Sitting has become our "new physical exertion"
We are used to thinking that rest coincides with sitting. That sitting is equivalent to "unplugging." But today, for millions of people, the reality is exactly the opposite: Sitting for too many hours has become a risk factor as much as lifting weights, bending repeatedly, or manual exertion.
We work sitting, study sitting, eat sitting, drive sitting, relax--always sitting. Yet, our bodies are not made for prolonged immobility. Sitting, especially when maintained without proper support, results in a impaired balance of the spine and a increased load on the lumbar vertebrae, often underlying the pains we experience at the end of the day.
A study published in BMJ Open Sport & Exercise Medicine shows that those who sit for more than 6 hours a day have a significantly higher risk of developing musculoskeletal disorders, particularly chronic low back pain.
Yet, most people continue to underestimate this aspect. They think that a break now and then or a little stretching is enough to solve everything. But the problem is not just "how much" you sit. È as one does. Because poor posture, if repeated every day, can become the cause of persistent pain, fatigue, inflammation and a general worsening of quality of life.
In this article we will find out what really happens to our backs when we sit too long, what are the biomechanical causes of pain, and - most importantly - how to small ergonomic and postural measures can significantly improve our daily well-being.
Why the back suffers when we sit too long
The spine is not a straight line, but a complex structure composed of four natural curves: cervical, thoracic, lumbar and sacral. In particular, the lumbar curve (lordosis) is critical to ensuring elasticity, balance and cushioning.
When we are standing or moving, these curves work together to distribute loads burdening the body. But when we sit for a long time-especially in a chair that is not ergonomic or without any lumbar support-this curve tends to flatten out. It is a phenomenon known as Straightening of the lumbar spine.
What does straightening involve?
Imagine a 100 kg load resting on your body. With a well-curved column, only the 10% of that weight reaches the lumbar intervertebral discs: the rest is dissipated through the cushioning function of the vertebral curves. But when lumbar lordosis is cancelled, 100% of the load directly burdens the most vulnerable area of the back, exponentially increasing the pressure on the disks between L1 and S1.
According to an in-depth analysis published in Spine-health.com, this compression can lead over time to:
- early disc degeneration;
- sciatalgia (sciatic nerve irritation);
- chronic muscle tension;
- compensatory posture which also affects the cervical area.
The session is (apparently) static, but the damage is dynamic
The problem is not just standing still, but stand still badly. In the long run, the deep muscles become deactivated, the discs lose hydration, and the posterior ligaments are stressed beyond threshold. All this leads to a condition known as "compressed back from sitting", increasingly common among those who work sitting for more than 6 hours a day.
Here's why it's critical do not underestimate the signals the body sends us: soreness, stiffness upon waking, the constant need to stretch or change position are not mere "discomfort," but postural alarm bells.
From advantageous leverage to disadvantageous leverage: the paradox of sitting
When we stand with correct posture, our spine functions as a advantageous leverage: every bone, muscle and joint segment cooperates to distribute body weight as efficiently as possible. But when we sit-especially without adequate lumbar support - this mechanism is reversed.
What happens biomechanically when we sit wrongly?
In sitting posture without lumbar compensation:
- The fulcrum of the lever (i.e., the point on which the weight is discharged) moves forward.
- The lumbar curve flattens.
- The torso tends to lean slightly forward.
- The head, which weighs about 4.5-5 kg, is projected forward, further increasing the tension.
This implies that the lumbar spine works in a disadvantageous condition, like a misplaced lever. According to calculations developed by the NIOSH (National Institute for Occupational Safety and Health)., the effective load on the lumbar spine can reach up to the 150-180 kg, even though our actual weight is less. This amplified effect is called Load multiplier from disadvantageous leverage.
💡 In other words: Sitting badly is like adding two heavy suitcases every time you sit down.
Here's why back pain is so common
The lumbar spine is not designed to withstand such high static and compressive loads for long periods. When we force it to do so, day after day, the discs become deformed, the muscles stiffen, and the ligaments become inflamed.
Here's why:
- back pain Doesn't only affect those who do heavy work, but also those who work in the office;
- also young professionals Can develop lumbar hernias;
- smart working, without a suitable chair, has increased cases of low back pain of 35% according to research by ISSA.
