Thursday, October 25, 2018

Get Up, Stand Up... at your desk


Let's address the need for a sit-stand desk. This topic has become increasing popular for good reason. Many people have back pain! I frequently recommend a sit-stand desk for patients who present with impaired function, pain and degeneration of the low back. Today we discuss if you are a candidate for this type of load management strategy.
Why a Sit-Stand Desk?

A sit-stand desk is important. Sitting increases the load on discs in your low back. The sit-stand desk is a workstation that allows you to do both, sit or stand at your work station reducing load on your low back. People who sit for four or more hours in a day have a 9x increase in low back pain, compared with people who sit for one hour(1). There are only 168 hours in a week. The average person spends 64 hours a week sitting(2). How much of your life do you spend sitting down? 

Low back disc problems
Low back disc problem
How does a sit-stand desk help me?

This setup reduces the load on your lumbar spine. With my experience treating thousands of low back pain patients, reducing pain needs a specific plan. This plan requires a combination of restoring muscle function, improving movementbalancing strength and managing the loads on the low back. 

I recommend that you sit for 30-45 minutes and stand for 15-20 minutes. It's time to switch to standing if you are uncomfortable and find yourself shifting around to avoid pain. In fact, I recommend that you subtract 20% off the time it takes to hurt and switch before your back begins to be irritated.
Sit Stand desk
Sit-Stand setup

Do I need a Sit-Stand Desk?
There are multiple factors that must be considered for you to be a candidate. First do you have impaired function, pain or a known diagnosis regarding your low back? Any request must be a reasonable accommodation request. Do you have a legitimate request backed by a note from a doctor? Would the request cause your employer undue hardship? Managing the load on the lumbar spine with a sit-stand desk is vital to maintaining health, slowing degeneration and minimizing both pain and missed time from work. If you suffer from low back degeneration, give us a call at 678-1362 to schedule a consultation.
Evolution man - computer
Occupational Evolution
References: (1) Tucker, J. "Give your patients the ergonomic advantage." Dynamic Chiropractic, April 2017.
(2) Yeager, S. "Sitting is the new smoking- even for runners." Runner's World, July 20, 2013. 

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