Activate Physiotherapy is an evidence based clinic, and as such we have reviewed the latest evidence base around posture. Here are the main points we have taken from that;
1) Individual differences in posture are normal. For example there are natural variation in spinal curvatures amongst the population and there is no single spinal curvature strongly associated or correlated with pain. Pain should not be attributed to relativity normal variations.
2) Sitting should not be considered dangerous. Sitting down in a static position for more than 30 minutes should not be feared. However, moving and changing positions can be helpful (especially with people in current pain states). It is important to remain physically active around your work if you are desk based.
3) Your posture reflects your moods and beliefs. Posture can be an insight into an individuals emotions, thoughts and body image. Some postures appear to be adopted as a protective strategy and may reflect concerns regarding body vulnerability. Understanding the reasons behind preferred postures can be useful to the rehab process.
4) There is no single correct posture. Despite common postural beliefs, there is nostrong evidence that one optimal posture exists or that avoiding incorrect postures will prevent back pain. Postural adaptations may be required temporarily in order to restore movements and pain states.
5) The spine is robust and can be trusted. It is an adaptable structure which is capable of safely moving and loading in a variety of planes. Common warnings to protect the spine can lead to fear avoidance behavior and delay the rehab process.
6)It is safe to adopt more comfortable postures throughout the day. Exploring different postures, including those frequently avoided, may provide symptomatic relief
It is important to note that these are general guidelines and may not be applicable to specific spinal cases.