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How to Sit with Spinal Stenosis

   This post has been quality checked in line with our Editorial and Research Policy.

How to Sit with Spinal Stenosis

With spinal stenosis, you have compression of the spinal canal, which could hurt and even pinch nerve roots that pass through it, making sitting more challenging.  Sometimes, it will affect your lower back and neck, but it can also affect your entire spine! 

The symptoms of spinal stenosis differ from person to person; some people may notice no symptoms while others may experience back pain, sciatica, or tingling (like pins & needles) from head to toe. Unless someone has experienced it themselves, it can be hard to describe how it truly feels. The condition sometimes feels like an electric shock for those with it.

As a general rule, with you sit upright with both feet on the ground, your hips will be higher than your knees so that spinal stenosis doesn’t escalate. When you sit in this position, you are releasing pressure from your spine, which can cause pain.  Couches and soft chairs should not be used. 

It is true that the internet contains a lot of reliable information, but it doesn’t cover everything, especially what is the best way to sit if you have spinal stenosis. My thirty years of experience as a chiropractor have allowed me to treat a variety of patients with spinal stenosis. If you read this article, you’ll understand better what spinal stenosis is, as well as how to sit to prevent pain and aches. 

How Does Spinal Stenosis Happen?

Normally, spinal stenosis is caused by osteoarthritis, or by a gradual deterioration of the spine bones. As a result, many people might not show symptoms for quite some time, although X-rays may reveal some changes if taken for another reason. If you have spinal stenosis, you might feel pain, numbness, or tingling in your neck, back, arms, legs, or hands, according to the severity and location of your condition.

Spinal stenosis occurs most commonly in people over the age of 50. Other conditions such as scoliosis or injuries to the spine could also increase the risk of developing this disease for younger people born with narrow spinal canals!

how to sit with spinal stenosis

The Following Conditions Can Also Result in Spinal Stenosis:

spinal stenosis pain

Symptoms of Spinal Stenosis

  • Back pain
  • Sciatica
  • Leg numbness, cramping, or weakness
  • The feet become numb
  • Dropped foot
  • Leg numbness
  • Intense pain and weakness that spreads to one or both legs. 
  • Inability to sit comfortably

Severe Cases Requiring Immediate Medical Attention Include:

How to Reduce Spinal Stenosis Pain When Sitting

a woman suffering from coccyx pain sitting on a chair without a wedge

You should consider the following recommendations when dealing with spinal stenosis:

  • Get up and move every 20 minutes as a preventative measure.  
  • Lumbar support is recommended.  
  • Your feet should be flat on the ground.
  • Maintain a hip height above your knees. 
  • If you increase your chair’s width, this may also work well. Ergonomic chairs are usually adjustable in depth. The knees of a person seated cannot be closer to the edge of the seat than three fingers.
  • Symptoms can be soothed by alternating between sitting and standing. 

Does Sitting Make Spinal Stenosis Pain Worse?

man with low back spinal stenosis

It is correct, no problem. In general, walking causes symptoms to be worse, but sitting or bending forward helps.  Using the right chair can reduce back pain or sciatic pain drastically, as long as you move while you’re sitting. I recommend regularly alternating between standing and sitting for healthy posture. Prolonged standing or sitting for long periods can result in cold muscles because prolonged standing and sitting can damage the body’s blood circulatory system.

Is It Better to Walk or Sit With Spinal Stenosis?

Keeping your posture aligned when you are sitting, walking around is really important for those of us with spinal stenosis. When we have good alignment it reduces the pressure on our spinal cord which means less pain!

Best Chair for Spinal Stenosis

best chair SI joint pain

The following minimum requirements for an ergonomic office chair may help prevent the pain associated with spinal stenosis:

  • Height-adjustable seats. Occasionally, chairs may be unable to go low enough or high enough, and it may be necessary to replace the gas shock in your chair.
  • Forward tilt capability. Chairs that do not have this feature can be equipped with a seat wedge. You should be able to keep your hips above your knees if your seat has a thick enough back.
  • Ensure that you have a supportive seat. A general rule is that fewer pressure points exist on a large surface area. Two to three fingers should separate your seat edge from your knees.

Best Seat Cushion for Spinal Stenosis

thespinery.com latex seat posture cushion

Properly set up chair cushions will allow you to sit straight all day. High-end seat cushions are typically made with a firm base of natural latex and a softer top layer. It is also important to have a non-slip cover and base, so you can sit upright for a long time. Furthermore, high-end seat cushions prevent painful pressure points in the buttocks by keeping pressure away from those area’s sensitive parts, such as hips, tailbones, and thighs.

What Should I Avoid with Spinal Stenosis?

No Running or Long Walks

Walking too long or running could make things worse than they were before by causing repeated trauma that makes less space in between bones allowing them to grind together leading to inflammation and tissue damage where nerves exit onto muscles irritating them over time until all movement becomes painful.  It is a generally good idea to take short walks with intermittent breaks to avoid inflammation.

Exercises to Be Avoided with Spinal Stenosis

exercises to be avoided

When it comes to strengthening the muscles of your lower back, isometric exercises are a better idea than flexion or extension. Isometrics involve sitting in an upright position and contracting against something like a weight that you then push away from yourself so as not to move backwards at all. To avoid injuring your spine even more with these types of movements, be sure to keep good posture when doing each exercise by keeping both shoulders down-sloped towards one another while breathing normally throughout!

When stretching your back, it can be difficult to know where the line is between a stretch that helps and one that hurts. It’s important you don’t force yourself into an uncomfortable position or put too much pressure on your spine, especially anything requiring you to bend over backwards excessively; this may make any existing inflammation worse as well as lead to more pain in other areas of the body like numbness from nerve impingement.

Sit Less with Spinal Stenosis

Sitting too often can make your muscles weaker and lead to back pain. It also increases inflammation for you as well! If it means just a few minutes more of work, why not get up every once in a while? You’ll feel better with less pain over time by staying active.

The benefits from staying active are worth the extra effort if only taking a few moments out of our day will do that much good.

Takeaway

Long periods of sitting can worsen the effects of spinal stenosis. If you are experiencing chronic back pain, numbness or tingling in your arms and legs, it may be a sign that you have this condition. In order to get relief from these symptoms, consult with an ergonomic specialist who understands how to sit comfortably for those with spinal stenosis.

For more information on what is safe and comfortable when seated, please visit our blog post about low-impact seating tips!

**As a service to our readers, Axial Chairs provides access to our library of archived content. Please note the date of the last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinicians.
Dr Lawrence Woods DC

Dr Lawrence Woods DC

Founder

My goal is to create the highest quality ergonomic office chairs and accessories for unmatched comfort.

With 30 years of spinal healthcare experience in Ireland as a chiropractor, I learned the value of high-quality sitting for living a happy and healthy life.

I have a Chiropractic Degree from Life Chiropractic College West and I am NBCE Physiotherapy certified.

 

Dr Lawrence Woods

My goal is to create the highest quality ergonomic office chairs and accessories for unmatched comfort.With 30 years of spinal healthcare experience as a chiropractor, I learned the value of high-quality sleep for living a happy and healthy life.I have a Chiropractic Degree from Life Chiropractic College West and am NBCE Physiotherapy certified.

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