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Bob and Brad
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PT
How to Sit Pain-Free in an Office When You Have Back Pain/Sciatica (2 Videos Combined)
Bob and Brad demonstrate the correct way to sit in an office and positions to avoid with sciatica.
How to Sit Pain-Free in an Office (Even With Back Pain or Sciatica)
If you're stuck at a desk for 8 hours a day and dealing with back pain or sciatica, we've got good news: you don't have to suffer through it.
The truth? Sitting puts more stress on your spine than standing—even when your posture is perfect. But we know you can't always avoid it, so here's what you need to know to set yourself up for success.
The Ideal Solution: Stand When You Can
Hear us out: the best thing you can do for back pain is avoid sitting altogether.
When Bob hurt his back back in 1985, he didn't sit down at work for a month. Instead, he stood at a counter while doing his notes. And guess what? His sciatica disappeared and hasn't come back.
If you can swing it, a standing desk or desk converter is game-changing. They've become way more affordable than they used to be, and if you ask your employer, many will actually buy one for you—especially if it means you'll be pain-free and productive.
Can't stand all day? Try alternating: stand for most of the day, then perch on a high stool for 10-minute breaks. It's the perfect middle ground—way easier on your back than sitting low, but gives your feet a rest.
If You Have to Sit: Set Up Your Workstation Right
When sitting is unavoidable, how you set up your desk matters more than you think. Most people have it completely wrong, and that's why they end up hunched over like a question mark by 3 PM.
Here's the order you should adjust things (trust us, this order matters):
1. Start With Your Chair
Your chair is the foundation of everything.
Seat height: Your hips should be level with or slightly higher than your knees. If your knees are higher than your hips, you'll start rounding out your back. Adjust your chair up until your hips sit nice and high.
Footrest: Your feet need to be firmly on the ground. If they don't reach, get a footrest—and make it a big one. A large, flat footrest lets your feet move around instead of leaving you stuck in one position.
Backrest: Use a chair with a firm, upright backrest. None of those squishy, recline-able backs that let you slouch into a "C" shape. If your chair is too flexible, add a back support cushion to keep your spine in proper alignment.
Pro tip: Avoid crossing your legs. It puts your back in an awkward position that can increase pain. If you must cross them, just cross at the ankles.
2. Position Your Keyboard
Your upper arms should be vertical (straight up and down), and your forearms should be level or slightly below level with the keyboard.
Typing from too high puts stress on your wrists and arms and forces you to hunch your shoulders. If your keyboard is too high for your current chair setup, use a lap tray or keyboard tray to bring it down to where it needs to be.
3. Place Your Mouse
Position your mouse at the same level as your keyboard, right off to the side (or in the middle if you're mouse-heavy). The key is avoiding that reach that pulls your shoulder out of alignment.
4. Get Your Screen at Eye Level
This is where most people mess up.
When you look straight ahead with good posture, your eyes should hit about the middle of your screen—not down at the bottom. Yet what do we see everywhere? People hunched forward, craning their necks down to see a screen that's too low.
Raise your screen. Use books, a stand, plastic elevators—whatever works. The top of the screen should be at least a few inches above eye level.
Distance matters too: aim for 25-40 inches from your eyes. If you're using a laptop, you absolutely need a separate wireless keyboard so the screen can sit at the right height while your keyboard stays at wrist level.
Bonus tip for glasses wearers: If you wear bifocals, grab a pair of reading glasses specifically for computer work (around 30-40 inches away). Otherwise, you'll be tilting your head back constantly trying to see through the bifocal section—and that's a direct ticket to neck pain and headaches.
5. Use a Document Holder
If you're typing from documents, don't leave them flat on your desk. A document holder positioned below your screen or to the side means you can move your eyes to read without moving your entire head back and forth. That small change saves your neck from a lot of unnecessary stress.
Don't Forget: Movement is the Real MVP
Here's the thing about perfect posture: it doesn't matter if you never move.
Your back muscles and joints need movement and position changes to stay healthy. Even if you're sitting in the most ergonomically correct position imaginable, sitting for hours without a break will cause problems.
What to do:
Get up every 20 minutes
Do some standing back rotations or gentle back bends
Walk whenever you can
While you're at your desk, do shoulder shrugs, neck extensions, tap your feet and heels—anything to keep things moving
The goal isn't perfection. It's variety. Mix sitting with standing, walking, and movement. That's what actually solves back pain.
The Bottom Line
If you have sciatica or general back pain, sitting is probably uncomfortable—and that's your body telling you something. But with the right setup and a commitment to moving regularly, you can make office work manageable again.
And if you can get a standing desk? Seriously, ask your employer. It might just change everything.
For more detailed workstation setup, watch the full video.
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