Aug 9, 2026

5 min read

Your Back Wasn't Designed for Dallas Traffic

Your Back Wasn't Designed for Dallas Traffic

If you live in Dallas–Fort Worth, there's a decent chance part of your day looks something like this:

Your Back Wasn't Designed for Dallas Traffic

If you live in Dallas–Fort Worth, there's a decent chance part of your day looks something like this:

Sit in traffic.

Get to work.

Sit at a desk.

Get back in the car.

Sit in traffic again.

Then wonder why your back feels stiff when you finally get home.

With North Texas schools starting back up, DFW traffic patterns are shifting again. Morning congestion picks up around school and work commutes, and the afternoon rush starts building all over again later in the day.

You probably think of that drive as dead time.

Your body doesn't.

Sitting isn't necessarily the problem

I want to clear this up first.

Sitting isn't bad for you.

Your body is completely capable of sitting.

The problem is spending a long time in one position, getting out of the car, sitting somewhere else for another eight hours, then repeating the process five days a week.

When you're driving, you also don't have the same freedom to move around that you have sitting at home.

Your feet have jobs.

Your hands have jobs.

You're looking forward.

Your hips stay in roughly the same position.

And if traffic is crawling down 35, 635, 75, or the Tollway, you're probably staying there for a while.

So when someone comes into my office saying:

“My back really doesn't hurt until I drive to work.”

That tells me something.

Your body likes changing positions

A 2026 randomized trial looked at people with chronic low back pain who spent a significant amount of their day sedentary.

One group received wearable activity trackers, inactivity reminders, and coaching designed to reduce prolonged sedentary time.

After eight weeks, they had reduced their prolonged sedentary time by about 53 minutes per day compared with almost no change in the control group.

The researchers did not find a significant difference in pain between the groups, which is important.

But the intervention group did report improvements in areas including physical quality of life and their overall perception of improvement.

That's a much more useful message than:

Never sit.

You have a job.

You have meetings.

You have a commute.

I'm probably not going to convince Dallas to remove traffic for you.

What we can change is how much of your day is spent completely stationary.

Read the 2026 randomized trial on sedentary time and low back pain

Stop trying to find the perfect driving posture

This is another thing people get overly worried about.

They start adjusting their seat by half an inch, buying lumbar pillows, sitting completely upright, and trying to maintain the world's most perfect posture for 45 minutes.

Then they're exhausted from trying to sit correctly.

I care about how your seat is set up.

But I'm usually more interested in whether your body can comfortably tolerate different positions than whether you can hold one theoretically perfect position indefinitely.

Your body is designed to move.

So rather than obsessing over one position, make the environment work for you.

Your back should be supported.

You shouldn't have to reach excessively for the steering wheel.

You shouldn't feel like you're stretching your leg to reach the pedals.

And when you're safely out of the car, move.

That's the part people skip.

Your commute shouldn't flow straight into another chair

If you drive 40 minutes to work and immediately sit down for three hours, your body never really got a change of environment.

Try something almost embarrassingly simple instead.

When you arrive:

Walk for a few minutes.

Move your hips.

Move your back.

Roll your shoulders.

Take the stairs.

Go refill your water before opening your laptop.

It doesn't have to be a 20-minute mobility routine in the parking garage.

You're simply giving your body a different input.

That idea lines up with where modern low-back-pain care is heading.

A major review published in JAMA in June 2026 emphasized staying physically active and using exercise and self-management strategies as important parts of managing nonspecific low back pain. A follow-up JAMA patient guide published in July similarly advises gradually maintaining or increasing usual activity rather than relying on prolonged rest.

Read JAMA's July 2026 guide to low back pain

And no, stretching your hip flexors once won't fix everything

This is probably the most common internet answer to sitting:

Your hip flexors are tight.

Maybe.

But your body is more complicated than one muscle.

If your back consistently bothers you after driving, I want to know:

How does your lower back move?

How do your hips move?

Is one side different from the other?

Does getting out of the car bother you?

Does walking make it better?

Does sitting at your desk make it worse?

Does it happen after 10 minutes of driving or 60?

Are you exercising regularly?

Have you started avoiding movement because you're worried about aggravating it?

Those answers give me considerably more information than simply knowing you spend a lot of time sitting.

This is where chiropractic care can fit

If someone's back hurts every time they commute, I don't want the entire treatment plan to be:

Adjust. Feel better. Come back. Repeat.

Hands-on care can absolutely be useful.

But it should be part of a bigger strategy.

One of the largest recent trials on this subject was published in JAMA Internal Medicine in June 2026 and included 1,000 adults with acute or subacute low back pain who were considered at higher risk of developing chronic problems.

Researchers compared spinal manipulation, clinician-supported self-management, a combination of the two, and guideline-based medical care.

Spinal manipulation alone wasn't superior to medical care in that trial.

The stronger results came from supported self-management — helping patients understand their back pain, remain active, address barriers to recovery, and become better equipped to manage it themselves.

I actually like that finding.

Because my goal shouldn't be to make you dependent on my office.

The goal should be figuring out what's bothering you, helping restore comfortable movement when appropriate, and giving you a strategy that works when you're not here.

Read the June 2026 JAMA Internal Medicine trial

The best posture might be your next posture

If your commute is unavoidable, don't panic.

You don't need a standing car.

You don't need to brace your core from Denton to Dallas.

And you probably don't need to spend the entire drive worrying about whether you're damaging your spine.

Set your seat up comfortably.

Change position when you can.

Break up long periods of sitting throughout the rest of your day.

Exercise.

Get stronger.

And if something consistently hurts, feels restricted, or is changing the way you move, get it evaluated rather than working around it for the next six months.

Dallas traffic may not be changing anytime soon.

That doesn't mean your back has to feel like part of the commute.

This article is for general educational purposes and isn't a substitute for individualized medical advice. Severe or worsening pain, progressive weakness or numbness, bowel or bladder changes, fever, significant trauma, or other concerning symptoms should be evaluated by an appropriate healthcare professional.

Written by KJ

Dr. KJ Leu, DC — Founder & Chiropractor

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