Compensating one curve alone--not enough: you need balance among all spinal curves
One of the most common mistakes-even among those with good postural awareness-is to think that it is enough to just correcting the lumbar spine To solve back-related problems. In fact, the spine functions as a integrated system: each curve is linked to the others in a game of balancing and compensating.
The 4 curves of the column: a self-regulating system
- Cervical (lordosis): supports the weight of the head and provides neck mobility.
- Thoracic (kyphosis): protects internal organs and stabilizes the torso.
- Lumbar (lordosis): cushions upper body weight and promotes flexibility.
- Sacral (kyphosis): connects to the pelvis, unloading weight on the lower limbs.
When one of these curves is altered, the others adjust to compensate. If we correct only the lumbar area-for example, with a simple pillow-but do not intervene on closed shoulders or forward-projected neck, we risk move the problem elsewhere, rather than solving it.
Pain "shifts": a phenomenon more common than you think
Here is a concrete example:
👉 A person uses a lumbar support and reduces back pain--but begins to experience neck tension, or an uncomfortable sense of weight between the shoulder blades.
Why? Because the intervention was partial. The correction of the lumbar curve shifted the load axis, but the upper part of the spine was not ready to compensate in a healthy way.
Like when you inflate only two wheels out of four
Try to imagine a car in which you inflate only the rear tires. The vehicle will move, sure, but unbalanced and with uneven wear. The same goes for the column: intervening only on one curve, without considering the others, can worsen the overall balance.
For this reason, the correct approach to posture is never "piecemeal," but systemic and balanced: need to correct and compensate, always taking into account the whole body set-up.
The problem of closed shoulders: much more than an aesthetic issue
Many associate the closed shoulders to an aesthetic problem: an "ugly," neglected, unprofessional posture. But it is actually a functional problem, which has a direct impact on the health of the spine-particularly the cervical spine-and the overall balance of the body.
What happens when we close our shoulders?
Those who work at desks, drive long hours or use digital devices tend over time to internally rotate the shoulders and to projecting the head forward. This involves:
- one chronic contraction of the pectoral muscles;
- a passive stretching of the back muscles;
- An increase in tension at the level of the Trapezius, neck and suboccipital muscles.
The result is a constant traction On the cervical vertebrae, which involves:
- stiffness of the upper back;
- musculotensive cervicalgia;
- muscle tension headache (often mistaken for headache or migraine);
- Fatigue and a sense of compression between the neck and shoulders.
An "invisible force" pulling downward
It is as if a invisible elastic Pulling the shoulders forward and the neck down. This position causes a Constant compression of the cervical vertebrae, which over time can cause:
- Loss of the physiological curve of the neck (cervical straightening);
- Nerve root irritation;
- Tingling in the arms and hands;
- Worsening of blood and lymphatic flow in the upper part of the body.
And this all starts from a simple closure of the shoulders.
Closed shoulders and sitting: a dangerous combination
When the shoulders are closed and the lumbar spine is unsupported, the spine completely loses its ability to distribute loads. The torso "collapses" forward, the diaphragm is crushed, and breathing becomes shallow.
As research published in PubMed, closed-shoulder posture can also affect mood, ability to concentrate, and even self-esteem. Posture, in short, is not only biomechanical: it is internal communication.
Closed shoulders = less oxygen, less energy
When we think about posture, we rarely stop to reflect on its respiratory consequences. Yet, How we sit and how we hold our shoulders has a direct impact on how we breathe - and therefore on how much energy we have, how lucid, how present, how active we are.
What happens to our breathing when we close forward?
A posture with shoulders projected forward e compressed chest drastically reduces the expansion capacity of the rib cage. The diaphragm, the main muscle of breathing, fails to work smoothly and deeply. This results in:
- High and shallow breathing
- Decreased blood oxygenation
- Tension buildup in accessory respiratory muscles (neck, shoulders, trapezius)
- Sense of fatigue, decline in concentration, "heavy head"
According to an article published in the Journal of Physical Therapy Science, postural alteration of the trunk reduces lung function even in young, healthy subjects. Imagine the cumulative effect for those who maintain this posture every day for hours, for years.
