Much like getting fit, improving posture is a long term game. Trying to stand or sit up straight when you remember isn’t really going to cut it. First of all, you obviously forget, but secondly, using those big mobility muscles to pull you upright causes them to tire quickly and build up lactic acid, at which point you slump for quick comfort.

Many things can be causing bad posture and pain, so it’s worth getting it assessed first. Even if there’s no major problems but it’s been happening for a while, some mobilisation, adjustment and tailored exercises may well be needed.

To help posture long term we need to do two things:

Change the habits encouraging bad posture, and get the right muscles to do the job.

Try to identify when posture is bad. If it’s sitting at a desk/computer, get the desk assessed and altered. If it is slouching on the sofa, sit upright, bottom to the back of the seat, maybe a cushion in the small of the back, feet on the floor. Be aware of looking at phones for too long. Read my full blog here on how to  set up your workstation properly. 

Using and strengthening correct muscles to hold your posture is equally important. The postural muscles are designed to hold you in a better position with less effort for much longer without tiring. If you are nicely upright and relaxed your head is largely balanced on top of your spine. Just a little angle forward (to look at your phone for instance) or slumping, and suddenly it takes a huge muscle effort to hold it up. To get these postural muscles working and strengthened can be a little tricky at first as you try to co-ordinate them. I often suggest something like pPilates or Alexander Technique, but even just doing more core stability exercises in the gym or at home will help.

Osteopathy can treat a vast array of joints and musculoskeletal issues of the body caused by poor posture, including:

• Non-traumatic back pain including lumbago and sciatica pain management
• Stress-related musculoskeletal problems
• Neck pain & headaches including migraine prevention
• Pregnancy-related musculoskeletal problem
• Postural-related problems including shoulder, hip, knee and/ or ankle pain
• Workstation-related problems
• Restricted Mobility

If you’d like to understand the underlying causes of your pain and discomfort and a personalised treatment plan for recovery, book an osteopathy appointment.

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OSTEOPATHY AT FLEET STREET CLINIC

Andrew Doody is an osteopath at Fleet Street Clinic and is fully registered with the General Osteopathic Council (GOSC).

Book an appointment with him if you have any musculoskeletal injuries by calling  +44 20 7353 5678, email info@fleetstreetclinic.com or book an appointment online.

As it’s backcare awareness week, let’s talk about back pain at work.

Back pain can be the result of heavy lifting, repetitive movement or simply by sitting at your desk all day.

We know how hard it is to live and work in pain and back pain is no exception. By now I’m sure we all realise that sitting for long periods is bad for you. But just how bad have our habits become? And what can be done about it? 

Sitting in an office chair for long periods of time can wreak havoc on your lower back. In addition to many other joints and muscles. Simply stated, our bodies weren’t made to sit for prolonged periods of time. In fact, our bodies developed a heck of a long time before chairs were around at all. 

According to research, the average office worker spends an average of 5 hours and 41 minutes per day sitting at their desk. The same study also found that those who sit longer at work are more likely to sit more outside of work as well. 

Overall, sedentary jobs have increased 83% since 1950. With physically active jobs now only make up about 25% of the workforce. That’s 50% less than in 1950. Additionally, the average working week is longer. We now work an average of 47 hours a week, 164 more hours a year than 20 years ago. 

On top of the time spent sitting in the workplace, on average, we spend 7 hours sleeping and 4.5 hours watching tv a day. 

So should we be standing?

A recent study in the European Journal of Preventive Cardiology found that standing for almost six hours a day instead of sitting not only prevents weight gain — it can help people shed pounds. 

They calculated that standing burned 0.15 calories more per minute compared to sitting. If an average person stood for six hours a day instead of sitting, they would burn an extra 54 calories a day. Some studies had it even higher. 

In addition, muscle activity from standing is also associated with lower risks for strokes and heart attacks. Quite a few studies have shown that a single day of breaking up sitting with standing or short walks seems to have a beneficial effect on health parameters. Which include blood sugar control, blood pressure, and feelings of pain and fatigue.

However, before we all decide to stand all day instead, let’s look at the downsides. There’s a confusing array of conclusions from recent studies involving the health implications of standing vs sitting for long amounts of time. There have been studies, for example, that have concluded that people who primarily stand for long periods of time during the day, instead of lowering their risk for heart disease, maybe up to twice as likely to develop it. Perhaps long periods of standing are not the answer either. It has also been pointed out that standing for extended periods of time isn’t safe for all people, such as those with joint or vascular issues. 

However, swapping out some sitting time for standing time is not only about heart disease. 

One variable that makes sitting for extended periods damaging to the spine is the sustained contracture of the abdominal and hamstring muscles. This creates an imbalance. This, in turn, creates affecting the mechanics of the lower back. It also increases the load on the lumbar discs. 

Using a standing desk, even for a portion of a workday, can minimise this imbalance. This helps maintain better spinal alignment and muscle symmetry. 

So is a combination of sitting and standing the answer?

A recent study was performed where office workers of varying ages and body masses used a sit-stand desk where they alternated between sitting and standing throughout an 8-hour workday. The study found that the participants reported a 31.8% reduction in standing desk back pain when compared to sitting for the entire workday. 

But just like sitting and leaning forward for extended periods can increase pressure on the back, the same applies to standing with poor ergonomics. Maintaining good posture and taking frequent breaks is the best way to ensure you’re standing or sitting optimally. 

Try not to wear high heels (you can swap out for flats or slippers while at your desk if needed). Have the top of the computer screen at about eye level, and vary posture. When you’re in a sitting phase of your day make sure your chair and workstation have been fully ergonomically assessed. Discuss any conditions with your osteopath. They can advise how to adapt both the sitting and standing phases to suit you better. Have regular breaks from your desk altogether when you walk around the office. 

And then of course if you really want to blow the budget there are treadmill desks… 

If you’re experiencing back pain you can book an appointment with our Osteopath, Andrew Doody, online.

5 excellent ways the Fleet St, Clinic’s occupational health services can benefit employee health and well being:

• Recruiting a new employee? Arrange a pre-placement assessment.
  Why?  The OH nurse or doctor can check whether the employee is fit to undertake the role.  If any health concerns are identified, s/he can make recommendations, where appropriate, to promote the employee’s well being and health at work.
• Staff reporting back problems?  Arrange an ergonomic assessment.
  Why?  It could be that your employee’s workplace arrangement is causing or contributing to the problem.  Our ergonomics consultant can assess their workplace in relation to the problem(s) reported/diagnosed and provide advice and recommendations on how to reduce symptoms.
• A staff member returning to work after illness?  Arrange a Fitness Assessment.
  Why? Employees and employers can benefit from advice and recommendations on how best for the employee to enter back into work to minimise risk of relapse and aid a successful and healthy return to work.
• Assigning one of your employees to a project abroad?  Arrange a pre-deployment medical.
  Why?  Depending on the assignment and location, working abroad can increase stresses on the individual and often with limited access to medical care.  A pre-deployment medical can assess whether the employee is fit to undertake the post, provide advice and recommendations to promote their health while away and advise on any travel precautions to prevent illness.

You can find out more about our occupational health services here.

Alternatively, fill out the form below and we’ll propose suitable services for your consideration.