Numbness in the Back from Prolonged Sitting - Rehabilitation

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Numbness in the back due to prolonged sitting?


Hello Doctor: I recently switched to an office job that requires long hours of sitting at a computer, and I’ve been experiencing lower back pain.
A few days ago, I started noticing mild tingling on the left side of my back (around the level of my chest), near a small area beside the spine, but there is no pain—this only occurs when I’m sitting, not when I’m standing.
I would like to know what this might be, and whether I need to see a doctor immediately or if I should just observe it for a while.

Frances, 20~29 year old female. Ask Date: 2017/06/25

Dr. Yin Xinbei reply Rehabilitation


You can continue to observe whether the frequency and range of occurrence increase, but it is recommended to quickly engage in shoulder and neck muscle activities when symptoms appear.
You can search online for shoulder and neck stretching exercises for reference.

Reply Date: 2017/06/25

More Info


Prolonged sitting, especially in a work environment that requires extensive computer use, can lead to a variety of musculoskeletal issues, including discomfort and numbness in the back. The symptoms you're experiencing, particularly the mild numbness on the left side of your back near the spine, are not uncommon among individuals who spend long hours seated. This condition can be attributed to several factors, including poor posture, muscle fatigue, and nerve compression.

When you sit for extended periods, especially if your posture is not optimal, it can lead to muscle imbalances and tension in the back. The muscles that support the spine may become fatigued, leading to discomfort. Additionally, sitting for long durations can compress the spinal discs and nerves, particularly if you are slouched or leaning forward. This compression can result in sensations of numbness or tingling, which you are experiencing.

The fact that your symptoms are only present while sitting and not when standing is a key indicator. It suggests that the position you are in while seated may be contributing to nerve compression or muscle strain. It's also worth noting that the area you described is close to the thoracic spine, where nerves can be affected by poor posture or muscle tightness.

In terms of immediate action, it is advisable to take a few steps to alleviate your symptoms:
1. Posture Correction: Ensure that your workstation is ergonomically set up. Your chair should support your lower back, and your feet should rest flat on the ground. Your computer screen should be at eye level to avoid straining your neck.

2. Frequent Breaks: Take regular breaks to stand up, stretch, and move around. Aim for at least a 5-minute break every hour to reduce muscle fatigue and improve circulation.

3. Stretching and Strengthening Exercises: Incorporate stretching exercises for your back, shoulders, and neck into your daily routine. Strengthening your core muscles can also provide better support for your spine.

4. Heat and Cold Therapy: Applying heat to the affected area can help relax tight muscles, while cold therapy can reduce inflammation if there is any swelling.

5. Monitor Symptoms: Keep track of your symptoms. If the numbness persists, worsens, or is accompanied by other symptoms such as pain, weakness, or changes in bowel or bladder function, it would be prudent to consult a healthcare professional.

As for whether you need to see a doctor immediately, if the numbness is mild and not accompanied by pain or other concerning symptoms, it may be reasonable to observe for a short period while implementing the above strategies. However, if you notice any worsening of symptoms or if the numbness begins to interfere with your daily activities, it would be wise to seek medical advice sooner rather than later.

In summary, your symptoms are likely related to prolonged sitting and poor posture. By making ergonomic adjustments, taking breaks, and incorporating stretching and strengthening exercises, you can potentially alleviate your discomfort. However, remain vigilant for any changes in your symptoms, and do not hesitate to seek medical attention if necessary.

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