Is standing better than sitting for patients with lumbar disc herniation?

In general, whether standing is better than sitting for patients with lumbar disc herniation cannot be universally determined. It depends on multiple factors such as the stage of the condition, correctness of posture, and duration control. A detailed analysis is as follows:

If the condition is in a stable phase, both standing and sitting are acceptable when proper posture is maintained. When standing, keep the back straight, pull in the abdomen, lift the buttocks, and distribute weight evenly on both feet positioned shoulder-width apart; avoid standing continuously for more than one hour without taking breaks to move around. When sitting, choose a chair with lumbar support, keep knees at the same height as hips, and avoid slouching. Alternating between standing and sitting appropriately can reduce continuous pressure on the lower back and relieve muscle tension.

During an acute flare-up, when significant lower back pain occurs, maintaining correct posture while standing may be difficult, often leading to compensatory bending. Sitting without adequate lower back support increases pressure on the intervertebral discs, potentially worsening pain and nerve compression. In such cases, both standing and sitting may cause discomfort; however, short periods of correctly maintained standing—supported by placing a hand on a stable object to reduce strain on the lower back—may be more favorable than prolonged sitting.

Avoid maintaining any single posture for extended periods. Whether standing or sitting, get up and move the lower back every 30–40 minutes. Choose a mattress of medium firmness, and avoid sleeping in a curled-up or prone position. Avoid lifting heavy objects in daily life; when picking things up, bend the knees and squat rather than bending at the waist to minimize strain on the lower back. If symptoms such as increased back pain or numbness in the lower limbs occur, seek medical attention promptly to adjust the treatment plan.