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Protocols to Strengthen & Pain Proof Your Back

In this episode, I explain how to strengthen and build a stable, pain-free back and how to reduce or eliminate existing back pain. I explain the anatomy and physiology of the spinal cord and vertebrae, intervertebral disks and nerve pathways, and the abdominal and back muscles that together can be leveraged to stabilize the back.  Then, I describe protocols: “McGill’s Big 3” exercises, a highly effective psoas stretch, abdominal stabilization, breathing techniques, and protocols to reinforce essential supports for the back, including the neck, pelvis, feet and toes. I also explain how you can reduce and potentially eliminate back pain and sciatica using a specific type of bar hang, “cobra push-ups,” medial-glute strengthening exercises and more.  Back pain greatly impedes one’s ability to enjoy daily activities; this episode provides zero-cost, minimal time-investment protocols to improve your back strength and stability and allow you to move through life pain-free and with ease and mobility. Thank you to our sponsors AG1: https://drinkag1.com/huberman AeroPress: https://aeropress.com/huberman Joovv: https://joovv.com/huberman Waking Up: https://wakingup.com/huberman Plunge: https://plunge.com/huberman Momentous: https://livemomentous.com/huberman Social & Website Instagram: https://www.instagram.com/hubermanlab Threads: https://www.threads.net/@hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab TikTok: https://www.tiktok.com/@hubermanlab LinkedIn: https://www.linkedin.com/in/andrew-huberman Website: https://www.hubermanlab.com Newsletter: https://www.hubermanlab.com/newsletter Apple Podcasts: https://apple.co/3thCToZ Spotify: https://spoti.fi/3PYzuFs Resources Andrew Huberman demonstrates the McGill Big 3: https://youtu.be/f7HLP96HVNM The McGill Big 3: https://youtu.be/LXYPETeHZlA Glute medius exercise (Toe Stab Hip Raises): https://youtu.be/6pKKnVg1hzE?si=Zxb8XeC2P0UZyxyx&t=68 Toe spreaders: https://amzn.to/3JBDNV4 Squat University Core Exercises: https://youtu.be/2_e4I-brfqs AthleanX medial glute exercises to relieve lower back pain: https://youtu.be/DWmGArQBtFI Huberman Lab Episodes Mentioned Dr. Sean Mackey: Tools to Reduce & Manage Pain: https://youtu.be/K9lORz2_XSU Guest Series | Dr. Andy Galpin: How to Assess & Improve All Aspects of Your Fitness: https://youtu.be/zEYE-vcVKy8 Jeff Cavaliere: Optimize Your Exercise Program with Science-Based Tools: https://youtu.be/UNCwdFxPtE8 Sean Wheeler, MD Website: https://bodyguitar.com Uprise: Back Pain Liberation (book): https://amzn.to/3JBR54b LinkedIn: https://www.linkedin.com/in/drseanwheeler X: https://twitter.com/DrSeanWheeler Facebook: https://www.facebook.com/drseanwheeler YouTube: https://www.youtube.com/@dr.seanwheeler7390 Stuart M. McGill, PhD Academic profile: https://uwaterloo.ca/kinesiology-health-sciences/people-profiles/stuart-mcgill Website: https://www.backfitpro.com Books: https://amzn.to/49ZI5jQ Instagram: https://www.instagram.com/backfitpro X: https://twitter.com/drstuartmcgill YouTube: https://www.youtube.com/channel/UCmATSWiGhq8tgEnmYYSLdXQ Facebook: https://www.facebook.com/Backfitpro Kelly Starrett, DPT Website: https://thereadystate.com Built to Move (book): https://amzn.to/3xWMNBO Becoming a Supple Leopard (book): https://amzn.to/4aTO37k Instagram: https://www.instagram.com/thereadystate YouTube: https://www.youtube.com/channel/UCnnB4zDBqZHhQ4uLTAX8eYA Timestamps 00:00:00 Back Health 00:03:47 Sponsors: AeroPress, Joovv & Waking Up 00:07:57 Back Anatomy: Spine, Vertebrae, Spinal Cord 00:12:07 Spinal Cord & Nerves; Herniated Discs 00:19:50 Build Strong Pain-Free Back; Bulging Discs 00:24:26 Back Pain & Professional Evaluation; Tool: Spine Self-Assessment 00:34:58 Sponsor: AG1 00:36:29 Tool: McGill Big 3 Exercises, Curl-Up 00:44:40 Tool: McGill Big 3 Exercises, Side Plank 00:53:13 Tool: McGill Big 3 Exercises, Bird Dog; Back Pain 01:04:10 Sponsor: Plunge 01:05:37 Tool: Back Pain & Oreo Analogy, Bar Hang 01:10:34 Time & Back Pain; Tool: Reversing Disc Herniation, Cobra Push-Ups 01:21:28 Sciatica, Referred Pain, Herniated Disc 01:24:21 Tool: Improve Spine Stability, Strengthen Neck 01:29:23 Tools: Strengthen Feet, Toe Spreading 01:34:35 Tools: Belly Breathing; Stagger Stance 01:42:03 Tools: Relieve Low Back Pain, Medial Glute Activation; Rolled Towel 01:50:59 Tool: Psoas Stretching 01:57:00 Tool: Back Awareness; Strengthen & Pain-Proof Back 02:05:49 Zero-Cost Support, Spotify & Apple Reviews, Sponsors, YouTube Feedback, Momentous, Social Media, Neural Network Newsletter #HubermanLab #Health #BackHealth Title Card Photo Credit: Mike Blabac - https://www.blabacphoto.com Disclaimer: https://www.hubermanlab.com/disclaimer

Andrew Hubermanhost
Apr 28, 20242h 8mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Science-Backed Daily Protocols To Build A Strong, Pain-Proof Back

  1. Andrew Huberman synthesizes spine research and clinical practice to present practical, equipment-free protocols for strengthening the back and reducing or preventing pain. He explains essential spine and nervous system anatomy in plain language so listeners can understand what actually causes common issues like disc herniation and sciatica. Drawing heavily on the work of Dr. Stuart McGill, Dr. Sean Wheeler, and Dr. Kelly Starrett, he details the “McGill Big Three” core exercises plus additional drills for feet, hips, neck, posture, and breathing. The episode emphasizes matching protocols to body type, respecting pain signals, and viewing back care as a lifelong, low-time-cost habit rather than a temporary fix.

IDEAS WORTH REMEMBERING

5 ideas

Understand Your Spine Type To Choose Better Protocols

People roughly fall along a spectrum from ‘thin/willow-like’ spines (smaller joints, more bendy, less load-tolerant) to ‘thick/oak-like’ spines (bigger joints, very load-tolerant, less mobile). Thin-spine individuals generally need more muscle built around the spine for stability, especially for vertical loads; thick-spine individuals usually need more mobility work to avoid injury during twisting and side-bending. A quick self-check of wrist, ankle, knee, and torso thickness helps guide which emphasis—stability vs. mobility—you should prioritize.

Use The McGill Big Three As A Safe Core-Stability Base

The McGill Big Three—curl-up, side plank, and bird dog—are widely agreed upon across PTs, MDs, and strength coaches as safe, high-yield spine-stabilizing drills for most people. The curl-up strengthens the abdominal wall without forcing the spine into flexion that can worsen disc bulges; the side plank targets lateral core/obliques; the bird dog trains cross-body stability and anti-rotation. Performing short, intense 8–10 second holds for multiple repetitions (rather than long static holds) builds powerful neuromuscular activation patterns that protect the spine during daily life and training.

Disc Bulges Are Directional—Exercise Can Push Them The Right Way

Many episodes of back pain and sciatica arise from a disc bulging in a specific direction that impinges on nerve roots leaving the spine. Movements like sit-ups often worsen posterior bulges by further squeezing the ‘disc cream’ backwards; in contrast, extension-based movements (like prone press-ups/cobra-style push-ups) can mechanically ‘push’ a posterior bulge back toward center, relieving nerve pressure. Huberman describes rapidly resolving his own L3–L4 disc pain by stopping crunches and doing repeated gentle extension press-ups, illustrating the power—and specificity—of directional exercise.

Train Distal Stabilizers: Neck, Feet, Toes, And Breathing Patterns

Spine health depends heavily on structures far from the back itself: a strong front-of-neck prevents chronic forward-head posture; strong, mobile feet and toes create a stable base that reduces abnormal forces up the chain; and relaxed belly breathing at rest (as opposed to constant bracing) lets spinal tissues recover. Simple daily drills—front-of-neck isometrics (chin pressing into fists), deliberate toe spreading and toe-control work, and nasal belly breathing when not under load—build a body-wide support system that keeps the spine stable without being rigid.

Use Anti-Rotation And Staggered Stances To Train ‘Real-Life’ Core

Many real-world and sport movements involve one foot forward, one back, with the torso resisting unwanted twisting while the arms move. You can mimic this under light weights by doing biceps curls or overhead triceps extensions in a staggered stance, insisting that your belly button face straight ahead. This anti-rotation demand trains obliques and deep core muscles in a way more transferable to everyday tasks—like reaching, carrying, and turning—than traditional symmetrical gym setups alone.

WORDS WORTH SAVING

5 quotes

You actually want to be able to generate rigidity within your core and spine in order to move your limbs… even to just move up some stairs without falling.

Andrew Huberman

So much of what you'll hear about today… is about creating the kind of stability around the spine so that we can engage in the different limb movements that we need to, but to do so in a way that doesn't create compression of those nerve pathways.

Andrew Huberman

For most people who are just trying to strengthen their back… the Big Three are often very, very accessible—meaning they don't exacerbate back pain, and in many cases, they alleviate it, sometimes partially, sometimes completely.

Andrew Huberman

One of the most common sources of back pain is when those discs are bulging—herniating—and they're impinging on a fascicle of nerves, a bundle of nerves.

Andrew Huberman

Think of these more or less as a buffet of things that you could explore and experiment with… not something you're going to do for a week, but for the rest of your life.

Andrew Huberman

Basic spine and nervous system anatomy relevant to back painDisc bulging, nerve root impingement, and mechanisms of back pain/sciaticaThin vs. thick spine body types and their different training needsMcGill Big Three core exercises (curl-up, side plank, bird dog)Simple decompression and disc-directional exercises (hanging, cobra/up-dog)Distal stabilizers: feet, toes, neck, breathing, and anti-rotation workMedial glute and psoas protocols for low-back stability and relief

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