How Do You Sit in a Car with a Herniated Disc?

Living with a herniated disc can make even simple daily activities challenging, and few situations are more demanding on your back than sitting in a car. Driving or sitting in a car can be uncomfortable, even painful, for those with herniated discs. Prolonged sitting can increase pressure on the spine, especially on damaged or irritated discs, often worsening symptoms. Whether you are commuting to work or planning a road trip, proper positioning and support are crucial for managing your condition and preventing further discomfort.

In this article, you will learn practical tips on how to sit in a car with a herniated disc to prevent pain and protect your spine.

Understanding Why Car Travel Can Aggravate a Herniated Disc

Car seats are not typically designed with herniated discs in mind. The curved shape and limited adjustability of most seats, along with vibrations from the road, can all contribute to intensified pressure on the spine. Additionally, remaining seated for extended periods can cause:

• Increased pressure on the spinal discs
• Muscle tension and stiffness
• Reduced blood circulation
• Inflammation around the affected area
• Nerve compression and associated symptoms

Sitting puts up to 90 percent more pressure on the lumbar spine than standing does. Knowing the proper techniques and using supportive tools can minimize stress on the spine during car rides.

Set Up Your Car Seat Correctly

Adjust seat height and angle

• Seat height – Adjust the height so your hips are level or slightly above your knees. This position decreases pressure on the lower back by aligning the spine more naturally.
• Seat angle – Tilt the seat slightly back at a 100–110-degree angle. This small recline angle prevents slumping, which can worsen a herniated disc.

Support the lower back with a cushion

A lumbar support cushion or rolled towel can relieve pressure on the lower spine. Place it in the natural curve of your lower back. The support can help you maintain a neutral spine position, minimizing discomfort and improving posture. If your car has adjustable lumbar support, position it to fill your lower back’s normal curve.

Use the Right Posture

Sitting in the car with a herniated disc requires mindful posture adjustments. Proper posture minimizes the strain on the spine and evenly distributes body weight.

• Sit back fully – Sit fully against the seat to engage the seat back’s support. Avoid slouching forward, which strains the lower back.
• Keep feet flat – Your feet should rest flat on the floor or pedals to prevent additional strain on the lower back and hips. Avoid crossing your legs, as this can twist the spine out of alignment.
• Relax your shoulders – Allow your shoulders to fall naturally. Tensing or raising the shoulders can increase upper back tension, contributing to discomfort in the lower spine.

Adjust the Headrest and Steering Wheel

Small adjustments to your headrest and steering wheel can reduce strain on the neck and lower back.

• Headrest position – Adjust the headrest so it comfortably supports the middle of the back of your head. This setup minimizes neck strain, which can affect your lower back, especially on longer drives.
• Steering wheel distance – Move the steering wheel close enough so you can reach it with slightly bent elbows. This position allows you to maintain a relaxed shoulder posture, keeping your lower back steady and reducing the risk of hunching.

Consider a Seat Cushion for Added Support

A supportive seat cushion can make a big difference for a driver or passenger with a herniated disc. Look for one that is:

• Firm but supportive – Soft cushions may not provide adequate support, potentially worsening back pain. Choose a cushion that is firm enough to support the weight of the lower spine.
• Ergonomically designed – Many cushions come with ergonomic shapes designed specifically for spinal support and can be particularly helpful for those with low back pain.

Take Frequent Breaks for Stretching and Movement

Prolonged sitting can worsen herniated disc symptoms, so frequent breaks are essential.

• Stop every 30–60 minutes – If possible, stop every half-hour to stretch and walk around. Walking briefly will reduce spine compression and encourage better circulation.
• Stretch your back and legs – Simple stretches, such as gently bending forward to touch your toes or bringing each knee to your chest, can alleviate back stiffness and reduce nerve pressure.

Practice Core Engagement

Engaging your core muscles can support your spine while sitting, taking some of the load off your lower back. Practicing this technique in the car might seem difficult, but it can provide additional stability.

