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Bad Sitting Posture – Using a Lumbar Roll

Bad sitting posture is a daily concern for many people as slouching or sitting with your spine rounded forward causes irritation or discomfort. A lumbar roll is effective in preventing this pain and discomfort.

As you have already most likely experienced for yourself, slouching, or sitting with your spine rounded forwards, causes irritation and discomfort. In some cases, prolonged slouching may lead to more serious injury in your neck or low back.

The pain or discomfort from bad sitting posture arises for two main reasons. Slouched sitting holds your muscles in an abnormally lengthened position. Doing this day by day, for hours on end stretches these structures abnormally and ultimately weakens them. Imagine holding your hamstring in a stretched position for 20 minutes non-stop – it would be unbearable. Don’t be confused, stretching certainly has it benefits, but prolonged stretching can be equally detrimental to the same structure.

Over time, prolonged stretching leads to disc degeneration, the discs being the little cushions between your vertebrae (back bones). Slouched sitting pushes the discs outward towards the surface of your back. In due course, the discs bulge, also called herniated or slipped. Holding your neck tilted forward of your shoulders, and/or with the chin jutting forward, also mechanically harms the discs in your neck spine.

A disc may bulge outward enough to press on nearby nerves, and
depending on its whereabouts, may send pain down either your arms or
legs. Even without disc involvement, soft tissue pain alone from
slouching can be uncomfortable but they are all easy to prevent.

How to fix

Like the ground floor of a skyscraper, your low back should also have
a solid foundation. Adopting a good posture in the lumbar spine, will
see the rest of your spine sitting in a safe and pain free position.
Remember however, that prolonged sitting in any posture will ultimately
be uncomfortable. Our bodies were made to move regularly, not sit five
days per week.

Most chairs these days have lumbar support built into the back of the
chair yet the support offered is usually inadequate. Using a lumbar
roll is an effective way of ensuring you sit correctly in a chair. Using
the lumbar roll effectively requires you to sit deeply into the back of
the chair thus maintaining your lumbar lordosis as it rests up against
the roll.

Lumbar rolls are available in different sizes and firmness. Ensure
you have been recommended or tried a lumbar roll that fits you correctly
and for the right setting (office or car). A lumbar roll that is too
large may feel like it is sticking you in the back, or extending too
high or low on your back. If it is not comfortable, it is not right nor
helpful, change it!

To use the lumbar roll correctly, lean your upper back against the chair rather than pushing your lower back against the roll. Avoid forcing your spine into overly straight or arched postures. Keep your head upright without tilting it forward or back, and ensure you are not poking your chin out.

Sitting for occasions

Here are some tips for sitting in different circumstances. In each
case, you should always use a lumbar roll for the reasons described
above.

Driving

  • Sit with your hips all the way to the back of the seat.
  • Move the seat closer to the steering wheel so that you don’t have to
    reach forward for the wheel, rounding your spine in the process.
  • Tilt the upright part of the seat just slightly backward so that you
    lean your upper back back against the seat instead of pressing the
    lower back and reaching and rounding.

Sitting at your desk

Sit with your hips all the way against the back of the chair.

  • Move the seat closer to the desk so you can sit up instead of slouching forward.
  • Raise the monitor using a phonebook or block of some sort.
  • Use an external keyboard for laptops (split keyboards are even better).
  • Lumbar Roll Sit

Sitting on flights

  • Commercial airline seats are concave, encouraging prolonged rounding through your spine.
  • Two pillows may be necessary, one to fit the curve of your lower
    back, and possibly one above for your upper back to fill the space left
    by the overly-rounded seat. Adjust the pillows as needed to make it feel
    comfortable and supported.
  • Sit upright and lean back to rest the back of your head against the head rest.
  • Depending on the shape of the chair, you will need to move the
    lumbar roll higher or lower. What is important is to understand why you
    are using it – to support your spine and to pad it accordingly

Sitting to relax

It’s probably a little socially inept to take your lumbar support with you to a bar or your girlfriend’s cocktail party. Whether it be a seat at a dinner table, lounge chair or couch, always search for a cushion to pad up against your lower back. Sit deeply in the chair and if you find yourself starting to slouch, look for an excuse to get up and move around.

