★ Key takeaways
- Good desk posture lowers the load on your neck and back through the day.
- The best posture is the next one; moving regularly beats holding one position.
- Simple setup changes to your screen, chair and keyboard help a lot.
- Posture-related pain that persists should be assessed.
Why is your posture so important when sitting at a desk?

At Switch Physio we are seeing more and more people with back pain and are presenting with very similar symptoms and the same type of question
“How did I hurt my back, I woke up with this pain?”
Our team shares the learnings we get from treating so many patients with different health scenarios, it helps us to discover trends or emerging health concerns. What we found was a very similar pattern where the people all had typical desk jobs. Australian’s spend most of their adult life in the workplace and for a large number of people, work involves sitting at a computer desk in an office. This means that more often than not we are sitting for 8 or more hours a day, more than 40 hours a week.
Here are the areas of health that his is impacting
- Poor posture and back pain
The set up of the work desk and the length of time spent sitting have a huge role on the posture of the back. The longer we sit the worse our posture gets. Our endless use of devices and computers has forever changed they way in which we sit and interact. More often than not we are putting stress on our neck, upper back and lower back by the way we are sitting. Add to that the length of time we then stay in these positions. This repeated stress inevitably leads to back or neck pain! - The poor old heart (Cardiovascular System)
Prolonged sitting has been linked to high blood pressure, elevated cholesterol and decreased energy expenditure all causing an increased risk in cardiovascular disease. The Link between poor health and prolonged sitting first started in 1950’s, where it was found that London bus drivers where twice as likely to have a heart attack. Prolonged sitting has shown to decrease the effectiveness of the heart to work. The more we move the more the heart has to work. This helps the cardiovascular system survive and reduce the potential for issues. - Obesity
Prolonged sitting involves very little to no energy expenditure throughout the day. If energy expenditure is less than energy put into the body from food and drink, then weight gain occurs. Jobs involving sitting for more than 8 hours a day burn less energy than more active jobs such as tradesmen. It is no surprise that prolonged sitting is linked to excessive fat levels, weight gain and obesity. - Osteoporosis
An increase in prolonged sitting decreases the amount of weight-bearing exercises such as walking or running. These weight bearing exercises are required to allow the bones to grow thicker, denser and stronger. Stronger bones = less risk of osteoporosis = less bone fractures - Diabetes
An increased risk of diabetes occurs because prolonged sitting slows the body’s metabolism. We don’t use as many muscles when sitting which leads to an increase in the risk factors of Diabetes 112% increase in the risk of diabetes with prolonged sitting. - Mental Health
The longer we spend our day sitting the higher the risk of depression, anxiety, stress and use of anti-depressant medication. - Blood circulation
By sitting we decrease the flow of blood around the body, there is no need for the body to work hard so it slows down. This can cause a number of problems including swollen ankles, varicose veins and even dangerous blood clots.
Not sure what is safe to do right now? A physio can tell you in one visit.
Why is correct posture so important?
Most neck pain is about how you load and move through the day, not lasting damage.
So what happens when prolonged sitting is combined with poor posture?
Numerous studies highlight the relationship between prolonged sitting and poor posture with the development of back and neck pain. Due to poor posture while sitting, many individuals often adapt a more bent forward trunk position. This increases the pressure on the spinal discs and ligaments which can lead to back and neck pain from a number of sources.
Prolonged sitting often occurs with seated computer work. When combined with poor posture, there is an increased static loading of muscles and ligaments in both the back and neck. As a result of prolonged loading and stretching of the muscles and ligaments, individuals (such as yourselves) have an increased risk of developing muscular pain in the neck, shoulders and back.
The negative effects of poor posture and sitting are worsened with age as muscular strength naturally decreases as we grow older. As the muscles of the neck and back weaken, they are less capable of supporting the spine and the large amount of force that is placed on the spine every minute of the day. As a result, there is increased pressure on the ligaments and structures of the spine and may result in damage causing pain.
3 x habits to get into now
- Get up and move every 30-40 minutes. Set an alarm or reminder to make sure you get up and move.
- Don’t spend your lunch break at your desk. Use the time to get away from the computer or even exercise.
- Exercise Regularly, reverse the effects of sitting by exercising 30 minutes each day.

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Frequently asked questions
What is the best posture for sitting at a desk?
A relaxed, supported position with your screen at eye level and feet supported, changed regularly through the day.
Can bad posture cause pain?
Prolonged static postures load the neck and back, which can cause aching and stiffness over time.
How often should I move at my desk?
Aim for a short movement break every 30 to 45 minutes. Frequent movement matters more than perfect posture.
How do I set up my desk properly?
Screen at eye level, elbows around 90 degrees, feet supported, and your chair adjusted so your back is supported.
James Becerra
Master of Physiotherapy · SWITCH Physiotherapy
I love being able to help someone out of pain and get them moving again, the smile on that persons face when they experience pain free movement makes it all worth it.
For me its about going above and beyond to treat the cause of the inju… View James’s profile →
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