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I don’t get he whole standing desk thing, at least not without a treadmill. but being able to raise or lower my desk a couple centimeters every few weeks really does keep the pain away.
I jury rigged an ikea desk into a permanent standing desk and use an ikea bar stool without any cushioning and it actually fixed my back pain even though I rarely stand.
I think it’s because the chair forces me to sit more upright and not lean back into the backrest, since I can’t push myself closer to the desk when I sit since the chair has no wheels. And my legs are pointing down more than in a normal chair so it opens my hips up and thus there is less pressure on my lower spine.