Anybody who sits for a living should use a lumbar roll to minimise bad sitting posture. If you’re in an office job and you don’t have back pain – get one from your health practitioner anyway. When it comes to lumbar rolls, it’s the same as eating vegetables, they’re good for you!

*DISCLAIMER: This discussion does not provide medical advice. The
information, including but not limited to, text, graphics, images and
other material contained in this discussion are for informational
purposes only. The purpose of this discussion is to promote broad
consumer understanding and knowledge of various health topics. It is not
intended to be a substitute for professional medical advice, diagnosis
or treatment. Always seek the advice of your physician or other
qualified health care provider with any questions you may have regarding
a medical condition or treatment and before undertaking a new health
care regimen, and never disregard professional medical advice or delay
in seeking it because of something you have read in this blog.

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Tom is amazing! He really takes the time to evaluate your entire chain of movement and makes a plan that works for you and your goals. I had been dealing with lower back pain for a few years and had seen physios in the past with no relief and I finally found that with Tom, helping to push my training further. Whether you’re going for an injury or prevention, he is great.
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Recently trialled the Novothor red light therapy bed at The Physical Therapy Center in North Sydney. The Center was flexible with the timing and helpful with the explanation of the potential benefits of the system. There are few robust red light therapy systems in Sydney and the Novothor machine appears to be at the high end of those systems. So if you are interested in the red light treatment modality, this center was conveniently located with a machine grade mostly likely to result in a benefit.
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Tom Cartwright would be the best holistic, caring and supportive chiropractor I have seen. His ability to understand misalignment of the body is exceptional. After every session, I feel the benefits immediately. Thanks for everything, Tom!
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I have been using the Novothor machine. I’ve done 9 sessions and seen really good results (decrease in pain, overall sense of calm). Tom is so lovely. He makes you feel very welcome and explains everything you need to know. Very clean space. Would highly recommend. -Emma
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Highly recommended. I went to Tom when I had a lot of pain from a bulging disk in my lower back. He was able to get to the root of the problem and had me back to normal in good time. Bookings are easy to make via the website and he always runs on time. It's terrific to have a great chiropractor in North Sydney.
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A recent ankle injury brought me to Tom at The Physicaltherapy Centre. I cannot overstate how thorough his attention and care to both my overall wellbeing and injury was. Within the first consult I felt I was in very safe and experienced hands. Tom has a wide breadth of experience across both physio and chiro practices and I absolutely recommend him for any physical concerns.
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Had a really great experience using the NovoTHOR red light therapy here. It’s a small, private, safe space focused specifically on the technology rather than a big commercial studio, which I actually loved. The environment feels calm, personal, and very intentional. Tom is incredibly knowledgeable and takes the time to explain how everything works, which made me feel comfortable straight away. I came through the intro offer and ended up returning multiple times because the sessions were relaxing and easy to fit into my routine. Definitely recommend if you’re curious about NovoTHOR and want a more one-on-one experience.
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I tried the NovoThor red light therapy for 2 weeks. It was fantastic. Felt the results weeks later in ways unexpected. It was a head to toe, overall improvement in muscles, general wellbeing. I did it at a particularly stressful time, and I think somehow this therapy carried me through with recovery physically. Slept better, coped better.
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I used the The Physicaltherapy Centre for their NovoTHOR session and the whole experience was smooth. Tom was professional, skilled, explained everything clearly, didn’t oversell, and the clinic felt clean and well-run. Booking was easy, and I walked out feeling noticeably looser and less beat up than when I went in.
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Enjoyed a very welcoming and calming experience while using the Novothor red light bed. Everything was clearly explained, easy booking system, and the team made sure I felt confident and relaxed throughout the session. The space itself is calm, clean, and well set up! I'll be booking in more sessions to come. Thanks for bringing red light therapy to North Sydney, as it's so hard to find!
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