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Driving with Back Pain: Top Tips from a Physio to Stay Comfortable Behind the Wheel

Struggling with Back Pain When You Drive?

If every car journey leaves you stiff, sore, or aching, you’re not alone. Driving is one of the most common triggers for back pain — even among people who feel fine the rest of the time.

Why? Because it combines a perfect storm of:

  • Prolonged sitting
  • Poor spinal support
  • Repetitive motion (pedals, steering)
  • Vibration through the spine
  • Limited room to adjust or stretch

But here’s the good news: There’s a lot you can do to feel more comfortable — without buying a new car.

As a physio, I’ve helped hundreds of people reduce driving-related pain with simple, smart tweaks to how they sit and move.


🚗 10 Top Tips for Driving with Back Pain

✅ 1. Adjust Your Seat Angle

Many people drive too upright. Instead, tilt your seat back slightly — aim for about a 100–110° angle. This relieves pressure on your lower back.


✅ 2. Support Your Lower Back

If your seat lacks lumbar support, place a small cushion or rolled towel in the curve of your lower back. This helps keep your spine in a more natural position. However in my experience most car seats have adequate lumber support – but only if you ensure your bum is pushed to the back of the seat. So try this first before extra support.


✅ 3. Move Your Seat Closer

Your knees should be slightly bent, with your foot easily reaching the pedals without over-stretching. If you’re straining forward, it’s time to move the seat up.

TOP TIP – Sciatica – If you have sciatica then moving the seat even further forwards can help to off load the nerve.

✅ 4. Move Your Steering Wheel

Realising that my steering wheel moved was a game changer for my shoulder and upper back posture. Normally they move up and down as well as further and closer explore your car and what it can do.


✅ 5. Raise Your Hips (if needed)

If your hips sit lower than your knees, your lower back will round — and hurt. Try sitting on a thin cushion or wedge to level out your pelvis.


✅ 6. Keep Your Head and Shoulders Aligned

Don’t let your head jut forward or your shoulders round. Sit so that the back of your head almost touches the headrest and your shoulder blades contact the seat back.


✅ 7. Use Cruise Control Wisely

If you’re on a long, straight road and it’s safe to do so, use cruise control to give your right leg a rest and balance out the strain from one-sided movement.


✅ 8. Stretch Before and After Driving

Gently stretch your hamstrings, hips, and lower back before you get in the car — and again once you reach your destination. Mobility matters as much as posture. Even the best posture becomes problematic if held for too long.


✅ 9. Take Regular Breaks

Every hour or so, stop to get out, walk around, and reset your posture. Even a 2–3 minute walk can help your spine recover from the pressure of sitting. If stopped in traffic and safe to do so simple exercises such as shoulder rolls or thorasic rotations can break a static sitting posture and ease strain.


✅ 10. Strengthen What Supports You

Long-term, the best way to feel better in the car is to strengthen your core, hips, and spine. If you’ve had pain for a while, it’s rarely just about how you’re sitting — your body needs support to maintain a good position.

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Struggling with Back Pain? – I would LOVE to help. Join me on my FREE Masterclass or take a look at my Back Pain Program designed to strengthen your back, reduce your pain and build confidence.


What If Adjusting Your Seat Isn’t Enough?

Sometimes, your back pain persists because of:

  • Stiff joints
  • Weak muscles
  • Old injuries
  • Poor posture habits
  • Or just not knowing where to start with recovery

That’s why I created a free Back Pain Masterclass. It walks you through:

  • Why back pain often lingers
  • The 12 steps I use to help people get lasting relief
  • How to support your back beyond posture alone

👉 Click here to watch it for free

My Posture Masterclass may also be of use to you. 👉 Click here to watch it for free


Optional Tools That Might Help

If you drive a lot and your seat lacks proper support, a lumber support and wedge cushion may help.

