Tag Archives: Ergonomics

Sitting On One Leg Causes Low Back Pain

Sitting on One Leg: The Hidden Habit Destroying Your Pelvic Alignment

Sitting on one leg is another very common cause of low back pain. Especially in women. Folding a leg between your thigh and the chair seat also causes the same pelvic deviation as mentioned above. At first you may think sitting this way is more comfortable for you. However with the increased number of hours people are sitting at the computer the deviation created is very dangerous. Even if you switch between the left and the right leg.
The compression you are putting on your discs is multiplied far beyond normal. Then you “Switch” and amplify the compression to the opposite side. When you sit at the computer be sure to keep your feet flat on the floor. Better yet take a look at a footrest. There are multiple designs to choose from. I would recommend one that moves easily so you will be inclined to move your legs throughout your workday.


In my time of clinical practice, I’ve noticed a specific pattern of hip tension that almost exclusively affects people who ‘tuck a leg’ while working. I call it the Tucked-Leg Trap.

When you fold one leg under your thigh you are forcing your pelvis into a sustained, aggressive rotation. This creates a massive imbalance in the Psoas and Piriformis muscles. At first, it feels comfortable because you are ‘locking’ your joints, but over time, this habit creates a Pelvic Deviation that forces your lumbar discs to compress unevenly.

The Switching Myth: Many patients tell me, ‘I switch legs every 20 minutes to balance it out.’ Clinically speaking, this is actually worse. Instead of one side being tight, you are now creating a ‘shearing force’ on the sacroiliac (SI) joint, irritating the nerves on both sides.

The only clinical solution is to keep your feet flat, or better yet, use an Active Footrest that encourages movement while keeping your hips level.

Adjustable Under Desk Footrests

The “QL Crunch”: Why One Side Always Aches

When you tuck a leg, you are performing what therapists call a “hip hike.” This puts the Quadratus Lumborum (QL)—a powerful muscle that connects your lower ribs to your pelvis—into a constant state of contraction. This habit creates a Pelvic Deviation similar to what happens when you sit on a thick wallet, but with the added complication of muscular shortening.

On the tucked side, the QL becomes short, tight, and “angry.” On the opposite side, the muscles are overstretched and weak. This muscular tug-of-war is why you feel that deep, dull ache right at the top of your waistline after a few hours at the computer. You aren’t just sitting; you are “training” your muscles to hold your spine in a curve.

The Comfort Trap: Why Your Brain “Likes” This Position

If sitting on one leg is so bad, why does it feel so good? It’s because of Joint Locking. When you tuck a leg, you “lock” your SI joint and your hip into a stable, bone-on-bone position. This allows your core muscles to completely relax.

Essentially, you are using your skeleton to hold yourself up because your postural muscles are tired. While it feels like “rest,” you are actually placing the entire weight of your torso directly onto your spinal discs and ligaments instead of letting your muscles support you.

Clinical Self-Check: The “Level Pelvis” Test

If you’ve been a “leg-tucker” for years, your pelvis might feel “level” to you even when it’s tilted. To reset your body awareness:

Sit in your chair with both feet flat on the floor.

Place your hands on the bony points of your hips.

If one hand feels significantly higher or more “forward” than the other, your muscles have already begun to shorten.

The Fix: Beyond using a footrest, you must “re-train” your nervous system to accept a level pelvis. Every time you feel the urge to tuck your leg, it is a signal that your core is tired. Instead of tucking, stand up, take a 30-second walk, and reset.


Sitting On A Wallet Causes Back Pain

Sitting On A Wallet Causes Back Pain

Sitting on a wallet is a sure fire way to exacerbate low back pain. Moreover is the wallet is jam packed with 3 inches of useless paper. There is absolutely no good reason to have a wallet that is inches thick. With mobile devices being what they are today anything you have stored in your wallet can be entered into your mobile device.
A thick wallet causes low back pain because the wallet pushes up on your hips unevenly. An uneven pelvis is called a Pelvic Deviation. Pelvic Deviation causes the lower lumbar vertebrae to be off center either left or right. The deviation causes low back pain because it will cause the soft fluid discs to become impinged. The impingement is what causes the pain because the nerves from your spinal cord exit between the vertebrae and the disc. Nerve impingement = pain. It’s just that simple.

In my years as a clinical therapist, I’ve seen hundreds of patients walk into my office with a slight ‘hitch’ in their gait (walk) and a tilted pelvis (usually forward and/or twisted). Sitting on a wallet is a sure-fire way to exacerbate low back pain, especially if that wallet is jam-packed with 3 inches of useless paper. There is absolutely no clinical reason to carry a wallet that thick anymore.

If for any reason you need a higher level of medical education to confirm; here is a video from Dr. Nabil Ebraheim confirming that you should pick up some RFID Sleeves, ditch your wallet and your back pain.

Front Pocket Wallets With RFID Technology

The Expert Edit: “The 3-Inch Obstacle to a Pain-Free Spine”
Headline: Fat Wallet Syndrome: Why Your Back Pocket is Killing Your Spine (and How to Fix It)

The Body:
“In my two decades as a clinical therapist, I’ve seen thousands of patients walk into my office with a slight ‘hitch’ in their gait and a ’tilt’ in their pelvis. Often, before I even touch their back, I look at their pants.

If you are sitting on a 3-inch stack of leather, receipts, and old business cards, you are carrying a spinal disaster.

The Clinical Reality of ‘Pelvic Deviation’
When you sit on a wallet, you are essentially forcing one hip to sit higher than the other. In clinical terms, we call this Pelvic Deviation. This uneven foundation forces your lower lumbar vertebrae to shift off-center to compensate.

Think of it like the foundation of a house. If one side of the foundation is three inches higher, the rest of the house has to bend to stay upright. In your body, that ‘bend’ happens at the soft, fluid-filled discs between your vertebrae.

This nerve impingement is what causes that familiar shooting pain, numbness, or ‘electric’ feeling down your leg. It’s not just a backache; it’s a structural crisis.

The 2026 Solution: Digital & Minimalist
There is absolutely no reason to carry ‘inches’ of paper anymore. Between mobile payments like Apple Pay and digital insurance cards (should be in your glovebox anyway), your wallet should be as thin as your smartphone. Thinner.

My clinical advice: Switch to a Front Pocket Wallet if you’re fancy or just the RFID sleeves. Moving your essentials to your front pocket keeps your ‘sit bones’ level and removes the pressure from your sciatic nerve immediately.

Below are the three styles I recommend to those who are serious about ending back-pocket sciatica.”


More Clinical Insights on Posture & Pain from StopLowBackPain.com