The Hidden Challenges of Working From Home
Working from home has become wildly popular over the past couple of years - and I can't blame people for loving it! Why not work and get some household chores done at the same time? Not to mention avoiding wasting your life in traffic. My personal favorite perk? Donning comfy clothes all day long - the true definition of business casual!
However, as a physical therapist, I've noticed some concerning downsides to remote work, particularly the sudden increase in sedentary behaviors. Recent research has shown that sitting is the new smoking - it's one of the worst things you can do for your body, leading to weight gain and even early mortality1.
When we sit for hours, stiffness and discomfort become common companions, especially in the lower back, hips, upper back, and neck. While a gentle rub or hot pack might provide temporary relief, persistent discomfort deserves proper attention and evidence-based solutions. With the right strategies and consistent habits, you can prevent and manage back pain effectively while working from home.
4 Evidence-Based Back Pain Prevention Strategies for Remote Workers
1. Regular Movement Breaks
Your body is built for movement, regardless of your work setup! Research demonstrates that breaking up prolonged sitting is crucial for health. Here's what you should aim for:
- Take breaks every 30 minutes: Set a timer on your phone or watch as a reminder
- Target 8,000-12,000 steps daily: I'll be honest - I often don't reach this amount myself, but remember: more movement than yesterday is a win!
- Track your progress: Consider using a wearable fitness tracking device, like:
- Apple Watch
- Garmin wearables (my personal favorite - it even tracks stress and recovery)
More movement is always better – if you move more than yesterday, consider that a win!
2. Daily Strength Training
According to recent studies, strengthening exercises significantly improve health outcomes and reduce mortality rates3. My recommended approach:
- Start with mobility work
- Progress to strengthening exercises
- Focus on spine-specific movements
Studies have proven that exercise, especially when combined with education, can effectively prevent episodes of lower back pain and reduce missed workdays4.
3. Targeted Mobility Work
Mobility exercises for your lumbar and thoracic spine are crucial. Here's why: When you wake up feeling stiff in the morning, it's because your joints have built up fluid from lack of movement. Mobility work, focusing on joint movement rather than just muscle stretching, can help combat this stiffness throughout your workday.
4. Ergonomic Workspace Setup
Consider investing in a standing desk to vary your positions throughout the day. I personally use and recommend the Autonomous desk - it's sturdy, easy to assemble, rated for 200+ pounds, and has significantly helped with my lower back stiffness. Pro tip: Many employers will cover the cost of a standing desk - it's worth asking!
2 Quick At-Home Back Pain Relief Routines
1. The 5-Minute Workout
Check out this quick and easy exercise routine designed specifically for busy professionals. We're all limited in time and energy, so let's focus on what's most effective!
2. Movement Snacks Throughout the Day
Follow this simple schedule to keep your body moving:
- Set a 30-minute timer on your phone or watch
- When it goes off, choose one of these activities:
- Quick mobility exercises for your spine
- A brief walk (20 minutes = roughly one mile)
- Walking up and down stairs
- Any movement that gets you away from your desk!
The Ultimate Back Stretch for Remote Workers
The Standing Prayer Stretch
This is my go-to recommendation for immediate relief - 100% of my patients love this stretch once they master it. Here's how to do it:
Watch the demonstration here (starts at 3:45)
Technique:
- Find a sturdy surface (a high countertop works best)
- Place your arms on the surface
- Step back while keeping your knees and back straight
- Position your head between your arms
- Gradually sink into the stretch, bringing your chest toward the ground
- Key tip: Focus on feeling the stretch in your upper back
- Breathe out deeply to increase the range of motion
Creating Your Daily Action Plan
Improving your back health while working from home isn't complicated - it's about forming good habits and showing your body some love. Here's your daily checklist:
- ⏰ Set 30-minute movement reminders
- 🚶♂️ Aim for increased daily steps
- 💪 Include brief strengthening sessions
- 🧘♂️ Perform mobility work throughout the day
- 📝 Track your progress
Remember, while posture plays a role, I'm more focused on strengthening your posterior chain so you can fight gravity more effectively throughout the day.
Summary
Working from home doesn't have to mean living with back pain. By implementing these evidence-based strategies - regular movement breaks, strengthening exercises, mobility work, and proper workspace setup - you can create a healthier, more comfortable work environment.
Additional Resources
- Check out my 5-minute mini lower back workout
- Learn more about safe lower back stretching
- Watch my free webinar on hip and back pain fundamentals
Remember, these exercises are safe and effective for lower back pain - but as always, listen to your body and progress at your own pace.
- Ekelund U, Tarp J, Steene-Johannessen J, Hansen B H, Jefferis B, Fagerland M W et al. Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis BMJ 2019; 366 :l4570 doi:10.1136/bmj.l4570
- Wang Y, Nie J, Ferrari G, Rey-Lopez JP, Rezende LFM. Association of Physical Activity Intensity With Mortality: A National Cohort Study of 403 681 US Adults. JAMA Intern Med. 2021 Feb 1;181(2):203-211. doi: 10.1001/jamainternmed.2020.6331. PMID: 33226432; PMCID: PMC7684516.
- Izquierdo M, Merchant RA, Morley JE, Anker SD, Aprahamian I, Arai H, Aubertin-Leheudre M, Bernabei R, Cadore EL, Cesari M, Chen LK, de Souto Barreto P, Duque G, Ferrucci L, Fielding RA, García-Hermoso A, Gutiérrez-Robledo LM, Harridge SDR, Kirk B, Kritchevsky S, Landi F, Lazarus N, Martin FC, Marzetti E, Pahor M, Ramírez-Vélez R, Rodriguez-Mañas L, Rolland Y, Ruiz JG, Theou O, Villareal DT, Waters DL, Won Won C, Woo J, Vellas B, Fiatarone Singh M. International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines. J Nutr Health Aging. 2021;25(7):824-853. doi: 10.1007/s12603-021-1665-8. PMID: 34409961.
- Huang R, Ning J, Chuter VH, Taylor JB, Christophe D, Meng Z, Xu Y, Jiang L. Exercise alone and exercise combined with education both prevent episodes of low back pain and related absenteeism: systematic review and network meta-analysis of randomised controlled trials (RCTs) aimed at preventing back pain. Br J Sports Med. 2020 Jul;54(13):766-770. doi: 10.1136/bjsports-2018-100035. Epub 2019 Oct 31. PMID: 31672696.