What seat should I book for pain control?
Fast answer
Book the seat that protects your worst joint/nerve. For most pain travelers: aisle + legroom is the best value.
Decide in 60 seconds
- Aisle if movement and bathrooms prevent flares.
- Bulkhead/extra legroom if knees/hips/back hate flexion.
- Window only if sleep reduces pain AND you won’t need to move often.
Red flags
- Middle seats when positional pain is real.
PPRR fit
- Outbound Day: A seat is a pacing tool.
TBL tools
Explorer includes a Seat Choice Body-Fit checklist and in-flight micro-routine cards.
FAQs
Is premium economy worth it? Often yes if posture is your top trigger.
Exit row? Great space, but fixed armrests and no under-seat bag can be tricky.
Can I ask to switch later? Sometimes — but pre-booking is safer for pain bodies.
Evidence & safety
- Movement during long flights protects against pain stiffness and VTE risk.
- Lumbar and hip alignment reduces sciatica/back flares on long sits.
- Micro-anchor (migraine): If light/noise sensitivity is huge, pick seats away from galleys and toilets.
- Micro-anchor (back pain/OA): Extra legroom can be higher ROI than class upgrades.