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Why Does My Back Hurt When I Sit? Understanding Low Back Pain and Prolonged Sitting

October 20, 20263 min readUpdated October 20, 2026

Prolonged sitting is a common contributor to low back discomfort. While sitting itself is not inherently dangerous, static postures and lack of movement can increase strain on the lower back. Understanding how to modify your habits and incorporate movement can help manage these symptoms effectively.

Many people experience low back pain that seems to worsen during or after long periods of sitting. Whether you are working at a desk in Richmond Hill or commuting, the way you sit and how often you move can influence how your back feels. It is important to understand that for most individuals, this type of pain is not typically caused by a serious underlying pathology, but rather by the cumulative effects of static posture and muscle fatigue. Research indicates that while sitting time is a factor, the way we behave while sitting—such as how often we take breaks and our postural variability—plays a significant role in the development of discomfort (Alaca et al., 2025). When we remain in one position for too long, our muscles may experience increased strain, and the lack of movement can lead to stiffness. Evidence suggests that incorporating active breaks into your day can help reduce back overload and manage discomfort associated with prolonged sitting (Mazzola et al., 2024). An assessment at our clinic can help identify the specific factors contributing to your pain. During an evaluation, a chiropractor will review your history and perform a physical examination to understand your movement patterns and functional limitations. This process helps in developing a personalized approach to care, which may include manual therapy, therapeutic exercise, and ergonomic advice. Conservative management focuses on improving your ability to move comfortably and building self-efficacy in managing your symptoms. It is also important to note that imaging, such as X-rays or MRIs, is rarely necessary for non-specific low back pain, as these findings often do not correlate with the pain you are feeling and do not change the initial management plan (Hall et al., 2012). To manage back pain while sitting, try to change your posture frequently, stand up for short walks, and ensure your workstation is set up to support your comfort. If you are interested in learning more about how we approach these issues, you can read about our low-back-pain-sciatica-richmond-hill services or learn more about our team on the provider page. If your pain is persistent, severe, or accompanied by "red flag" symptoms—such as unexplained weight loss, fever, loss of bowel or bladder control, or significant numbness in the legs—please seek medical attention immediately. Frequently Asked Questions: 1. Do I need a standing desk to fix my back pain? Not necessarily. While sit-stand desks can be helpful, the most important factor is movement. Changing positions frequently is often more effective than staying in one static position, whether sitting or standing. 2. Is my chair the cause of my pain? While an ergonomic chair can provide support, no single chair is a universal solution. Your movement habits and how you interact with your environment are often more influential than the chair itself. If jaw, back or joint symptoms are affecting your daily activities, a clinical assessment may help clarify the possible contributing factors and appropriate care options. Union Health Network is accepting new patients in Richmond Hill. Book an Initial Examination | Book a Complimentary Discovery Call | Call (647) 368-7344

What Our Patients Say

Individual experiences and results vary. This testimonial may not represent the experience of every patient.

"The sciatic pain down my leg was completely debilitating. Dr. Entezami pinpointed the exact cause and had a precise plan. Within a month I was back to normal activities."

Maria G. — Thornhill

"The combination of spinal manipulation, acupuncture, and home exercises Dr. Entezami prescribed resolved my sciatica faster than I thought possible. Excellent clinic."

Grace L. — Markham

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