Gaming with long-term lower back pain and building movement into your sessions
Dr Nicola Tik

If your lower back has been sore for a while, long gaming sessions might be one of the times you notice it most. You do not need to give up gaming to look after your back. Building movement into your sessions, and a few simple habits around them, can make a real difference over time.

Why long sessions can keep a sore back going

Long-term lower back pain does not usually mean damage is getting worse. Often the back has become more sensitive, and long spells in one position can make it feel stiffer and louder. A few hours of gaming without moving can leave it grumbling for the rest of the evening.

Research on long-term back pain has found that exercise tends to help, and that no single type of exercise is clearly better than others. That means the best movement is often the one you will keep doing, including the small bits you fit around your gaming.

Session length

Some ideas for shaping your sessions:

VIDA’s Pomodoro stretches, in the top right corner, can remind you to pause during focused sessions.

Changing position

Your back usually likes variety more than any one perfect position. Some ideas:

Your set-up

A set-up that supports you makes it easier to stay comfortable between breaks. A chair that supports your lower back, your screen directly in front of you at a comfortable distance and your feet resting on the floor or a footrest all help. On the sofa, cushions behind your back and under your arms stop you slumping or leaning forward.

Standing options

Some games suit playing standing up:

Movement between matches

These take a minute or two:

Building strength and movement habits

Strength helps your back cope with long sessions. Something to try two or three times a week:

If you would like to follow along, VIDA has short videos of bridges, back lifts and sit to stands you can use at your own pace.

A daily walk, even a short one, is one of the simplest habits for a sore back. Some people pair it with gaming, like walking before a session or between games.

Sleep and late nights

Late-night sessions can eat into sleep, and poor sleep can make pain feel louder. Setting a finish time, or keeping longer sessions for days when you can sleep in, can help.

Tracking progress

Long-term pain often improves in small steps over months, with some ups and downs. Your VIDA pain check-in is a good way to notice how your back is changing over time.

What to take away

‍