such thing as a “perfect” sitting posture, and that’s a key principle in physical therapy. In fact, the best sitting posture is one that constantly changes. Our bodies are designed to move, not remain still for long periods, whether we’re sitting, standing, or lying down. Just as you naturally shift your weight when standing, sitting should involve frequent adjustments to prevent discomfort and long-term issues.

Why Static Sitting Causes Problems

When we sit for long periods—especially while working or focusing on a task—we tend to lock into one position. This prolonged stillness can lead to tension, stiffness, and ultimately pain, particularly in the neck and lower back. This is where physical therapy plays a vital role: teaching us how to adjust our habits and posture to reduce the strain on our bodies.

Sitting in one static posture for too long, even if it’s “perfect,” is not ideal. The key is to introduce small, consistent movements that engage the muscles and reduce pressure on certain parts of your body. It’s not about sitting in one way forever; it’s about finding ways to keep your body active, even while seated.

Physical Therapy-Backed Tips for Comfortable Sitting

Here are two simple yet highly effective tips that can help you sit more comfortably during long periods of work or study:

1. Keep Moving: Small Adjustments Make a Big Difference
While it might seem counterintuitive, fidgeting while sitting can be beneficial. Making small adjustments—such as shifting your weight from side to side, crossing and uncrossing your legs, or adjusting the height of your chair—helps prevent muscle tension from building up.

Physical therapists often recommend this kind of regular movement because it engages different muscle groups, reducing strain on your lower back and neck. The more often you change your posture, the less likely you are to experience discomfort later in the day.

In fact, if you’re experiencing ongoing pain from sitting too long, a consultation with a physical therapist could help you learn more personalized movement strategies to relieve discomfort and prevent future issues.

2. Give Your Eyes a Break: The 20/20/20 Rule
There’s a strong connection between extended screen time and discomfort in the upper body, particularly around the neck, shoulders, and eyes. This is known as visual strain, and it’s a common issue in today’s digital world. When your eyes are fixed on a screen for long periods, it leads to tension that can affect your entire posture.

To alleviate this, optometrists  recommend the 20/20/20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This helps relax the muscles in your eyes and reduces tension in your upper body.

Incorporating this simple practice into your routine can significantly reduce the risk of neck and shoulder pain, especially if you spend a lot of time in front of a computer.

If you’re experiencing discomfort from long hours of sitting at work or school, I have great news. We’re offering a Low Back Pain Workshop on Saturday, October 5th at 9 AM. This workshop is perfect for anyone struggling with back pain and looking for immediate solutions that can be implemented at home or work.

During the workshop, we’ll cover practical strategies from physical therapy that you can use right away to relieve low back pain, improve your posture, and keep your body active—even when sitting for long periods.

Interested? Click here to sign up and get more information!

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