Focus on lightly engaging your abdominal muscles while keeping your back against the seat. This bracing effect can support the spine and may reduce pain.

Use Heat or Cold Therapy 

Applying heat or cold to your lower back can ease pain and inflammation associated with a herniated disc. Consider these options when traveling:

• Heated seat pads – Many cars come with heated seats, which can provide gentle warmth. If your car does not have heated seats, portable seat warmers or heating pads can relax tight back muscles.
• Cold packs for flare-ups – If you are experiencing inflammation, a cold pack can be useful for short periods. Consider using one during rest breaks to soothe irritated nerves.

Consider Using a Lumbar Brace

A lumbar brace or back support belt can provide additional stability to your lower back, reducing pressure on the herniated disc. Look for a brace designed for car use, as some braces can limit mobility.

A brace can be especially helpful on long drives, providing extra support during prolonged sitting. However, it is important not to rely on a brace too frequently, as it may weaken the muscles over time.

Perform Simple Car Stretches during Stops

Certain stretches can relieve pressure on the spine after sitting for a while in the car.

• Seated knee-to-chest stretch – While parked, gently bring one knee up toward your chest and hold for 10–15 seconds. This stretch can relieve lower back tension.
• Cat-cow stretch – Sit back in your seat and alternate between arching and rounding your back, mimicking a “cat-cow” motion. This movement can relieve tension along the spine and increase blood flow.

Follow Additional Tips for Passengers

Being a passenger offers more flexibility for position changes and comfort management:

• Recline the seat slightly more than when driving
• Use the footwell to elevate your feet slightly
• Change positions more frequently
• Consider lying down in the back seat for longer trips (if appropriate)
• Use additional cushions for support

Exit the Car Carefully

Getting in and out of the car can aggravate herniated disc symptoms if done incorrectly.

• Use both legs to exit – When getting out of the car, avoid twisting your torso. Instead, swing both legs out together and use your arms to push up to stand.
• Maintain a neutral spine – Keep your back straight as you exit to avoid sudden pressure on the lower spine.

Consider Long-term Solutions and Preventive Measures

Vehicle modifications

Consider these permanent solutions for frequent car travel:

• Professional seat cushioning
• Custom lumbar support installation
• Seat replacement with ergonomic options
• Steering wheel adjustments
• Pedal extensions to reduce reaching

Strengthening exercises

Work with your healthcare provider to develop a program that includes:

• Core strengthening exercises
• Flexibility training
• Posture improvement techniques
• Specific exercises for your condition
• General conditioning to increase tolerance for sitting

Know When to Seek Additional Help

Contact your healthcare provider if you experience:

• Increased pain despite following proper positioning
• Numbness or tingling that worsens during car travel
• Loss of strength in legs or feet
• Severe pain that does not improve with rest
• Changes in bladder or bowel function

Sitting in a car with a herniated disc can be challenging, but it does not have to be painful. By optimizing your seat setup, maintaining good posture, and using supports, you can reduce the strain on your spine and make driving more comfortable. Remember to take breaks for stretching, engage your core, and move carefully to protect your back during car rides. Applying these tips can make a noticeable difference in your comfort and allow you to travel with less pain.

If conservative methods do not relieve the pain from a herniated disc, treatment recommendations may include a discectomy or a less invasive microdiscectomy. Although this is generally a very successful procedure, patients with a large hole in the outer ring of the disc have a significantly higher risk of reherniation following surgery. Often, the surgeon will not know the size of the hole until beginning surgery, and having a large hole in the outer ring of the disc more than doubles the risk of needing another operation. A new treatment, Barricaid, is a bone-anchored device that closes this hole, and 95 percent of Barricaid patients did not undergo a reoperation due to reherniation in a 2-year study timeframe. This treatment is done immediately following the discectomy—during the same operation—and does not require any additional incisions or time in the hospital. 

If you have any questions about the Barricaid treatment, ask your doctor or contact us today.

For full benefit/risk information, please visit: https://www.barricaid.com/instructions.