Is sitting too much causing my back pain or sciatica?

A major manufacturer of workstations reports that 86 per cent of work computer users have to sit all day, and when they do rise from sitting, more than half (56 per cent ) use food as the excuse to get up and move. In addition to sitting at work, for meals, and commuting to/from work, 36 per cent sit another one to two hours watching TV, 10 per cent sit one to two hours for gaming, 25 per cent sit one to two hours for reading/lounging, and 29 per cent use their home computer for one to two hours. In summary, the average Irish person sits for 9.5 hours a day and sleep for eight hours. That's a total of 17.5 hours a day off their feet.

The manufacturer's survey also notes 93 per cent of work computer users don’t know what “sitting disease” is, but 74 per cent believe that sitting too much can lead to an early death. “Sitting disease” represents the ill-effects of an overly sedentary lifestyle and includes conditions like metabolic syndrome (obesity and diabetes ), which is rapidly becoming more prevalent, especially in the young – even in adolescence. Recently, the American Medical Association (AMA ) adopted a policy encouraging employers, employees, and others to sit less, citing the many risks associated with sitting including (but not limited to ) diabetes, cancer, obesity, and cardiovascular disease. Standing is so much better as it burns more calories than sitting, tones muscles, improves posture, increases blood flow, reduces blood sugar, and improves metabolism. Standing is frequently overlooked as an exercise and it is both simple and easy to do.

So, what about the low back and sitting? You guessed it – sitting is hard on the back. The pressure inside our discs, those “shock absorbers” that lie between the bones (vertebrae ) in our spine (22 discs in total ) is higher when we sit compared with simply standing or lying down. It's estimated that when we lie down, the pressure on our discs is the lowest at 25mm. When lying on one side, it increases to 75mm, standing increases disc pressure to 100mm, and bending over from standing pushes disc pressure to 220mm. When we sit with good posture, our disc pressure may reach 140mm but that can increase to 190mm with poor posture. To help relieve the pressure on our discs, experts recommend: 1 ) Getting up periodically and standing; 2 ) Sitting back in your chair and avoiding slouched positions; 3 ) Placing a lumbar roll (about the size of your forearm ) behind the low back and chair/car seat; and 4 ) Changing your position frequently when sitting.

Because certain low back conditions favour one position over another, these rules may need modification. For example, most sciatica patients prefer low back extension, while bending over or slouching hurts. In those with lumbar sprain/strains, bending forwards usually feels good and extension hurts. Modifying your position to the one that is most comfortable is perhaps the best advice. For back pain and sciatica sufferers, email [email protected] to get our free book Secrets to a Healthy Spine, or for more information about back Pilates and availing of a free trial visit everardpilates.com/backfreetrial

 

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