Posture, oxygen, mind
Reduced oxygenation is not just a physical problem. Less oxygen to the brain means:
- more daytime sleepiness
- concentration difficulties
- Increased irritability and mood swings
That's why people who work a lot at a PC or office often report feeling "tired for no reason" or "off" in the afternoon. It's not just mental stress: is oxygen deficiency related to posture.
What to do?
Open the shoulders, mobilize the chest, deep breathing are simple but powerful strategies. Just 2 minutes every hour To stretch and regain vitality.
In the next section we see two effective exercises to be easily integrated into the work or study day.
Two simple exercises to open the shoulders every day
The good news is. you don't need an hour at the gym or a personal physical therapist to start reversing the effects of poor posture. It only takes a few minutes a day to mobilize, open and reoxygenate the body.
Here are two effective exercises that are easy to perform even in the office, at home or even during a car break.
🧘♂️ 1. Chest opening against the wall
Great for stretching the pectorals, reactivating the back and correcting closed shoulders.
How to:
- Position yourself standing next to a wall, with your body parallel.
- Place the palm of your hand against the wall at shoulder height.
- Slowly rotate the upper body to the opposite side, without moving the shoulder.
- Hold position for 20-30 seconds, breathing deeply.
- Repeat 2-3 times per side.
Benefits:
- He reopens his shoulders.
- It stretches the pectoral muscles.
- Release the breath.
💆♀️ 2. Stretching the upper trapezius from a seated position
Ideal for those who suffer from neck pain and have tension between the neck and shoulders.
How to:
- Sit in a chair with a straight back and well-supported feet.
- Grasp the edge of the chair with one hand (to stabilize the shoulder).
- With your other hand, gently tilt your head toward the opposite shoulder.
- Keep stretching for 30 seconds, feeling his neck stretch.
- Repeat 2-3 times per side.
Benefits:
- Relieves cervical tension.
- Release the shoulders.
- It improves lymphatic flow.
✨ Incorporating them into the daily routine is simple:
- barely awake,
- Every 2 to 3 hours if you work on a PC,
- Before bedtime to promote relaxation.
These are small gestures, but they can make a big difference over time.
Conclusion: change how we sit, to change how we stand
Extended sitting has become the norm for millions of people: at work, in the car, at home. Yet, as we have seen, sitting is not a neutral act. If done incorrectly, it can turn into. A major cause of low back pain, neck strain, and chronic fatigue.
The good news is that we can reversing this trend, without revolutionizing our lives. Just start with small steps:
- use an ergonomic lumbar support To maintain the physiological curve of the column;
- open shoulders During the day with targeted exercises;
- breathe better To oxygenate the body and mind;
- choose tools that correct and compensate Without forcing ourselves into artificial positions.
In this context, solutions such as the Ruby back saver fit in not as gadgets or items to be sold, but as daily prevention tools, designed to accompany each person toward a healthier, more natural, vital posture.
Because true ergonomics is not rigid: fits you. And it starts with a simple gesture: Taking care of your back, every day.
🧾 FAQ - Frequently asked questions about back pain from sitting.
❓ Why does sitting for a long time cause back pain?
When we sit for many hours-especially without lumbar support-the physiological curve of the spine flattens (straightening), increasing the load on the lumbar discs. This causes compression, inflammation and chronic muscle tension.
❓ Is it enough to get up from time to time to avoid the problem?
Getting up every 30-60 minutes is certainly helpful, but it does not solve the root of the problem. It needs a correct ergonomics of the workstation, with a lumbar pillow to help maintain the natural curve of the back even when sitting.
❓ Will a simple lumbar pillow be enough?
It depends on the type of pain and overall posture. In many cases, a good lumbar compensator helps, but if the other curves of the spine are compromised (e.g., cervical or dorsal), action must be taken On the whole postural arrangement.
❓ Are closed shoulders just a cosmetic problem?
No. Closed shoulders impair breathing, increase cervical tension, and alter the balance of the spine. Reopening them with targeted exercises improves posture, oxygenation and mental well-being.
❓ What tools can I use to improve sitting posture?
In addition to a good chair, it is useful to use:
- Ergonomic lumbar cushion (e.g., Lumbar Block),
- Foot supports To keep the legs in a neutral position,
- Desk at the right height,
- Execute postural stretching Regular throughout the day.


