A Day in the Life of a Physiotherapist: Simple Hacks for Back Health, Pain Prevention & Better Posture
Hi, I'm Grant Frost, a Physiotherapist. Patients often ask, "What do you do to keep your back healthy?" Instead of just listing exercises, I wanted to invite you into a typical day with my family and me in Port Macquarie. This isn't about having a perfect routine; it's about weaving smart, sustainable back care into the fabric of daily life, from school drop-offs and clinic work to sports training and winding down. Let's walk through the day together and uncover any small changes you could consider implementing that make a big difference.
The Core Philosophy: Back health isn't about doing one "perfect" hour of exercise. It's about the thousands of small postural and movement choices you make all day. Pain is often the "last straw," not the first problem. By optimising how you sit, stand, and move daily, you can prevent that straw from ever piling up.
Morning: Movement & Setting Intentions
The day starts with a walk for our dog, Sunny. This isn't just for him; it's a non-negotiable for me. Consistent, gentle movement is medicine for a stiff back. If you're in pain, finding a movement that feels comfortable and successful (even a short walk) is a crucial step over the "painful hump." My son Maverick nailed the diagnosis on the drive to school: one of the main hidden, contributing factors that cause back pain? "Slouching." He's not wrong! It’s the sustained, poor positions that load our spines unevenly and may set us up to fail over time.
Hack #1: Optimising Your Car for Your Spine
The drive to work is a major opportunity for hidden strain. Here’s how to set up your car like a physio:
Find Your "Ideal Shape" First
Stand tall, squeeze your glutes to neutralise your pelvis. This tall, supported spine is the shape you want to maintain when sitting. Nothing should change when you sit down.
Use a Lumbar Roll
A rolled towel or small cushion in the curve of your lower back helps maintain its natural lordosis and prevents slouching. This is a game-changer for long drives.
Adjust Your Seat & Mirrors
Sit close enough that you don't have to reach for the wheel. Set your side mirrors in your ideal tall posture. If you slouch and lose vision, it's an instant cue to sit up again.
Workday: Conquering the Desk & Treating Patients
At the clinic, the principle remains the same whether sitting or (preferably) using a standing desk: your ideal spinal shape is king. Clearly, it's best to avoid sitting if you can, but as that's not always a possibility, optimising your sitting is the next best option. Arrange your mouse, keyboard, and screen to support this tall, stacked posture. The reality is, we can easily get distracted and slump. The key is recognising this and resetting where possible.
Pro Tip from the Clinic: A patient's decade-long hip pain didn't resolve until we looked at his mid-low back. Releasing stiffness there with a simple ball exercise changed his hip symptoms immediately. If you have persistent knee, ankle, or hip issues, the root cause might be a hidden spinal restriction.
Hack #2: The "Exercise Snacks" & Evening Wind-Down
Optimising your sitting experience is one thing, but we still need to make sure our hips and back are both strong and flexible. Before picking up Maverick, I take the time to go through a series of simple hip stretches and core work. You don't need a full hour; short, consistent movement breaks are incredibly effective. Later, watching my son's footy training, I felt looser from that morning mobility work - proof it pays off.
The evening is for recovery. I prefer lying on the floor to sitting on the couch. This is prime time for two powerful tools:
1. The Trusty Lacrosse Ball
Lie on it and hunt for stiff, tight, "thick" spots in your lower back and glutes—not just painful ones. Hold on a restricted area for 30-60 seconds while watching TV. This is preventive maintenance, finding dysfunctions before they become pain.
2. The "Gut Smash" for Stress & Sleep
Gently press a ball into your abdominal wall. This does two things: frees up tight connective tissue linked to the back, and stimulates the vagus nerve to help downregulate stress and prepare your nervous system for deeper, more restorative sleep.
The Biggest Takeaway
How you use your back today generally determines how it feels tomorrow. Back health is the sum of your daily habits - how you drive, how you sit at your desk, whether you take movement breaks, and how you wind down. You don't need a perfect routine; it's more important to foster awareness and small, consistent actions woven into the life you already live.
Your Action Plan: Start Small, Start Today
- Audit One Habit: Pick one area from your day (e.g., your car seat or desk chair) and optimise it using the tips above.
- Schedule a 5-Minute "Snack": Set a reminder for one 5-minute mobility break -some hip stretches or using a ball on your back.
- Wind Down on the Floor: Spend 10 minutes before bed lying on the floor with a lacrosse ball, doing the "gut smash" to decompress your spine and nervous system.
- Think Systemically: If you have a niggle in your knee, hip, or foot, ask yourself: "Could this be linked to how my back is moving?"
I hope this glimpse into my day shows that caring for your back isn't a chore - it's a series of small, empowering choices. By making these tips part of your routine, you’re not just preventing pain; you’re building a more resilient, capable body for everything life throws your way.
Need Personalised Guidance?
If you'd like help trying to uncover the underlying cause of your pain or dysfunction, consider booking an online Telehealth consultation with Grant here!
