Small Exercises to Reduce Back Pain | Jeff Cavaliere & Dr. Andrew Huberman
Jeff Cavaliere and Dr. Andrew Huberman discuss exercises to strengthen the gluteal muscles to alleviate lower back pain, focusing on specific exercises like ...
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Introduction to Functional Longevity
- 00:00Let's just assume for a second that
- 00:02somebody listening to this is training
- 00:04their lower body twice a week.
- 00:06Mhm.
- 00:07They're doing compound exercises and
- 00:09some isolation exercises, but they're
- 00:12dealing with some back pain or they're
- 00:14not. I 20s, they're in their 20s or 30s
- 00:17or structurally they're blessed and
- 00:19they're not dealing with it. What are
- 00:22some additional things that we would
- 00:24call small things that make the big
- 00:26things possible for much longer and also
- 00:28make people stronger at the big things
- 00:31that people can do? Would you say uh
Reverse Hyperextension Benefits
- 00:33back hyperextensions? Would you say
- 00:36watch your video on medial uh glute
- 00:37medius training? What would be the
- 00:40exercise to insert and how many times
- 00:42per week to do it and when?
- 00:44That's a good question. So yeah, reverse
- 00:46hypers are an amazing exercise. Um, I
- 00:49like doing them because they're very
- 00:50easy to do anywhere. You don't have to
- 00:52have resistance on them. They make a
- 00:55great machine that actually provides
- 00:56resistance. Straps over your legs that
- 00:58you can lift additional weight on. But
- 01:01the challenge for most people, remember,
- 01:02they're chronically weak in these areas.
- 01:04So, even just the body weight lifting of
- 01:05their own legs is going to be a
- 01:07significant enough challenge to get
- 01:08overload. But you can literally do it on
- 01:10like your bed in the morning. You can
- 01:13get up. You lay enough of your torso on
- 01:15top of the bed so that you're not
- 01:17falling off the bed, but you can just
- 01:18have your legs hanging off your bed and
- 01:20your body up on top of the bed and do a
- 01:21reverse hyper.
- 01:22So, raising the heels,
- 01:24raising the heels
- 01:24so that they're parallel with the floor
- 01:25as level as you can get them. You know,
- 01:27again, the bed's a little a little soft.
- 01:29So, sometimes you kind of dip down as
- 01:31you're lifting your legs up, but it's
- 01:32it's it's sturdy enough that you can get
- 01:34to almost a parallel position to the
- 01:36floor. I like to make sure, we'll talk
- 01:39about this, but like you're moving, the
- 01:41muscles are doing the work and not
- 01:42momentum, right? So, you want to hold
- 01:44that contraction briefly at the top to
- 01:46convince yourself that you actually were
- 01:48able to perform the movement. So, you
Glute Weakness & Back Pain
- 01:50get up, hold it for for a second. And I
- 01:52think what's important on that, too, is
- 01:54people who don't have the strength in
- 01:56their glutes, cuz it really is a glute
- 01:58weakness issue, not necessarily a low
- 02:00back issue. it. A lot of times it's
- 02:02weakness in the glutes that's
- 02:04transferring the load to the low back
- 02:06that can't handle it. And people get the
- 02:08symptoms in the back, but it's the
- 02:10weakness somewhere else that's causing
- 02:12that. So, I like to focus first and
- 02:14foremost on the glutes, glute max, glute
- 02:16me, is to make sure that they're strong
- 02:17enough. And again, if you test even big-
- 02:20time athletes, we would test their
- 02:22rotational strength of their hips. Some
- 02:24of the strongest athletes, some of the
- 02:26biggest squatters, some of the best
- 02:28lungers, right? They're lunging over 200
- 02:30pounds. they you put them in position,
- 02:33you try to bend their their uh their hip
- 02:36into internal or external rotation of
- 02:37their of their bent knee, they can't
- 02:39resist it at all. So they it just goes
- 02:41to show you that all the squatting, all
- 02:43the big lifts aren't enough to
- 02:46counteract the smaller muscles, right?
