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Sitting well in your wheelchair: how to avoid pain and pressure sores

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After a long ride or spending hours in your wheelchair, your shoulders might feel tense, your back stiff – or worse, you might feel tingling or pain in your seat. A properly adjusted wheelchair and a healthy sitting posture can prevent discomfort and pressure sores and help you stay more active day to day. Here’s what to watch for.

5 quick questions about your sitting posture

An optimal sitting posture depends on several factors: your physical abilities, level of independence, and daily activities. But these five questions already give you a good sense of whether your wheelchair provides enough support:

  1. Does your wheelchair’s seat width match your hip width – or do you have too much or too little space?
  2. Are you sitting comfortably with your hips all the way back and your back against the backrest?
  3. Does your seat cushion feel comfortable and stable? Do you feel too much pressure on your buttocks or thighs?
  4. Are your thighs fully supported by the cushion?
  5. Do your footplates, backrest, and armrests offer enough support without restricting your movement?

If you answered “no” to one or more questions, or if you feel pain or fatigue, it’s a good idea to have your posture checked by a Vigo expert. Small adjustments to your wheelchair or seating position can make a huge difference.

What happens if you sit incorrectly?

Sitting incorrectly doesn’t always lead to immediate pain or health issues, but over time it can cause pressure injuries, also known as pressure or bed sores (decubitus), or even lead to spinal or pelvic deformities.

It also makes everything more tiring: you unconsciously keep correcting your position, or propelling your wheelchair takes more effort than necessary. When you sit well, moving becomes easier and less energy-consuming.

Also important: your pushing technique

When your movement feels smooth, you reach your destination with minimal effort. With a few small adjustments or smart habits, you’ll notice that you move more easily – without putting extra strain on your body.

Often underestimated: a good seat cushion

A good seat cushion isn’t an accessory or a luxury. It directly affects your comfort – and it’s your first line of defence against painful pressure sores.

Research confirms this too. Cushions with pressure-relieving structures, gel-foam, or air cells make a big difference in reducing pressure peaks.

In the spotlight: the importance of an anti-decubitus cushion

If you spend long hours in your wheelchair every day, you’ll benefit from an anti-decubitus cushion. This type of cushion helps prevent pressure sores and makes sitting more comfortable.

It evenly distributes pressure across your sitting surface and prevents your weight from resting too much on one point, such as your sitting bones. This promotes blood circulation and reduces the risk of pressure spots (decubitus). The breathable, moisture-absorbing material also helps keep your skin healthy.

There are roughly two main types of cushions:

  • Preventive cushions, designed to avoid pressure injuries.
  • Therapeutic cushions, used when a sore is already present.


Looking for the right anti-decubitus cushion for you? Don’t hesitate to contact us – we’ll help you find the most suitable option.

Do you have a wheelchair-friendly tip?

What helps you stay pain-free while sitting? Share your experience on social media using #Vigotip or email connect@vigogroup.eu. Your tips can inspire others!