Back & Neck Pain Prevention 10 Tips for Preventing Pain From Wearing Your Backpack By Anne Asher, CPT Anne Asher, CPT Facebook LinkedIn Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert. Learn about our editorial process Updated on May 23, 2022 Medically reviewed by Stuart Hershman, MD Medically reviewed by Stuart Hershman, MD LinkedIn Stuart Hershman, MD, is a board-certified spine surgeon. He specializes in spinal deformity and complex spinal reconstruction. Learn about our Medical Expert Board Print Backpacks are supposed to prevent back pain, not create it. But when worn incorrectly, they can cause you or your child to develop spine problems. Here are 10 tips on how to reduce or avoid back pain and other complications for kids (and adults) who wear backpacks. 7 Causes of Back Pain in Teens and Kids 1 Pay Attention to Your Child's Spine Health JackF / Getty Images Heavy packs may cause kids to change their spinal position to accommodate the load. This can result in back pain and posture problems. Keep an eye on your child's posture, and make sure they are getting regular check-ups, which screen for problems like scoliosis. If your child is small for their age or has experienced back pain in the past, talk to your healthcare provider about exercises that may strengthen the upper back. School Scoliosis Screening Programs 2 Lessen the Load in the Backpack Betsie Van Der Meer / Getty Images Backpacks can be convenient, but it's important not to pack them too heavy. Most kids carry between 10 percent and 22 percent of their body weight in their backpacks. And that's too much. A 2017 study published in the journal Applied Ergonomics confirmed that a child should carry no more than 10 to 15 percent of their body weight in their backpack. For a larger child, the percentage amount is even smaller. The authors of the same study recommend carrying 1/3 less weight in their packs than children of healthy weight. Help your child manage the number of heavy items they carry in their backpack. Some tips: Encourage them to stop at their locker to switch out books frequently. Ask their teacher if they need to bring their books to school or if they can have online access to their textbooks at home or at school.Buy lightweight folders, and be prepared to replace them when they start to rip since they aren't as durable as heavier folders. 3 Use the Backpack Correctly KidStock / Getty Images By having the right backpack and using it correctly, your child may be able to reduce current pain and avoid it in the future. Make sure it is the right size for your child and that it is zipped up when they are using it. Some backpacks come with features to make it easier to carry heavy loads. For example, a rolling backpack can make transporting heavy items easier—just make sure the school allows them. 4 Organize the Backpack Properly Catherine Delahaye / Getty Images Make sure that small or sharp items aren't pressing into your child's back. And when you carry weight out away from your body, it takes more effort, and places stress on your joints and muscles. A good strategy is to put the heaviest items on the inside of the pack, close to your back. Carry the little things, like calculators, pens, and loose paper toward the outside. 5 Get a Backpack With Padded Shoulder Straps mother image / Getty Images Many people complain about neck and shoulder pain when they wear a heavy backpack. Padded shoulder straps can help. Padded shoulder straps are generally wider than the more basic type and may help even out the distribution of the pack's weight. This, along with the cushioning provided by the padding, may help to avoid pinching of the trapezius muscle, which is common with the basic type of strap. 6 Use Both Straps When You Wear a Backpack shironosov / Getty Images Whether it’s fashion or convenience that propels your child to sling their pack over one shoulder, know that such a practice can contribute to the development of poor posture habits. It can also cause one-sided pain. 7 Center the Backpack Load Seamind Panadda / EyeEm / Getty Images Studies show that loads of 18 pounds or more may create a temporary side-to-side curve in the spine. You can help your child by placing items so there is equal weight on either side of the pack. 8 Tighten the Straps of the Backpack Branislav Novak / EyeEm / Getty Images One thing that can make backpacks seem heavy and cumbersome is keeping the shoulder straps loose. Loose straps may lead to a shifting of the pack's contents when you move. And this may cause muscles to work harder than necessary. But by cinching the straps to fit your frame, you can secure the pack and its contents. Balancing the load should be easier this way. 9 Wear a Waist Belt George Coppock / Getty Images Some packs come with waist belts. Waist belts take a portion of the load off the shoulders. By supporting some of the weight lower down, where the mechanical advantage is better, you may decrease neck pain and back pain above the waist. 10 Ask Your Child if They Have Back Pain Tara Moore / Getty Images Ask your child whether they have aches and pains. Most of the time, children won't mention it unless you ask. But there is the chance that the back pain is a symptom of an underlying condition or disease. Back pain during childhood may be associated with a greater risk for back pain during adulthood. If adjusting the weight (and its distribution) of the pack and counseling your child on managing the load during the day doesn’t alleviate their back pain, see a healthcare provider. Also, explain to your child that ignoring the pain in their back or shoulders could lead to injury. Tell them to let you know right away if they experience any discomfort. 4 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. TeensHealth. Backpack Basics. Adeyemi AJ, Rohani JM, Abdul rani MR. Backpack-back pain complexity and the need for multifactorial safe weight recommendation. Appl Ergon. 2017;58:573-582. doi:10.1016/j.apergo.2016.04.009 Neuschwander TB, Cutrone J, Macias BR, et al. The effect of backpacks on the lumbar spine in children: a standing magnetic resonance imaging study. Spine. 2010;35(1):83-8. doi:10.1097/BRS.0b013e3181b21a5d Kjaer P, Wedderkopp N, Korsholm L, Leboeuf-Yde C. Prevalence and tracking of back pain from childhood to adolescence. BMC Musculoskelet Disord. 2011 May 16;12:98. doi:10.1186/1471-2474-12-98 By Anne Asher, CPT Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit