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Desk workers, beware: The sitting habit that could be causing back pain

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The Indian Express

July 13, 2026
Desk workers, beware: The sitting habit that could be causing back pain

Orthopaedic surgeon Dr Kiran Shete recently warned against a common sitting habit: tucking one ankle under the opposite thigh. In an Instagram video, he explained that while the position may feel comf...

The Hidden Hazards of Modern Desk Ergonomics

In an era where a significant portion of the global workforce spends upwards of eight to ten hours a day seated, the subtle nuances of posture have become a critical focal point for preventative healthcare. Recently, orthopaedic surgeon Dr. Kiran Shete highlighted a specific, often unconscious habit that many desk workers adopt: tucking one ankle under the opposite thigh. While this position may initially feel comfortable or provide a sense of stability, Dr. Shete warns that it can be a primary catalyst for chronic back pain and long-term musculoskeletal issues.

The Biomechanics of Asymmetric Sitting

The core issue with tucking an ankle under the thigh is the creation of pelvic asymmetry. When a person sits in this position, they are not distributing their weight evenly across the ischial tuberosities (the sit bones). Instead, the pelvis tilts to one side to accommodate the folded leg. This pelvic tilt forces the lumbar spine to curve unnaturally to maintain an upright gaze and balance, leading to a state of asymmetric loading on the intervertebral discs. Over time, this repetitive misalignment can lead to muscle imbalances, where one side of the lower back becomes overstretched while the other becomes chronically tight.

Long-Term Implications for Spinal Health

Beyond immediate discomfort, the habit of asymmetric sitting can lead to more severe clinical conditions. Persistent pelvic tilting and spinal curvature can exacerbate conditions such as sciatica or contribute to the development of degenerative disc disease. When the spine is not neutrally aligned, the pressure on the nerves exiting the spinal column increases. For desk workers, who already face the challenge of compressed discs due to prolonged sitting, adding a rotational or lateral tilt via an improper leg position significantly increases the risk of nerve impingement and chronic inflammation in the lower back region.

The Psychological and Physiological Loop of 'Comfort'

One of the most dangerous aspects of this habit is that it often feels comfortable in the short term. This is known as a 'comfort trap,' where the body seeks a position that temporarily relieves tension in one area while inadvertently creating strain in another. By tucking the leg, the individual may feel a momentary stretch in the hip or a sense of coziness, but this masks the underlying strain on the lumbar vertebrae. This psychological reinforcement makes the habit difficult to break, as the pain usually manifests only after the damage—such as ligamentous laxity or muscle fatigue—has already occurred.

Strategies for Ergonomic Recovery and Prevention

To counteract these risks, experts suggest a transition toward 'active sitting' and strict adherence to ergonomic principles. This includes keeping both feet flat on the floor, ensuring the knees are at a 90-degree angle, and utilizing lumbar support to maintain the natural curve of the lower back. Furthermore, incorporating 'movement snacks'—short, frequent breaks to stretch the hip flexors and mobilize the spine—can reverse the effects of static loading. Dr. Shete's warning serves as a reminder that ergonomics is not just about the chair one uses, but the conscious habits one maintains while using it.

Conclusion

Dr. Kiran Shete's insight into the dangers of tucking an ankle under the thigh underscores a broader truth about modern health: the smallest daily habits often have the most profound long-term impacts. By recognizing the biomechanical strain caused by asymmetric sitting, desk workers can take proactive steps to protect their spinal integrity. Prioritizing neutral alignment and mindful movement is essential to avoiding the cycle of chronic back pain in an increasingly sedentary professional world.

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