A happy family of four—mother, father, and two young children (a girl and a boy)—are seen smiling and laughing while riding together in a car. They are warmly dressed in winter coats, suggesting they are traveling for the holidays or on a winter road trip.

When it comes to sharing the holidays with friends and family, we can’t decide what’s harder on the body – the stress of hosting (all that cooking and cleaning) or the stress of being the traveler (long nights on pull out couches or squeezed into guest quarters – to say nothing of how much you miss your – chiropractor-approved pillow.)

Holiday travel can be taxing. Whether it’s waiting in airport terminals or contorted into ever-shrinking airline seats, or the holiday road trip: long hours behind the wheel as you head over the river and through the woods (and the tollbooths and the rest stops and the traffic jams.)

One thing most travelers don’t consider until it’s too late is how their spine and posture respond to all that driving time. Good driving ergonomics can make a big difference in how comfortable you feel—now and after you arrive. In this post we’ll explore posture in car driving, lumbar support for drivers, and practical habits to protect your back and neck on the road.

Why Ergonomics Matter for Long Car Rides

  • Studies show that drivers are at a significantly higher risk of low back pain (LBP) compared to non-drivers. A meta-analysis found a one-year prevalence of LBP of around 55% among professional drivers.
  • Research shows poor seat adjustment, awkward postures and whole-body vibration (from the vehicle) all contribute to musculoskeletal discomfort.
  • Driving also affects the neck: for example, a 2024 study noted that driving significantly impacted cervical posture, reducing range of motion in drivers with neck pain.

Since a holiday drive may not be as extreme as professional driving, the risk may be smaller—but poor posture + long time = fatigue, stiffness, discomfort.

Five Key Seat & Posture Adjustments

AdjustmentWhy it mattersHow to do it
Seat height / distance to pedalsPrevents leg over-extension or being too cramped, which affects lumbar postureSit so your feet reach pedals without stretching; knees ~ slightly less than 90°
Backrest angle & lumbar supportSupports the natural spine curve and reduces lower-back disc pressure SpringerOpen+1Backrest slightly reclined (~100-110°), use built-in or portable lumbar cushion
Seat cushion depth & tiltLong drives can lead to hip flexor shortening and gluteal inhibition if static sitting SpringerOpenAdjust cushion so you can sit fully back, and your thighs are supported but not pressing the dashboard
Steering wheel & arm positionElevating shoulders or reaching too far increases upper back/neck strain MacKay Spine and BrainGrip the wheel at roughly 9 and 3 positions with elbows slightly bent; shoulders relaxed
Headrest & neck alignmentPrevents forward head posture which may lead to neck pain ScienceDirectAdjust headrest so the middle of the headrest is aligned with the back of your head, head upright

On-the-road Habits for Long Car Ride Comfort

  • Take frequent breaks: Continuous sitting increases spine disc loading and muscle fatigue. You can combat this by stopping every 60-90 minutes, stop and stand, walk, or do gentle stretches (you’ll still get there – your guests would rather have you arrive feeling better than early.)
  • Stretch the hips and legs: Simple movements like hip flexor lunges, hamstring stretches and shoulder shrugs help reduce stiffness.
  • Stay hydrated: Proper hydration helps intervertebral discs maintain their fluid and cushioning capacity (you should be stopping to stretch anyway.)
  • Choose the right shoes: Flat, comfortable shoes allow better pedal control and reduce leg tension which can negatively affect posture.
  • Get support: If the car seat lacks support, use a rolled towel or portable lumbar roll to maintain your lumbar (lower back) curve.
  • Enlist a Co-Pilot: Sharing driving reduces continuous load and gives your body a break.
  • Move (when the car doesn’t): If you’re stuck in traffic, adjust your seat to help relieve pressure: try sitting a bit more upright, feet on the floor, and torso slightly leaning back.
A young woman with long dark hair, wearing a light pink sleeveless top and jeans, is driving a car. She is looking straight ahead, with both hands on the steering wheel, suggesting she is focused on her journey or on a holiday road trip. The sun is shining through the side window.

Seating Checklist Before You Start

  • Feet reach pedals without stretching or rising onto toes
  • Knees slightly bent, not locked
  • Backrest reclined between 100-110°
  • Lumbar region supported (natural curve maintained)
  • Shoulders relaxed, steering wheel at correct height
  • Headrest aligned with back of head
  • Mirrors adjusted so minimal trunk movement needed
  • Phone mount within easy reach (so you won’t twist or reach)

Think Ergonomics Don’t Matter? Here’s What Happens When You Ignore Them

Forgoing good driving ergonomics can lead to:

  • Increased lower back pain and stiffness (as one study found a very high prevalence of spinal posture deviation among drivers with long hours)
  • Neck and shoulder discomfort from forward head posture or elevated shoulders
  • Fatigue, reduced alertness and a less comfortable ride, all of which can compromise driving safety.
  • Longer recovery after the trip: you may feel sore days after arriving (or achy and stiff – and that’s no fun, either.)

Six Quick Road Trip Tips to Keep Your Spine Happy

  • Set the seat first before you start the engine or before long legs of the trip.
  • Use a lumbar roll, even a rolled jacket works in a pinch.
  • Reset your posture when you stop: stand up, stretch, breathe deeply.
  • Avoid slouching or leaning on the door/window — these shift spinal alignment.
  • Keep yourself engaged: often, when you start slumping your posture breaks down.
  • When arriving, do a few back bends or gentle yoga to “reset” your spine after sitting.

A holiday road trip should be about joy, adventure and relaxation — not about arriving sore, stiff or in pain. By being mindful of driving ergonomics, especially seat adjustment, your posture in car driving, and spinal health in vehicle, you’ll arrive ready for festivities and fun rather than a rest and a reboot.

Safe travels this season from Chiro One!

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