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Heavy Backpacks Put Kids at Risk for Back and Neck Pain, Aspirus Expert Warns

8/28/2025

Nate Maday, PT, DPT, Aspirus Physical Therapist

Backpacks are part of every school day, but when they’re too heavy, they can do more harm than good. A 2024 study found that more than 80 percent of schoolchildren carried backpacks over 10 percent of their body weight, and many exceeded 15 percent, the maximum limit advised by the American Academy of Pediatrics (AAP). Carrying that much weight places unnecessary stress on developing spines, which can lead to pain and posture issues.

 

“Backpacks are one of those simple things that can throw off the spine if they’re not the right size or too heavy,” said Nate Maday, PT, DPT, a physical therapist with Aspirus Health. “Kids are creatures of habit, and if we don’t address posture and backpack habits early, those habits can carry on for years.”

 

Signs of Backpack Trouble

Parents should watch for warning signs such as:

  • A child leaning forward when walking
  • Complaints of back, shoulder, or neck pain
  • Tingling or numbness in the arms

“The biggest thing is just keeping an eye on your child,” said Maday. “If they start changing how they walk or begin complaining about neck or back pain that lasts more than a day or two, it may be time to take a closer look at the backpack.”

 

Simple Fixes That Make a Difference

According to the American Physical Therapy Association (APTA), families can help prevent problems by:

  • Keeping the backpack under 10 to 15 percent of body weight
  • Using both straps and adjusting them for a snug fit
  • Selecting backpacks with padded straps and compartments to spread out the load
  • Encouraging kids to take regular movement breaks

 

Stretch It Out

At home, a few minutes of stretching can also help release tension:

  • Chest opener: Clasp hands behind the back and gently lift
  • Shoulder rolls: Roll shoulders forward and backward
  • Child’s pose: Kneel and stretch arms forward to lengthen the spine

 

“Families can build great backpack habits by starting simple,” said Maday. “Choose a good backpack, make sure it fits well, and remind kids to keep the load light and snug. Those small steps can make a big difference over time.”

 


 

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