Managing Chronic Back Pain from Long Hours at the Office - Orthopedics

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Bone pain?


Dear Dr.
Sun,
I often experience back pain due to prolonged hours of sitting in the office, and now I also wake up from sleep because of this back pain, which makes me hesitant to sleep for too long.
If this situation continues, will it worsen? Additionally, I should inform you that I am unmarried, have never given birth, and have not undergone any surgeries.
How should I address this warning sign from my body? I would appreciate your guidance on which specialty I should consult for treatment.
Thank you.

Miss You, 30~39 year old female. Ask Date: 2004/06/21

Dr. Sun Ruisheng reply Orthopedics


Hello: Due to prolonged hours of sitting in offices, modern individuals often experience lower back pain, which is a common issue today.
Usually, appropriate rest can help alleviate this condition.
However, if the back pain wakes you from sleep, it is advisable to consult an orthopedic or rehabilitation specialist for evaluation and treatment.

Reply Date: 2004/06/21

More Info


Chronic back pain, especially from prolonged hours of sitting in an office, is a common issue that many individuals face today. Your experience of waking up due to back pain and the fear of sleeping too long is a significant concern that should not be overlooked. It’s crucial to address this issue promptly to prevent it from worsening.

First, it’s important to understand that sitting for extended periods can lead to muscle fatigue, poor posture, and spinal misalignment, all of which contribute to back pain. When you sit, especially in a non-ergonomic chair, the muscles in your back can become tense and fatigued, leading to discomfort and pain. This discomfort can be exacerbated during sleep if your mattress does not provide adequate support or if your sleeping position is not conducive to spinal health.

To manage and alleviate your chronic back pain, consider the following strategies:
1. Ergonomic Workspace: Ensure that your workstation is ergonomically designed. Your chair should support your lower back, and your feet should rest flat on the floor. The computer screen should be at eye level to avoid straining your neck.

2. Regular Breaks: Implement the 30-30 rule: every 30 minutes of sitting, take a 30-second break to stand, stretch, or walk around. This can help reduce muscle tension and improve circulation.

3. Stretching and Strengthening Exercises: Incorporate back-strengthening and stretching exercises into your daily routine. Simple stretches like the cat-cow stretch, child’s pose, or gentle spinal twists can help alleviate tension. Strengthening exercises for your core and back muscles can provide better support for your spine.

4. Sleep Position and Mattress: Evaluate your sleep position. Sleeping on your back with a pillow under your knees or on your side with a pillow between your legs can help maintain spinal alignment. Additionally, consider the quality of your mattress; a medium-firm mattress is often recommended for back pain sufferers.

5. Heat and Cold Therapy: Applying heat or cold to your back can provide relief. Heat can help relax tense muscles, while cold therapy can reduce inflammation.

6. Consult a Healthcare Professional: If your pain persists or worsens, it’s advisable to consult a healthcare professional. A primary care physician can evaluate your symptoms and may refer you to a specialist such as a physical therapist, chiropractor, or orthopedic doctor. Physical therapy can be particularly beneficial as it focuses on rehabilitation through tailored exercises and techniques.

7. Mindfulness and Stress Management: Chronic pain can be exacerbated by stress and anxiety. Techniques such as mindfulness, meditation, or yoga can help manage stress levels and improve your overall well-being.

8. Medication: Over-the-counter pain relief medications, such as NSAIDs (e.g., ibuprofen), can help manage pain and inflammation. However, these should be used sparingly and under the guidance of a healthcare professional.

In conclusion, while your situation is concerning, there are numerous strategies you can implement to manage and alleviate your chronic back pain. It’s essential to take proactive steps to address the issue before it escalates. If you find that self-management strategies are insufficient, do not hesitate to seek professional medical advice. Early intervention can lead to better outcomes and improved quality of life.

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