The short answer
Desk at elbow height with shoulders relaxed; top of the screen at roughly eye level, an arm's length away; wrists straight and floating rather than resting on the desk edge; weight evenly on both feet with knees soft; and a position change every 30 minutes. The screen height usually needs a monitor arm, because desk height and screen height are set by different parts of your body.
The seven checks
1. Desk at elbow height
Shoulders relaxed, elbows at about 90 degrees, forearms parallel to the floor. Too high and your shoulders creep up and stay up; too low and you lean forward from the hips. Get the number first.
2. Top of the screen at eye level
Or slightly below. If your desk is set correctly for your elbows, a monitor on its factory stand will almost always be too low — you will be looking down all day, which is a neck problem rather than a back one.
3. Screen about an arm's length away
Reach out; your fingertips should roughly touch the screen. Closer than that and you will crane; further and you will lean in.
4. Wrists straight and floating
Not bent up, not resting the heel of your hand on the desk edge while you type. A wrist rest is for pauses, not for typing on.
5. Weight on both feet, knees soft
The most-broken rule in standing work. See below.
6. Elbows close to your body
If the keyboard is too far forward you will reach, which loads the shoulders. Pull it toward you; on a converter, that is the keyboard tier's whole purpose.
7. Change position every 30 minutes
UT Southwestern's guidance is to change positions, shift your weight and take short walk breaks every 30 minutes. This is the check that matters most, because a perfect position held for three hours is still a static load.
The locked-knee problem
What standing still actually looks like after twenty minutes
Knees locked straight, weight on one hip, the other leg hanging, pelvis tilted, lower back hyperextended. Almost everyone does this, almost nobody notices, and it is a large part of why people conclude that standing desks hurt their back.
Three things help, in order of how reliably they work:
- A contoured mat. The reason the Topo is shaped the way it is is that it makes one stance uninteresting, so your feet keep moving without you deciding to.
- Something to put a foot on. A low rail, box or footrest. Alternating one foot up unlocks the pelvis, and it is what bar rails have been doing for a century.
- Standing less. If you are locking your knees, you have probably been standing too long. The ramp.
Sitting posture, briefly
You will sit for more of the day than you stand, so the seated half deserves the same attention:
- Feet flat, thighs parallel to the floor. Feet dangling means the chair is too high, or you need a footrest.
- Two to three fingers of clearance between the seat edge and the back of your knees.
- Lumbar support landing in the small of your back — which requires a chair whose lumbar support moves vertically.
- Back actually against the backrest. Most people set the support correctly and then sit forward off it.
Which adjustments to look for when buying.
What fixes the common faults
From the picks
Three products, three faults
An arm for the screen that is too low, a contoured mat for the locked knees, and a chair whose lumbar support lands where yours actually is.
ERGErgotronLX Desk Monitor ArmNo licensed photo yet
The arm every other arm is copying. A 26 lb capacity, 13 inches of lift and a 10-year warranty, on a constant-force spring that holds position instead of drooping in month four.
ERGErgodrivenTopoNo licensed photo yet
Best overall standing mat
/10A deliberately not-flat mat: the mounds and calf shelf exist to stop you standing still, which is the actual cause of standing-desk foot pain. Backed for sixteen years.
STESteelcaseSeries 1No licensed photo yet
Height-adjustable lumbar support is the feature that matters for a bad back, and this is the cheapest Steelcase that has it — behind a 400 lb rating and a 12-year parts-and-labor warranty.