This article is one of a series covering back pain — causes, symptoms, and the treatments we use at Back and Body Medical in Midtown Manhattan. For the complete overview, see the full guide:
→ Back Pain Treatment in New York City — The Complete Guide
You don’t need to be working in a physically intense job to hurt your back. You don’t need to be an athlete, stunt person or rodeo clown. Nope. In fact, back pain isn’t always related to damage.
Sometimes, it’s the natural aging process. Other times, it’s lifestyle and habits.
So, let’s answer the question, “Are you hurting your back without knowing?” and see if there aren’t a few adjustments you might want to consider.
Sitting Around
Do you sit in front of a computer at work? Do you plunk down on the couch the minute you come home, rising only to answer the call of natural or snacks?
Then you’re hurting your back without even knowing it.
You risk disc compression that can mean a lot of pain. When the structures of the spine (like intervertebral discs) are compressed, it’s likely your nerves are going to complain (pain).
But there’s plenty you can do to mitigate the effects of extensive sitting. For one, get up every half hour and move around. Get off the bus a little sooner and walk a block or two before or after work. Walk a little further to grab lunch.
You can also greatly improve the chances of developing back pain by adding lumbar support to your office chair and modelling proper posture while sitting – chest up, shoulders down, head in neutral position and hindquarters against the back of your chair, with feet flat on the floor.
The Wrong Footwear
This one isn’t just about women and high heels. The type of shoe you wear should be comfortable – not just for your feet but for your back.
No two people are the same. We all have different ways of carrying ourselves and a variety of aids to carry ourselves in more proper alignment. Some people swear by a bit of a heel on their shoes, or an athletic shoe with a significant wedge. Others like a flatter shoe. If you’re struggling with back pain, you may also need orthotics (medical shoe insoles) to reform your gait and posture.
And yes, women. Wearing heels may feel powerful but wearing them all the time is going to mess with your back eventually. Try varying heel heights and again – an orthotic solution.
Letting Stress Take Over
For the longest time, no one took the physical impact of stress on the human body seriously. Nowadays, though, we know it’s real.
And stress doesn’t just interfere with your state of mind, your skin and your blood pressure (as if these consequences weren’t enough). It interferes with your neck and back.
Stress causes us to tense up and when that happens, we’re activating muscles inappropriately. This can have a disastrous effect on your spine health.
Finding ways to deal with stress is one of the most effective tools for defending your overall health. Whether that means deep breathing, meditation, Yoga, or a good, sweaty run, finding a way to effectively combat the deleterious effects of stress on your body is a priority.
Got back pain? Contact us.

Dr Shan Sivendra MD is the founder and medical director of Back and Body Medical in Midtown Manhattan. A board-certified medical doctor, certified acupuncturist, and Director of House Physicians at St. Barnabas Medical Center, Dr Sivendra has been practicing in New York since 1995.
He completed his residency in Internal Medicine at Saint Barnabas Medical Center (affiliated with Mount Sinai School of Medicine) and received the Resident Research Award for three consecutive years.
Dr Sivendra has a background spanning internal medicine, pain management, and conservative spine rehabilitation, and was licensed in both the US and the UK.
At Back and Body Medical, he leads a multidisciplinary team of chiropractors, physical therapists, and acupuncturists dedicated to helping patients recover from pain without surgery or unnecessary medication.
Further Reading: Back Pain
