3 Steps to Prevent Neck & Back Pain from Backpacks

Group of kids going to school together

Therapeutic Associates

August 15, 2025

Estimated read time:

3

minutes

As the new school year begins, kids are once again strapping on their backpacks. And it’s not just students … many adults are using backpacks in place of briefcases for carrying laptops and other professional and personal items. When worn correctly, a backpack is one of the most convenient and ergonomic ways to carry daily essentials.

The problem starts when poor backpack habits develop. Over time, these can lead to neck pain, back pain, and posture problems. Parents and caregivers should talk with children about healthy backpack habits — and set an example by practicing good backpack safety themselves.

The next time you or your child gears up for the day, try these simple backpack safety tips to protect your back and neck.

  • Use multiple compartments to distribute load evenly.
 
  • Always place heavier items close to the body near the center of the pack for better stability and reduced strain.
 
  • Stick to the 10% rule: your backpack should weigh no more than 10% of your body weight to minimize risk of injury and postural issues.

A heavy backpack can cause stress to the neck and back, and increases risk of falls and injury. Most musculoskeletal experts recommend that a backpack should weigh no more than 10% of a person's body weight.

an illustration to support ensuring your backpack does not weigh more than 10% of your body weight
  • Always wear both shoulder straps, never sling over one side as this can lead to uneven loading and shoulder pain.

 

  •  Make use of sternum (chest) straps and hip belts when available, to help redistribute weight and reduce pressure on shoulders.
illustration of how to adjust and carry a backpack to avoid neck and back pain and injury
an illustration showing how a backpack should fit
  • Ensure the backpack rests snugly against your back with the strap anchors no more than a couple of inches below the shoulders.

 

  • With straps adjusted, the bottom of the backpack should sit no more than 2 inches below the waistline.

Keep an eye out for early indicators of a poorly fitted or overloaded backpack:

  • Difficulty putting it on or taking it off
  • Pain while wearing it
  • Tingling or numbness in arms or legs
  • Red strap marks on shoulders
  • Shifts in posture from side to side

If you observe any of these, it’s best to address them early. Physical therapists can help with fit, posture, and preventing long-term issues.

Looking for more ways to keep your student pain-free this school year? Head over to our complementary post, Back-to-School — Backpack Safety Tips for Kids,” where our PTs offer expert, evidence-based advice on choosing the right backpack and teaching kids healthy habits. These two posts together form a complete guide—from selection and fit to how to wear your pack correctly.

Stop Backpack Pain Before It Starts

If you or your child are experiencing pain, posture changes, or discomfort from a backpack, our physical therapists can help. Schedule a visit today to stay comfortable, active, and pain-free all year long.

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