✔ Why lumbar support matters: Good lumbar support helps maintain the spine’s natural curve, easing lower back strain and promoting better posture—especially during long hours of sitting.

✔ Why a wedge cushion helps: Wedge seat cushions tilt the pelvis slightly forward, encouraging a more upright posture, reducing back pressure, and often giving a helpful height boost for better driving visibility

Top 3 Lumbar Support Cushions for Back Relief

Whether you’re spending long hours at a desk or behind the wheel, a well-designed lumbar cushion can make all the difference. Here are three top-rated options to consider:

1. Travel Ease Ergonomic Lumbar Support Cushion

4.5 / 5 stars£34.99
A high-quality memory foam cushion with an ergonomic curve that supports your upper, mid, and lower back. Dual adjustable straps ensure it stays in place, while the wrinkle-free, skin-friendly cover keeps you cool and comfortable all day. Ideal for office chairs, recliners, and car seats.

Click to take a look.

2. Everlasting Comfort Lumbar Support Cushion

4.4 / 5 stars£27.99
Amazon’s Choice for “car lumbar support,” this cushion offers structured memory foam support with breathable mesh and dual adjustable straps. It’s a solid choice for both office and car use, providing consistent comfort during long sitting periods.

Click to take a look.

3. FOUNDCOOL Thin Style Car Lumbar Cushion

4.4 / 5 stars£22.99
Designed specifically for car seats, this low-profile cushion fills the gap between your back and the seat to reduce pressure without pushing you forward. Made with breathable mesh and soft, supportive memory foam — perfect for everyday commuting or long drives.

Click to take a look.


Wedge Cushions

QUTOOL Car Wedge Booster Seat Cushion

⭐ 4.5 / 5 stars – £25.49
Need a bit more height and comfort behind the wheel? This cleverly contoured 3-inch wedge cushion lifts you up without sacrificing support. Great for shorter drivers or anyone needing better posture on long drives, it’s made from dense memory foam with a breathable 4D mesh cover and a non-slip base. The front tapers down for comfort under the thighs, and adjustable straps keep it securely in place.

Click to take a look.

Lofty Aim Memory Foam Car Seat Cushion

⭐ 4.5 / 5 stars – £29.99
Struggle with back pain or sciatica when driving? This supportive cushion relieves pressure on your tailbone and promotes healthier posture. The 2.5″ lift is also perfect for shorter drivers wanting a better view. Made from high-density memory foam and covered in breathable 4D mesh, it’s designed to stay in place thanks to a grippy non-slip bottom. Ideal for cars, trucks, office chairs, or wheelchairs.

Click to take a look.

You Can Drive Without Pain

Back pain doesn’t have to rule your car journeys — or your life. With a few thoughtful tweaks to your car setup, the right support (like lumbar cushions or seat wedges), and a better understanding of how your body works, you can take control again.

Whether you’re dealing with stiff, achy drives or sharp pain that flares every time you get behind the wheel, the key is knowing what your body needs — and giving it a little help.

If you’re not sure where to start, my free back pain masterclass is a great first step. It’ll help you understand what’s really going on in your body and what to do about it — including simple things you can start today.

Take care, Helen

Helen Manders BSc (Hons) MCSP HCPC

Chartered Physiotherapist Since 2001

👉NEED HELP WITH BACK PAIN? I would love you to join me on my Free Back Pain Masterclass Here. I hope to see you there. Click to learn more and enrol.

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Testimonial

James Hahnal – Consultant Orthopaedic Surgeon

I have worked with Helen for many years at Leeds Nuffield hospital where I work as a specialist hip and knee surgeon. As part of my practice we have plenty of patients who have problems with their back. I occasionally struggle with my own back and know Helen is the lady to help sort it out. Not only did she give brilliant care in terms of getting it going again, but she also gave some great advice to keep it in great shape. I have been following this for the last couple of years and have been abusing my back with games of squash since with no problems. Thanks for the great care. Would definitely recommend.