The Musculoskeletal Consequences of Prolonged Sitting – Low Back Pain

Written by radovan

March 2, 2025

One of the most common complaints among office workers is low back pain, which is directly linked to prolonged sitting. The modern sedentary work environment fosters poor posture, spinal strain, and muscle weakening, leading to chronic discomfort and long-term musculoskeletal issues.

Poor Posture and Spinal Strain

Prolonged sitting often results in slouching or craning the neck forward to view a computer screen. This poor posture places excessive pressure on the lumbar spine and intervertebral discs, causing chronic pain and discomfort.

The spine is naturally curved to distribute weight evenly, but sitting for extended periods can alter this natural alignment. Over time, this leads to muscle imbalances and tightness in the lower back, shoulders, and neck, increasing the risk of conditions such as herniated discs and sciatica.

Degeneration of Spinal Discs

The intervertebral discs act as cushions between the vertebrae, absorbing shock and preventing friction. However, sitting for prolonged periods reduces the amount of movement and hydration these discs receive, leading to disc degeneration. When spinal discs lose hydration and elasticity, they become more susceptible to bulging and herniation, which can compress nerves and cause severe pain.

A sedentary lifestyle has been directly correlated with an increased incidence of lumbar disc herniation, which can result in chronic pain and require extensive medical intervention, including physical therapy or surgery in severe cases.

Muscle Weakness and Joint Stiffness

Prolonged sitting contributes to muscle weakening, particularly in the core, glutes, and lower back. When these muscles are not engaged regularly, they lose strength, resulting in poor postural support. Weak core muscles make it difficult to maintain a neutral spine position, further exacerbating back pain and increasing susceptibility to musculoskeletal injuries.

Sitting for long hours also leads to joint stiffness, particularly in the hips and knees. Reduced movement limits joint lubrication and flexibility, increasing the risk of osteoarthritis and chronic joint pain.

Workplace Strategies to Reduce Low Back Pain

  • Ergonomic Office Equipment: Adjustable chairs with lumbar support and standing desks help reduce back pain and improve posture.
  • Frequent Postural Changes: Standing, stretching, and walking breaks every 30–60 minutes can prevent spinal strain.
  • Core Strengthening Exercises: Strengthening the abdominal and lower back muscles enhances postural stability and reduces chronic pain risks.
  • Proper Workstation Setup: Ensuring that monitor placement is at eye level and maintaining a 90-degree angle at the elbows while typing can prevent neck and shoulder strain.

Conclusion

Prolonged sitting in an office setting is a leading cause of chronic low back pain and musculoskeletal disorders. Poor posture, spinal degeneration, and muscle weakness contribute to discomfort and long-term health complications. By integrating ergonomic solutions and regular movement into daily routines, office workers can significantly reduce their risk of developing low back pain and maintain a healthier, pain-free work life.

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