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Top 10 Self-Help Tips for Back Pain and Fibromyalgia Sufferers | Nichola Adams, Health Ergonomist

To mark national Back Care Awareness Week (October 5-9), Nichola, a Technical Member of The Chartered Institute of Ergonomics and Human Factors, has compiled her ‘Top 10 Self-Help Tips for Back Pain and Fibromyalgia Sufferers’.


(OCT 5-9)

To mark Back Care Awareness Week, leading UK back-pain-prevention expert and Health Ergonomist Nichola Adams offers practical advice on coping with the growing challenges of working from home for a further six months 

Advice on slouching: a Work Station Assessment by Nichola Adams

Leading UK back-pain-prevention expert and health ergonomist Nichola Adams’s workload has risen sharply during Covid lockdown.
And statistics show the numbers of us suffering from back pain are also growing, especially now that lockdown is extending for another six months.

To mark National Back Care Awareness Week (October 5-9), Nichola, a Technical Member of The Chartered Institute of Ergonomics and Human Factors, has compiled her ‘Top 10 Self-Help Tips for Back Pain and Fibromyalgia Sufferers’.

Combining the Greek words ‘ergon’ (meaning ‘work’) and ‘nomoi’ (meaning ‘natural laws’), Ergonomics is the science of making products and tasks comfortable and efficient for human use.
“Health Ergonomics is a multidisciplinary science. It combines biomechanics (how our bodies move), anthropometrics (our measurements) and psychology to enable us to design products and services that best match people’s physical, as well as mental, capabilities,” explains Nichola.
“Ergonomics recognises that we are all individuals and that there will be many external influences that affect our recovery. This includes the environment as well as social factors that affect, for instance, our attitudes towards our back pain, our stress levels and other influencing factors that can influence our levels of back pain.” 

TIP 1 – Keep moving:

When you do, blood flows more easily and brings nutrients and oxygen to your tissues and muscles. When sitting at your computer, standing breaks are vital. Take one every 30-60 minutes. Just standing up and siting back down will provide a beneficial boost. Take your laptop to a higher surface like a kitchen work-top or chest of drawers, then stand a while. Own a patio or garden? Work outside. Fresh air blows away brain cobwebs.

TIP 2Eat well, stay hydrated:

Keeping the body stocked with immune-boosting, antioxidant-rich foods is key. Antioxidant foods are also anti-inflammatory. Enjoy dark fruit and leafy vegetables. Magnesium-rich foods are also good for reducing mental and physical stress. Check your vitamin D levels with a home testing kit. Keep hydrated, aiming for 7-8 glasses a day. It’s all too easy, when we’re working hard, to forget to drink enough water. 

TIP 3 – Sit up straight:

While moving regularly is key, sitting upright will also help reduce the load on your spine. Don’t sofa-slouch! If you only have your sofa to work from, mimic a good set-up. Build a supportive back using cushions (deep sofas cause slouching). Pop a cushion under your laptop to protect yourself against its heat and raise it up. Try an adjustable laptop holder that’s made for sofa or bed use. 

TIP 4 – Care about your chair:

Sit on a chair whenever possible. If it’s a dining chair, not an office one, always try to ensure your lower-back curve is supported as this is particularly good for easing tension build-up on sensitive backs. You can use a cushion or rolled-up towel for extra support. Better still, buy an inflatable lumbar support cushion for your lower-back curve. Ask your employer if they’ll offer you budget for a chair with a lumbar support and adjustable seat height and armrests. Always sit with your arms level with the top of the desk as this will help you avoid flicking up your wrists or hunching your shoulders to type.

TIP 5 – Get your screen height right:

If you’re using a laptop, make sure you can either dock it onto a larger screen that’s at eye height, or raise the laptop onto some books. Alternatively, try using a laptop holder so that you aren’t slouching or looking down to read the screen as this will load unwelcome pressure onto your neck, shoulders and back. Then use a separate keyboard and mouse.

Nichola Adams Founder of Inspired Ergonomics

TIP 6 – Mind the gap:

When using a keyboard and mouse, keep these close to the front of your desk so that you don’t find yourself in a position where there’s a gap and you’re needing to extend your arms forward when typing. Failure to do this can quickly bring on shoulder and neck tensions as our arms are surprisingly heavy when extended forward. Keep your wrists relaxed and straight in order to reduce pressure building up.

TIP 7 – Stay positive:

Maintaining a positive frame of mind is more important than many people realise. And your brain has a far bigger say in your body’s ability to feel pain than you might imagine. If we’re stressed and worried, our body naturally tenses up. The brain then goes on alert for pain. Despite the distractions of the pandemic, try to take time out for yourself and just relax. (Bonus mini-tip: A magnesium hot bath can also work wonders for the brain and body.)

TIP 8 – And …… breathe:

Slowing down your breathing can impact your cortisol levels. This brings down your stress levels and keep the oxygen flowing through the body. Try this exercise I can recommend: Step 1: Breathe in for a count of five. Step 2: Pause for a count of four. Step 3: Breathe out for eight beats. Step 4: Then pause for four. Step 5: Repeat. Get used to the maths and you’ll notice the difference straightaway.

TIP 9 – Exercise gently:

With no office commute, exercising daily becomes essential. Try a morning stroll, jog or cycle as morning light helps with your circadian rhythm (helping our sleep/wake cycles) and vitamin D levels. Maybe treat yourself to a visit to your local park or a coffee, to encourage yourself to get out. By venturing out in the mornings, before work gets busy, we’re more likely to stick to the routine. Try stretching exercises, too, like yoga or Pilates.

TIP 10 – Remember, you’re worth it!:

Focus on yourself and ring-fence extra time to keep in tune with what gives your life meaning and purpose. Remembering to take regular breaks at home isn’t easy, so use technology to set yourself automatic reminders on your mobile. When working from home, find ways to support your body so your muscles relax. Everyone’s an individual and ergonomists like me can conduct assessments remotely if you need bespoke advice

PLEASE NOTE that Nichola Adams is now available for interview. For more information, to arrange an interview, for pictures or videos, please contact Alec Lom on or +44 (0)7802 401302.

Nichola Adams, MSc Health Ergonomics, Tech CIEHF (Technical Member of The Chartered Institute of Ergonomics and Human Factors), Reg Member ACPOHE (The Association of Chartered Physiotherapists in Occupational Health and Ergonomics), is one of the UK’s leading back-pain experts and the Founder of Inspired Ergonomics (

You might also like to read this previous article where I interviewed Nichola about her work as a health ergonomist:

Exclusive Interview: Health Ergonomics – Health Professional explains what it is and then talks about how #covid19 pivoted her into tele-consulting.


Thank you for reading this article that was written and produced by Nichola Adams, and provided via Alec Lom

2 replies on “Top 10 Self-Help Tips for Back Pain and Fibromyalgia Sufferers | Nichola Adams, Health Ergonomist”

Interesting and useful tips. I was tought that you have to look a bit downwards to a computer screen but I guess that this isn’t the best thing to do. I have early symptoms of fibromyalgia and staying positive is probably the best advice that everyone should take into consideration, although it can be quite difficult sometimes.

Staying positive can be difficult I use a lot of distraction therapy and meditation, but fibromyalgia is only one tiny snippet of a health problem for me. I have others that are more prominent and bothersome that need to be managed or they trigger fibromyalgia flare-ups.

Nichola is a highly trained medical professional, but is also a patient herself after sustaining a back injury so she has plenty of empathy too. It was the injury that led her to pursue this avenue of physiotherapy.

Keep safe and remember to pace yourself.


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