shortsighted businessman bad sitting posture at laptop

We see many different cases of back pain in our clinic, they are often associated or aggravated  with poor posture at work.

We are often asked whether it is better to sit or stand at your work desk and our most common answer is “It depends….”  The reason we say this is because it depends on your underlying condition of your spine and the shape and structure of your spine.

We need to ensure that your working position does not exacerbate your back pain symptoms. As a general rule, although not always, sitting will aggravate pain arising from the discs between your vertebrae and standing will aggravate the small facet joints on either side of your vertebrae. Occasionally, the joint between the pelvis and spine (sacro-iliac joint) is the source of the pain.

Our patients often present both facet and disc pain – so we first need to develop a treatment plan with them. A treatment plan involves examining their pain, pathology, mechanics, posture and spine shape. Once their pain is resolved we can then identify whether sitting or standing at their work desk is better for them.

When suggesting for you to sit or stand at work we will also take into account how working at your desk will affect you in future years. It is now possible, with the advances in spine imaging developed from spine surgery planning and assessment, to identify and predict which working positions will be better for which individuals. There are new non-xray methods available, such as the formetric machine. It is a non-invasive technique that uses light instead of x-rays (radiation). If necessary we reccomend a referral for an EOS scan (the world’s most accurate and low dose spine x-ray system).

Come in for a spine consult and to learn what your best posture is for your work.

Larry is a highly skilled physiotherapist who specialises in treating back and neck pain, postural issues and scoliosis. He is certified in Schroth and SEAS methods and through the Egoscue University. Larry has a background in elite gymnastics and springboard diving and also has many years experience in endurance running and triathlons. His specialist knowledge and techniques have seen him appointed as a gymnastics coach and physiotherapist at both the Olympics Games and Special Olympics.

His passion and driving philosophy is about achieving the best outcomes for his patients utilising an amalgam of the latest techniques and theories while recognising there may sometimes be a need for invasive procedures. Where deemed appropriate Larry will then refer to a specialist. To further his holistic understanding and approach, Larry is currently undertaking a Ph.D. in Spinal Deformity and regularly attends and speaks at international conferences and courses and clinics.

Fun fact: Larry is learning how to surf - so be careful next time you go to the beach! Qualifications: B.Sc (Physiotherapy); M.Sc. (Exercise Physiology); Advanced Certificates in Schroth (BSPTS) and Egoscue (PAS) and SEAS Larry is Level II certified (advanced) in the conservative treatment of Scoliosis based on the Schroth method. The training was conducted by Dr Manuel Rigo of the Barcelona School at Scoliosis Rehab Inc in Wisconsin. He has completed his SEAS scoliosis treatment training at ISICO in Milan. Larry has also spent time working with Dr Rigo in the Barcelona clinic. Larry also has advanced certificates in shoulder treatment, posture alignment therapy and acupuncture.