- 02:48There are different functions. A
- 02:50rotational muscle of the hip is not a
- 02:52sagittal plane muscle of the hip. It has
- 02:54a different function. So they all have
- 02:55to be strengthened. So along that along
- 02:58that line, we will do the the the
- 03:01reverse hyper as a good sagittal plane
- 03:03exercise focusing on the glute. When
- 03:05they get to the top and I tell you to
- 03:06contract it, squeeze so you know that's
- 03:08the glute that's squeezing and doing the
- 03:10work, not that you're arching at the low
- 03:11back, that you're using the muscles that
- 03:13are already overworked in the first
- 03:14place. So get that up there. Squeeze.
- 03:16Reinforce that it's the glute that did
- 03:18the work. Great exercise. The glute
- 03:20medius, like I said, the hip bump. Super
- 03:22easy exercise. You could do it anywhere
- 03:24against the wall. He can do anywhere
Exercises for Glute Medius
- 03:26against the wall. Any anything you can
- 03:27do
- 03:28like a butt bump. You you basically
- 03:29raise the leg that's closer to the wall
- 03:31like 90° outer one you're standing. It's
- 03:34almost like you're trying to slide that
- 03:35hip that's along the that's closer to
- 03:37the wall up the wall. So it's like Yeah.
- 03:39It's like a kind of like side booty bump
- 03:41to the wall but sliding it up. And and
- 03:43this is sometimes where you have to
- 03:45invest and this is the small things but
- 03:46you know they're also small investments.
- 03:48A little mini hip band. You know the
- 03:50little elastic bands. They're just
- 03:52loops. The little fit loop they're
- 03:53called. Put it around your heels.
- 03:55Lay on your belly. Bend your knees to
- 03:5890°.
- 03:59And then just try to open your feet
- 04:01apart,
- 04:02right? Spread your feet apart. So now
- 04:04you're strengthening rotation of the
- 04:05hip. Or hold one steady. Let one leg,
- 04:08it's a little hard to show here, but let
- 04:10one leg come a little bit in front of
- 04:11the other and then try to cross it over
- 04:12the other one. So now you're getting
- 04:13external rotation of that hip. So you're
- 04:16working external rotation against
- 04:17resistance, internal rotation against
- 04:19resistance.
- 04:21Super easy things to do. You can you can
- 04:24attach a band around your around your
- 04:26ankle and then you can do lateral hip
- 04:30swings but with a component of rotating
- 04:32against the resistance of the band too.
- 04:33So I'm moving my leg out and rotating
- 04:36out at the same time. How do you do
- 04:38that? Just focus on your toe. If your
- 04:39toe is turning out, your hip is turning
- 04:41out. If your toe is turning in and your
- 04:43hip is turning in. So you don't have to
- 04:44focus so much on how do I move that.
- 04:47Just focus on what the foot is doing and
- 04:49you're turning. As long as the knee is
- 04:50going with the foot, right? You're not
- 04:51just spinning the foot. the knee and the
- 04:52foot go together. So, there's there's
- 04:55simple things and again, you might need
- 04:57a band or a mini band or something to
- 04:59get these smaller muscles more
- 05:01specifically, but it's $10, $15 for a
- 05:04band. It's well worth the investment if
- 05:06you can get rid of these long-term
- 05:08recurrent issues that keep come, you
- 05:10know, back and and causing agony every
- 05:122, three months as a reminder of what
- 05:14you're not doing. Once I realized that
- 05:16the glute medius was causing for me back
- 05:19spasm issues that were severe enough
- 05:21that it was immobilizing
- 05:24but then it was resolved by the
- 05:26information you provide in your videos.
- 05:27I started doing the um the hip slide up
- 05:30the wall movement. I still do that. the
- 05:32reverse hyper and then the one that you
- 05:35put in a video and again we'll put links
- 05:37to these that I found uh a little bit
- 05:40more uh of a setup
- 05:43but seems really useful is where you
- 05:46take some sort of rope or dog leash
- 05:48and you put it around your waist and
- 05:50then you actually have a weight between
- 05:51your your legs hanging a couple inches
- 05:54off the floor and then the goal is to
Functional Stability Walking Drills
- 05:56walk it makes you kind of have to kind
- 05:59of monster walk or
- 06:00and the idea is to not let the weight
- 06:03swing and hit your your feet. Now, I
- 06:05know that sounds really awkward, but it
- 06:07really works and I know it works uh for
- 06:09a number of reasons. And by the way, all
- 06:11this strengthened other lifts for me
- 06:13dramatically. I was kind of at a
- 06:14sticking point with a number of of lower
- 06:16body lifts and upper body lifts. And it
- 06:18really seems like it helped create a
- 06:20real stability in the lower back glute
- 06:22area.
- 06:23What is that dog leash thing doing? Uh
- 06:26it's very simple, right? Just tie a
- 06:27weight between your legs and then you're
- 06:30trying to walk but not let it swing.
- 06:31what why does that work?
- 06:34Anytime you could take these smaller
- 06:36exercises and bring them a little closer
- 06:37to actual function, I think it's better.
- 06:39It's better carryover. So, if you're
- 06:41talking about actually being on your
- 06:43feet and walking, that's a step towards
- 06:44function. That's that's you're going to
- 06:46be more useful, I think. Um, but what
- 06:49you're doing is, as I mentioned before,
- 06:51every time you pick up a foot off the
- 06:53ground, you're in single leg stance. So
- 06:54when you're in single leg stance, if
- 06:56you're not contracting the glute medius
- 06:59on the side that you're standing on,
- 07:01your pelvis is going to drop. You're
- 07:02going to drop in the side because you're
- 07:04you're not balanced anymore. You're
- 07:05going to drop towards the up leg. You
- 07:07may not drop if you're consciously
- 07:09trying to stay level because you're
- 07:11firing the glute medius. But for someone
- 07:13that has a weak glute, you just have
- 07:15them stand on that one leg and you're
- 07:17going to see that pelvis drop. So when
- 07:19you're doing this test and you're adding
- 07:21the weight to the equation here, the
- 07:23weight is really to create a pendulum
- 07:25effect, right? Because when you start to
- 07:27move anything, that weight's going to
- 07:28want to go in an exaggerated way. So
- 07:31what what we're trying to reinforce is,
- 07:32okay, can you do this and take these
- 07:35slow steps in these single alternating
- 07:37single leg stance and prevent that that
- 07:41weight from shifting so much, i.e.
- 07:44because you're dropping too much that it
- 07:46would hit or bang into the other leg.
- 07:48So, you have to be able to walk slowly
- 07:51through single leg stance and not allow
- 07:53enough of a drop by having good
- 07:56contraction and control of the glute
- 07:57medius so that it would minimize the the
- 08:00the weight itself. It would quiet the
- 08:02motion of the weight itself. So, you're
- 08:03reinforcing how hard can I keep this
- 08:05thing engaged as I walk. And you know,
- 08:08if you could do this, the faster you
- 08:10could move yourself and still have
- 08:13minimal displacement of the weight would
- 08:15be a good indicator that wow, you're
- 08:17really starting to get good control and
- 08:18strength in those in that glute medius.
- 08:20Another thing I like to do is um we call
- 08:22it a suitcase lunge, right? So you do a
- 08:26a lunge where you offset the weight on
- 08:28one side. So you carry it in the if I'm
Suitcase Lunges for Pelvic Control
- 08:32going to lunge forward, I put it on the
- 08:34opposite leg, right? Hold on the
- 08:36opposite side. What that's going to
- 08:37theoretically do is obviously when I
- 08:39lunge forward, I'm going to want to fall
- 08:42to the side of the weight. Picture
- 08:43having even like a 50 lb weight or a 60
- 08:45lb weight in your hand. It's going to
- 08:46want to go that direction. In this lunge
- 08:49position, if I can straighten my self
- 08:51out and keep my torso rigidly in place
- 08:55the whole time, then I can really
- 08:56strengthen that glute medius on the
- 08:58opposite side. And what's cool about
- 08:59that is it's also done on a in
- 09:01conjunction with a sagittal plane lunge.
- 09:03So now I'm starting to play in train in
- 09:05multiple dimensions and planes at one
- 09:07time. So a lunge in this direction,
- 09:09suitcase carrier, offset only one
- 09:11dumbbell, not on the other side.
- 09:12Obviously, you're going to get that
- 09:14desire for the body to fall towards the
- 09:17side of the offset weight. And again,
- 09:19that starts to shift the pelvis up. The
- 09:21only thing will keep it down is by
- 09:23keeping the hip in, abducted, and level.
- 09:26And that pelvis stays level. So we'll do
- 09:28that with a lot of our athletes and work
- 09:30up to some pretty heavy weights there,
- 09:31too. And again, it is a kill two birds
- 09:33with one stone type exercise because you
- 09:35still get the benefits of the lunge,
- 09:36which I I love as an exercise.
- 09:39So, let's say somebody is going to do
- 09:41some hip slide up the wall or andor
- 09:44reverse hypers if they're lucky enough
- 09:46to have a gym with a reverse hyper
- 09:47machine or or even a just a high bench
- 09:50or hyperextension machine, right?
- 09:51Classic hyper extensions,
- 09:53you just go face inward.
- 09:55Yeah. the upper body moves and um for
- 09:57classic hyper uh heels
- 09:59which I like too by the way like that's
- 10:00more direct low back strengthening
- 10:03which is always good like we can always
- 10:05strengthen our low backs that those
- 10:06muscles need to be strengthened but
- 10:08again I I would say more often the time
- 10:10times the source of the low back pain is
- 10:13coming from the muscles but beneath them
- 10:15that are weak chronically weak like the
- 10:17glutes okay so reverse hypers the hip
- 10:20sliding up the wall approach maybe the
- 10:24dog leash with weight between um legs.
- 10:27Doesn't have to be a dog leash, folks,
- 10:28but you get the idea. To try and
- 10:30minimize the hip sway.
- 10:32Should those be done at the end of a
- 10:35lower body workout when the lower back
- 10:37and glutes are partially fatigued or
- 10:39very fatigued or done separately at a
- 10:42time when they're really fresh. Two
Optimal Frequency & Timing
- 10:43times I think I think you could do them
- 10:45on a dedicated day at a dedicated time.
- 10:48So, I I approach my ab training as ab
- 10:51training and I always keep it separate.
- 10:53I just like to focus on I'm going to do
- 10:55five to 10 minutes of core strengthening
- 10:57right now here and now separate from my
- 10:59workout because I don't want it to be an
- 11:01afterthought. I think it should be it's
- 11:03a it's a key component of what I do to
- 11:05keep a strong core. So I want to focus
- 11:07it and I don't want to add it to the end
- 11:09of my workout when I'm already mentally
- 11:10checked out. Right? So I do that. I
- 11:13think when you start to have these
- 11:16issues that require special programming,
- 11:20right? then you should own that special
- 11:22programming because it's yours. It's
- 11:23what you need specifically. Others might
- 11:24need things for their shoulders or for
- 11:26the rotator cuff. But like whatever
- 11:28special programming is, do it as a small
- 11:29routine on its own day at its own time.
- 11:32Or even it could be on a workout day,
- 11:33but a separate time that you just go
- 11:35through as a routine, 5 minutes to 7
- 11:38minutes three times a week or so. That's
- 11:41it. If you want to put it on a training
- 11:44day, it's actually not a bad idea to put
- 11:46these smaller muscle exercises or
- 11:49smaller focused exercises after your
- 11:52bigger training cuz a you're not going
- 11:54to compromise your big training and the
- 11:55goals that you have for for that. But
- 11:58you also are pre- fatiguing some of
- 12:00those bigger muscles that are going to
- 12:01want to dominate these small movements
- 12:02anyway. The compensations that you're
- 12:04going to see on these small movements
- 12:05are always going to be the big muscles
- 12:06trying to kick in and do what they've
- 12:08always done, which is take over. And
- 12:10you're trying to get them to not. So, if
- 12:11you can pre- fatigue them a little bit
- 12:13prior to doing these small exercises,
- 12:15you're actually setting the smaller
- 12:17muscles up for more success.
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