herniated disc

In surveys of what people find physically attractive in a partner, a shapely butt is often highly rated. Perhaps it’s no surprise, but if you want, there are even apps to help! So, are good-looking glutes all about sex appeal and filling out our clothing in a flattering fashion? While these concerns may be valid, it is also true that well-toned glutes have many other, profound, but less widely recognized attributes. 

This blog post takes a look at the bigger picture of glute function. You may be surprised to find out just how much your glutes can contribute to healthy posture and a pain-free body.  

Glorious glutes—not just a “nice to have”

Your glutes potentially form the largest muscle group and have the largest impact. Most of us realize at some point in our lives, perhaps due to overdone squats or steep hill climbing, that the glutes are major players in sports and exercise. But if we don’t need them for competitive sports or challenging hiking, is it still worth investing in them for better returns? Let’s take a look at the dividends.

Reduce stress on your lower back

Glutes have a crucial role in offloading stress from the lower back and sacroiliac joints. When the glutes are weak, the lower back muscles work harder to try and stabilize the pelvis and trunk, leading to overuse and pain. When the glutes are strong, along with the inner corset, they steady the pelvis and lower back. This reduces the risk of wear and tear to discs and bones, nerve pain, and muscle spasm in the area.

Vigorous and/or repetitive movement, without the gluteal strength and pelvic stability shown here, leaves the back and spine more vulnerable to damage. (Photographs by Eadweard Muybridge, 1872–​​1885)

Avoid sciatica and piriformis syndrome 

True sciatica occurs when there is pressure on the sciatic nerve, usually from a herniated disc or degenerative changes in the spinal joints. The symptoms may be numbness, tingling, burning and/or electrical shock-like pain. It usually extends from the buttock down the leg, and sometimes the foot, on one side. The Gokhale Method helps by restoring the anteverted position of the pelvis, and decompressing the lumbar spine where the sciatic nerve roots exit. We call the resulting natural alignment a J-spine.

Piriformis Syndrome is a condition characterized by pain, tingling, or numbness in the buttocks and often down the leg. It occurs when the piriformis muscle compresses or irritates the sciatic nerve. The sciatic nerve passes under (or, in some individuals, through) the piriformis muscle, and is particularly prone to overwork and disturb the sciatic nerve if its neighbor, gluteus medius, is not doing its duty. The Gokhale Method encourages healthy pelvic positioning and gluteal function to allow the sciatic nerve free passage through the area. 

The profile view (right) shows swayed, leaning back posture, which causes problematic tightening in the posterior chain muscles and compresses the lower spine, including its discs and nerves. 

Make your movement strong, flexible, and stable

Your glutes are the powerhouse muscles that propel you in climbing, squatting, running, jumping, and more. They also work to control those movements, and are key to maintaining your balance. But glutes are not just for vigorous exercise…

In walking, it is your glutes that enable you to correctly achieve forward motion, rather than relying overly on your psoas and quads, shuffling, or falling forward. Glute activation brings a natural smoothness and grace to walking that we call glidewalking. Glidewalking allows your front foot to meet the ground deliberately but lightly, which is gentle on your joints; it also stretches your psoas with every step. 

Long jumper Khaddi Sagnia of Sweden uses her glutes to power the run up and propel her amazing jumping…and also to glidewalk away.

Muscles support a healthy metabolism 

The muscular system plays an integral role in our body’s metabolism. Well-used muscles will be larger, helping to burn calories rather than store them. This can help to keep insulin levels low in the blood and can contribute to a healthy metabolism and weight range. 

Well-toned glutes contribute to a healthy muscular and metabolic system. Man at His Bath by Gustave Caillebotte, 1884.

The foremost antiaging strategy—beautiful buttocks!

Never mind face yoga, cosmetic lifts, or surgical implants. Rather than costly interventions that do nothing to stop you losing your balance, strength, and mobility, embrace the art and science of how to rejuvenate your body by learning to move as you are meant to. Healthy posture can greatly improve your body’s architecture, self-confidence, health span—and your appearance as a bonus!

 
As infants (left) we instinctively align ourselves well, making good use of our muscles. In our society, adopting poor postural habits as we go through life results in lack of healthy muscle tone, like “glute amnesia”—flat, wasted muscles that have forgotten how to work (right).

Best next action steps

We invite you to join us for a themed Free Online Workshop: Wake Up Your Glutes, They Snooze, You Lose, on Friday, September 6 at 12:30 pm PST, in which you will learn how to make every step a rep! A replay will be available over the weekend if you cannot join live. So sign up, and you will also receive a special offer.

This workshop launches our 21-day Strong Glutes, Strong Body Gokhale Fitness challenge, which will run from Sept 9–29, to help you continue to build strength and improve your posture.

I developed excruciating lower back pain in 2001. I was a tennis player, downhill skier, and a marathon runner. I was also under a lot of financial pressure in a stressful job as a consumer class action lawyer with my own firm. 

