LeBron James rocks a lumbar roll– maybe you should too.

Having a firm roll to support the natural curve in the lower back is a key way to prevent slouching in essentially any kind of chair.  Use it by keeping your butt close to the back, and pushing the roll down as far as it will go, then just relax back around it.  Initially it might feel intrusive since you aren’t sued to it, but it’s a feel you’ll come to love!

https://www.sbnation.com/nba/2018/7/27/17621974/lebron-james-lakers-lumbar-back-fashion-summer-2018

At Elevation Physiotherapy & Wellness, we love the lumbar roll!  Learn more here

The 5 Essentials of Healthy Desk Work

  1. Sitting posture is key! We all know it’s not a great thing for the body to sit for many hours every day, so at least have most of that time with minimal stressors on your body.  Sit with a supplemental lumbar support so that your spine can easily maintain the natural inward curve in the lower back that is present when you stand.  When you correct from the bottom, it helps to align everything higher up.  More than that, keep moving around in your chair—rock your pelvis forward and back or side to side every now and then—just keep things moving a bit.  
  2. Breathing is underrated! If you’re sitting in a slouched posture for long, you aren’t able to take in a maximal breath to expand your lower lungs.  Not cool.  As soon as you sit up straighter, it allows the lowest part of your lungs to expand fully when you take a deep breath—this is important to bring oxygen to tissues, calm your nervous system, and help blood flow.
  3. Your desk set-up is important: the ergonomic design of your work station should keep your head neutral looking straight ahead, your shoulders relaxed so that your elbows are bent to ~90 degrees and you can still reach the keyboard and mouse, and your chair height allows your knees to be at or below the height of your hips.
  4. Move your body: sitting properly is WAY better than not, but it’s still not great to stay there for hours on end.  Move! Strategize to stand and move around your area when you take a phone call, or schedule a walking meeting, or drink enough water that you regularly have to get up to use the bathroom!
  5. Drink enough water: ideally we want about 8-12 cups of fluid per day in order to replenish our body’s store of fluids. These fluids help with all bodily functions:  blood regulation, digestion, breathing, muscle and joint function, and brain activity. Keep it in you!

If you’re not sure about your desk ergonomic set-up or how to use a lumbar roll to sit, speak with your physiotherapist, or check out an earlier post here

 

How Do You Sit?

I’m sure you’ve heard by now that sitting is the new smoking. Many people spend WAAAYYYY too much time each and every day sitting– commuting to work, eating all of your meals, sitting at your desk, and all entertainment (reading, watching TV, dining out, going to a movie or theatre) — yep… all sitting.

Do you ever think about HOW you’re sitting?  Odds are, you tend to slouch in your chair after you’ve been there for awhile. This slumping position keeps your back fully rounded forward and over time, some of the structures can become irritated and cause you pain. People often don’t realize how often in life we get into this fully bent forward position!

Even an “ergonomic” chair that will have some curve built in is often not enough to prevent your pelvis from tipping backward so that your back is rounded.  Many people find it helpful to use a supplemental lumbar roll. This round cushion is firm enough that when you sit and relax into it, your pelvis is not able to tip back, allowing your back to maintain the normal curves that are there when you’re standing.

There are manufactured lumbar rolls you can buy, and we like the McKenzie Lumbar Roll or McKenzie Super-roll because they are firm. We do not receive any money or gain from mentioning this product specifically, we just like them best and this is what we sell at the clinic.  Alternatively, you can make a supplemental lumbar roll by folding a towel in half length-wise and rolling it up so that the roll is about 10-15 cm (~4-5″) in diameter.  Be sure to wrap some tape or elastic bands around it because if you’re constantly having to re-roll it, you won’t use it for long!

Once you have your lumbar roll, sit down in the chair with your buttocks close to the back of the seat, push the lumbar roll down until it hits the top of your butt, and relax around it. The roll should be where your back has it’s natural inward curve, and is just there to support it. Now try to slouch– the roll should be firm enough that it prevents your pelvis from tipping backward.

Often we hear that the roll feels too big or intrusive, and that is because so many people sit slouched that it starts to feel normal, and even a correction toward neutral seems exaggerated. It definitely takes some getting used to! That said, it shouldn’t be aggravating to any back pain that you feel.  If it seems to irritate your back, then you should speak with your Physiotherapist or Doctor to determine if a modification would be better for your back.