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Debunking the Myth: Posture and Pain – No Correlation Found

Man dealing with low back pain at work

Posture has long been associated with pain, and we often hear advice like “sit up straight” or “stand tall” to prevent or alleviate discomfort. However, recent research challenges the conventional wisdom surrounding the correlation between posture and pain. Contrary to popular belief, numerous studies suggest that posture and pain are not directly linked. In this blog post, we will explore the evidence and delve into why this common assumption may be misleading.

Before diving into the correlation between posture and pain, it is crucial to understand the complexity of pain perception. Pain is a multifaceted experience that involves sensory, emotional, and cognitive factors. It can be influenced by various factors such as genetics, psychological state, lifestyle, and overall health. Therefore, attributing pain solely to posture oversimplifies the intricate nature of pain perception.

Numerous studies have attempted to establish a definitive link between posture and pain, but the results have been inconclusive. A systematic review published in the European Journal of Pain examined the relationship between posture and musculoskeletal pain. The review concluded that the evidence did not support a consistent association between posture and pain in the neck, shoulder, or low back.

Human bodies are incredibly adaptable, and our postures naturally vary from person to person. What may be considered “good” posture for one individual may not be the same for another. Each person’s body has unique anatomical structure, joint flexibility, and muscle strength. Consequently, what may appear as poor posture in one person might not necessarily result in pain or discomfort. Furthermore, our bodies are designed to make continuous micro-adjustments to maintain balance and adapt to different positions. This adaptability allows us to engage in various activities without experiencing immediate pain or discomfort.

Pain is influenced by a complex interplay of psychosocial factors, including stress, anxiety, and mood. Research has shown that emotional states can significantly impact pain perception. In some cases, individuals may experience pain due to stress or emotional distress, irrespective of their posture. Therefore, addressing psychosocial factors and overall well-being is essential when considering pain management, rather than solely focusing on posture.

Regular movement and exercise are crucial for maintaining overall health and reducing the risk of pain and discomfort. Engaging in physical activities helps strengthen muscles, improves flexibility, and enhances joint mobility. It is more important to focus on regular movement and incorporating exercises that promote strength, flexibility, and proper body mechanics rather than obsessing over maintaining a specific posture.

While it is commonly believed that poor posture leads to pain, the evidence suggests that the correlation between posture and pain is not as straightforward as it seems. Pain perception is a multifaceted experience influenced by numerous factors, including genetics, lifestyle, psychosocial factors, and overall health. Recognizing the complexity of pain can help us adopt a more holistic approach to managing discomfort. Instead of fixating on achieving a specific posture, it is more beneficial to prioritize regular movement, exercise, and overall well-being for a healthy and pain-free lifestyle.

Dr. Daniel Komforti, Physical Therapist, at New Horizons Physical Therapy
AUTHOR
Dr. Daniel Komforti
PT, DPT, CIDN, SFMA-C
On a mission to help active adults change their narrative and stay active for a lifetime with more confidence.
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