Excruciating back pain challenged my ability to continue working. Forthepeople.com

My doctor diagnosed me with a herniated disc at L4-L5. He said that a piece of my disc was sitting on the spinal nerve. I tried everything to stop my pain but nothing worked. In January 2002 I underwent a laminectomy which removed the piece of disc and some of the vertebral bone next to the herniation to make room for the nerve root.

A laminectomy is a common lumbar surgery to remove some or all of the lamina (a part of the vertebra) to relieve pressure on nerves trapped by herniated discs or stenosis (narrowing of the nerve canals). Wikipedia

After the surgery, my back pain was more intense than before. It was very difficult to get out of bed in the morning. My five-year-old daughter imitated me doing a sort of downward dog yoga pose, with a lot of groaning, just to get out of bed in the morning. I could not move comfortably, nor could I stay still. I remember business meetings in restaurants—just looking at the chairs there I would feel pain.

Few modern chairs help us to sit well. Most chairs either encourage a swayback (left) or a tucked pelvis (right). Wikipedia

I also tried acupuncture treatment, but it was too painful to lie down. It hurt. Hurt to stand. Hurt to sit. Hurt to walk. Hurt to sleep. Everything hurt. 

I received cortisone injections from a pain specialist. I was ecstatic to get a needle in my spine because it gave me temporary relief from the agonizing pain that radiated all the way from my lumbar spine down my leg. Unfortunately, the relief didn’t last. 

Pain from pressure on the sciatic nerve can radiate from the origins of the nerve in the lumbar spine all the way to the foot. Wikipedia

I seriously considered a spinal cord stimulator. It was like an implanted super transcutaneous electrical nerve stimulation (TENS) machine, but I am very glad that I changed my mind as it required subsequent surgeries and I really did not want something implanted in my body. I was prescribed multiple pain relieving medications. 

I participated in a number of lengthy courses, including some pilates and Bikram yoga, that focused on cultivating more strength and flexibility to relieve my back pain. Yoga gave me some temporary relief but nothing permanent. I also used a pilates reformer once a week for several months but it didn’t help. It started to remind me of a medieval torture device. 

Using specialized equipment without knowledge of primal architecture can hurt rather than help. Wikipedia

I also went to a physical therapist and my pain was still not relieved.

Massage from a skilled practitioner can help alleviate soft tissue tension and back pain. Ideally, it would be combined with posture training to get to the root of the problem. Pixabay

In an attempt to relieve my pain on the way to court, I would slouch in my car almost horizontally, with both an ice pack down the back of my pants and the seat warmer on. I remember the pain forcing me to lie down on the floor at an arbitration where I represented a class of homeowners in a case worth tens of millions of dollars. Other lawyers stared at me as if I were a defective space alien. 

Despairing, I thought I would never get better. I knew people with similar levels of pain who had retired. Because of my love of being a consumer protection lawyer and my financial responsibilities, this was not an option. The stress caused me to tighten up even more, worsening the pain. I felt like I was trapped in a downward spiral.

I explored the principle of mind over matter. I meditated daily and continue to do so. I read Dr. John Sarno’s books. Dr. Sarno would say first eliminate any physical cause, then heal back pain by dealing with any repressed anger or other negative emotion. But my pain persisted.

Eventually I came across  Esther Gokhale's book, 8 Steps to a Pain Free-Back, and subsequently took the Foundations Course in 2011 with a Gokhale Method teacher in San Francisco. As I have said many times, Esther Gokhale is my hero! I have given her book to numerous family members and friends. They don’t believe me that there are 21 pages about how to sit in a car—or a restaurant chair—but every one of those pages is precious to me as they have saved me hours of agony. The Stretchsit® Cushion and Esther’s instructions allowed me to drive without pain. The Gokhale Pain-Free™Chair is still my favorite office chair. I still use the stretchlying technique that I learned in detail there, gently introducing traction to one segment of my spine at a time.

This healthy neck stretch is from a recent 1-2-3 Move class for our Alumni.

I now have zero back pain. Because of the Gokhale Method I can finally lie comfortably in bed, sit, stand, walk, bend, and live my life. I returned to running six mile runs along California beaches and trails all over King's Mountain. Due to wear and tear on my knees over the years, I am now an active swimmer, hiker, and biker. 

Out on my bike, I enjoy being physically active again, with the occasional wipeout.

My back has tolerated a recent move into a home with 41 steps. I carry furniture, groceries, etc. up and down those steps with no back problems. I am once again enjoying being the pain-free, calm, and happy person that I used to be.

Out hiking with my wife, Susie.

At the end of his rope after chiropractic, physical therapy, massage and surgery, a Transportation Planning Consultant finds relief with Gokhale Method Foundations Course.

Travis Dunn, PhD, remembers clearly the onset of his excruciating back pain. He was all of 24 years old.

“It first appeared while I was on vacation in June 2005,” he recalls. “There was no specific, major incident that precipitated the pain, but it grew sharper and more debilitating over the course of a week or so, including occasional sciatica.”

