Sitting and Back Pain with only 6 Degrees of movement

Stephen Grinnell // November 12 // 0 Comments
Working, Sitting at a desk for long periods of time

Some numbers first your back has six degrees of movement, well actually only 3 degrees of movement as you are limited by the direction of movement. You cannot move in two opposite directions at the same time!

Your back can move:

Forwards, Backwards, Left side, Right Side, Left Twist, Right Twist, and Also Up and Down

Remember that’s AT EACH JOINT so that is a lot of movement, and also A LOT of problems

I stressed that it was 6 degrees of movement, but, in reality only 3 degrees.

  • You can only move in one direction at a time
  • So forwards, to the left side, with a left twist.
  • So how do we get more movement?

Lots of joints…….. Each vertebra has four posterior (back facing) joint surfaces that connect it to the other vertebrae, PLUS each vertebra connects with the discs above and below. In addition, many vertebra have joints that connect your spine to your ribs, sacrum, skull and other structures. In all your spine has 364 joints!

So let’s keep things simple!

Usually there are 7 cervical, 12 thoracic, 5 lumbar, 5 sacral and 4 caudal (coccygeal) vertebrae.

so, 33 vertebrae in total.

In humans, the average length of the vertebral column is 71 cm in males and 61 cm in females.

This will be important in a minute!

Remember a complex array of muscles move to support and allow movement of the spine.

So why are the degrees of movement so important?

Back Pain

Love a bit of science and maths?

L = 71 cm spine Length in Males 61cm in Females

A = 1 degree of movement at the base of the spine

D = Magnitude or distance moved is 1.7 cm out of line at the top in Males and 1.2cm in Females

This is a 1 degree movement at the base of the spine in one of 33 joints it’s no wonder we have back problems.

So how come we don’t all have chronic back pain?

  • Well we do, or we will, 4 out 5 of everyone reading this will have back pain at some time in their life, That's 80%!
  • 49% of office-based and home-based workers, experience back and neck pain on a weekly basis.
  • This will only increase with many more people working from home so moving less
  • Importantly our back compensates to allow movement. The 33 joints work as a team to spread the load.

How sitting and posture impacts on disc pressure leading to pain!

Disc Pressure and Back Pain

Standing is the most optimal position for the discs and back as the legs allow for alterations in movement and a dynamic strong support. It's also why with back conditions such as initial sciatica can be helped by standing and walking. It's important to note that a balance of rest and movement help back issues the most

You can see that by using the support of a office chair and leaning back provides lots of support. This does depend on the chair, lumbar support, height and arms using the rests. The chair and office assessment for profile assumes you can touch type. Something many of us including me cannot do!

Just by sitting up straight you increase the force on your lower back significantly and just 10 degrees forward and the force on the back has almost doubled. This position is common for people who use laptops as you look down to the screen!

This is a major issue for home workers.

Back Pain Nerves

The diagram just shows the major nerves coming out of the spinal collum which is designed to protect them. This makes it obvious why even small movements in the spine structure can be very painful with the complexity of the nerves and the relationship to the spine.

Remember I have only highlighted sitting. Lots of other movements cause significant pain and mobility issues.

Will you book a Treatment and Assessment to start your Back Pain Recovery Journey?

About the Author Stephen Grinnell

Stephen Grinnell MSc Health and Rehabilitation
Pain and Physical Rehabilitation Specialist: Plantar Fasciitis, Lower back and Knee
Stephen has had his own Pain and Rehabilitation Clinic for over 14 years where he has treated well over 3000 people with lots of different pain and injury issues. Stephen’s personal physical rehabilitation journey started with a serious injury while on active service with the Royal Marines 25 years ago. This injury resulted in a long journey of complementary rehabilitation and two replacement hips. Stephen has developed his own bespoke treatment protocols using a variety of medical devices to help pain and inflammation resulting in accelerated recovery. Expert areas of focus are Plantar Fasciitis Treatment, Back pain issues particularly Lower Back and Sciatica and hip and knee replacement rehabilitation. Stephen previously had a successful academic career lecturing at a variety of Colleges and Universities in the Sports Science, Rehabilitation and Training areas. Stephen has also worked in The Queen Elizabeth Hospital Physiotherapy department during the Covid 19 Pandemic helping the recovery of COVID patients. Stephen has been extensively researching and trialling protocols to treat plantar fasciitis. His Expertise has resulted in the successful treatment of 3000+ people and counting with a current success rate of 93%

Enjoyed this article?

Find more great content here: