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The Back Pain Podcast by Core Balance

How To Sit With Lower Back Pain

April 7, 2026·42 min
Episode Description from the Publisher

If you’ve ever struggled to sit comfortably for even a few minutes without your lower back tightening, aching, or flaring up, this episode will change how you think about sitting forever. In this conversation, we break down the science behind sitting and spinal pressure, including why sitting actually places more stress on your discs than standing and how certain positions can increase that pressure even further. This episode goes beyond posture advice, because the real solution isn’t finding the “perfect chair” or the “correct position.” It’s understanding how your body works and why variety, movement, and balance matter more than any ergonomic setup.   This episode covers:   Why sitting is inherently stressful for your spine (even with good posture) What research reveals about disc pressure in different positions The biggest mistake people make when trying to “fix” their sitting Why no chair, cushion, or setup works long-term The simple strategy that actually reduces pain throughout the day How muscle imbalances change the way your body handles sitting   Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass    Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program.   Episode Chapters   00:00 How to Sit With Lower Back Pain 02:05 Why Sitting Feels So Painful  04:10 The Science: Disc Fluid, Pressure & Daily Shrinkage 07:40 The 1966 Study: Sitting vs Standing Pressure Explained 10:25 Modern Research: When Your Discs Hydrate vs Dehydrate14:45 Best Chairs: Back Support or No Back Support? 17:10 Seat Height: High vs Low (What Actually Matters) 19:20 Leaning Back vs Sitting Upright (Big Mistake Explained)23:10 The Real Solution: Variety Over “Perfect Posture” 25:40 Why Even Standing Desks Don’t Fix Back Pain 27:10 My Personal Setup (Plyo Box + Movement Strategy) 30:05 How to Build Movement Into Your Workday34:20 Fixing Muscle Imbalances to Eliminate Pain 36:00 Zero Gravity Chairs: Do They Help? 37:20 Swiss Ball Sitting: Good or Bad? 38:30 Inversion Tables & Disc Hydration 40:00 Common Exercise Questions   

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