He would start each day with his back pain registering “one or two” on a scale of ten, he recalls. As soon as he sat, the pain would grow worse. “If I were to remain seated, I’d be at seven or eight within a half hour. When I stood up, I would be like a hunchback,” he says, bending over to show how contorted his body was. “Then I would have to stretch to reset my muscles before I could sit down.”

He survived his workday by taking walking breaks—some were part of his regular routine of walking to meetings or lunch. Others were add-ons to a fully loaded workday. All told, he’d spend an hour or so walking each day, just so he could sit and work. When the pain became unbearable, he would rearrange his desk and stand at his computer, which helped only slightly.

Dunn opted for a conservative approach to treatment, starting with chiropractic care. “The chiropractor took x-rays, then put them up on the wall and showed me where everything was wrong in my spine. He said I’d see him three or four times a week at first, and then we’d taper off after that as I got better.” That lasted two months. “I wanted to believe it would work, and he told me it would. But I saw no difference.”

Over the following two years Dunn tried therapeutic massage—“short-term relief measured in hours, not days.” Next came six months of physical therapy, which provided some help if he maintained a strict regimen. Dunn had cortisone injections twice, with no benefit. 

“Long road trips and air travel were nightmares,” he recalls. Over-the-counter pain killers had no effect, he says, and he studiously avoided prescription pain relievers or muscle relaxants. “I knew of people with back pain similar to mine, who had become prescription pain killer addicts; I didn’t want to go down that trail.”

Dunn finally went to an orthopedic surgeon who, unlike the chiropractor, saw nothing of concern on the x-rays. “He looked at the same x-rays as my chiropractor and said, “You can’t see anything from these.” The orthopedist ordered an MRI, which showed a herniated L4-L5 disc.

After exhausting what he thought were all of his alternatives, he had surgery in December 2006, an L4-L5 discectomy to remove the herniation. It relieved his occasional sciatic pain, but the low back pain continued. “I followed up with routine physical therapy for the next 6 months which helped me to manage the pain, but if I skipped even one day of stretches and exercises I was miserable,” he says. 

At this point Dunn estimates he was out of pocket about $7,000 and that his health insurance company had absorbed at least another $20,000. He also missed work for a month while recovering from the surgery.

For the next several years he managed his pain with a strict regimen of stretching and exercise, but still struggled at work where he spent long hours sitting at a desk. The pain was constant, he remembers, with its severity tempered only modestly by stretching and back exercises.

The ordeal was at least as taxing emotionally as it was physically and financially. “I was never clinically depressed, but over time it took a toll on me emotionally,” Dunn recalls. “I’m an engineer by training. I solve problems, and I couldn’t figure this one out. I was going to all the medical professionals you’re supposed to go to, and they couldn’t fix it."

“The despair part of it is this fear that you’re going to have to live with this for the rest of your life. The longer it went on, especially after the surgery didn’t resolve the underlying back pain, the more I was left wondering if this was going to be a chronic lifelong cross to bear. I never stopped looking for answers, but I had five years of very limited success. And when a problem lasts that long, you can lose hope.”

In April 2010, nearly five years after the pain began, he took the three-day intensive Gokhale Method Foundation course. 

“It was intuitive, in a way that was revealing, or eye opening,” he recalls. He had seen Gokhale Method creator Esther Gokhale’s book, and the class came naturally to him. “I remember sitting down for the opening session, and listening to her explanation of posture. It was very intuitive, and I felt very comfortable. I saw results almost immediately."

“I quickly realized that many of the stretches and sitting positions I had been using to find relief were, according to the Gokhale Method, counterproductive. For example, arching or swaying my back and using a lot of lumbar cushioning—that was a big one—were actually making things worse. I had no guidance or foundation for the geometry and physics of a healthy back, so I used countless positions and exercises, many of which were ill-advised. Esther’s method was a very logical philosophy, easy to follow.”

Dunn shared an email he wrote to Gokhale six months after taking her course. "My low-back pain is, for the most part, a memory. I have applied your methods principally to my sitting, which was always the most uncomfortable position for me. The results are striking. Whereas in the past it was a struggle to get through a day (complete with standing / stretching / walking breaks every 10 minutes or so), I can now sit uninterrupted and pain free for long stretches."

“As evidence of that, I have traveled from Boston in the past three months twice to Portugal (that's four flights of seven+ hours each), twice to Texas (four flights of three+ hours), and once to Mexico (two flights of four+ hours). Each time, I flew comfortably and pain free!"

Dunn—now a 32-year-old transportation planning consultant—travels regularly overseas and has driven twice across the country—all pain free. And his advice to others in back pain? 

“This method is something everyone should be doing, regardless of whether they’re in pain. I notice posture now. I notice how people are sitting. For those in pain, it’s easy, low cost, and a low-hanging fruit. I wish I had done it first.”