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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 29, 20242h 8mWatch on YouTube ↗

CHAPTERS

  1. 0:00 – 4:40

    Why A Strong, Pain-Free Back Changes Everything

    Huberman opens by framing back health as central to daily function, mood, and quality of life. He distinguishes this episode—focused on strengthening and ‘pain-proofing’ the back—from a prior episode on pain more broadly, and previews that he will translate complex anatomy into practical, low-cost protocols.

  2. 4:40 – 13:40

    Sponsors And Context For Zero-Cost Education

    He clarifies the podcast’s separation from his Stanford roles and notes that sponsors enable free educational content. Several sponsors are mentioned but are not central to the back protocols.

  3. 13:40 – 36:40

    Spine And Nervous System Basics You Actually Need

    Huberman gives an accessible primer on spine anatomy: vertebrae, discs, spinal cord, and nerve roots, connecting these structures to movement and pain. He emphasizes that understanding where neural tissue runs and how it’s protected clarifies why certain exercises help or hurt.

  4. 36:40 – 50:00

    How Nerve Impingement, Disc Bulges, And Sciatica Arise

    He explains that many back and leg pain syndromes come from mechanical compression or irritation of nerve roots by bulging or ruptured discs. The goal of many protocols is to create more ‘space’ and stability so nerves can pass freely without compression.

  5. 50:00 – 1:05:00

    Thin vs. Thick Spines: Willow And Oak Body Types

    Drawing on Stuart McGill, Huberman introduces a practical distinction between people with ‘thin’ and ‘thick’ spines, using wrist and joint sizes as clues. This determines whether one should emphasize adding muscular bracing or improving mobility.

  6. 1:05:00 – 1:08:40

    The McGill Big Three: Foundation For Spine Stability

    Huberman presents Stuart McGill’s ‘Big Three’ exercises—curl-up, side plank, and bird dog—as a consensus starting point for safer core training. He emphasizes precise form, short intense holds, and the importance of not provoking pain while building stability.

  7. 1:08:40 – 1:21:00

    Big Three #1: Curl-Up—A Safer Sit-Up Replacement

    He details the curl-up, designed to strengthen the abdominal wall without compressing the front of the spine and pushing discs backwards. The movement is subtle but can be highly protective, especially for those with existing disc issues.

  8. 1:21:00 – 1:33:20

    Big Three #2: Side Plank—Essential Lateral Core Support

    Side planks target lateral stabilizers that help control spine position in everyday asymmetric tasks. Huberman explains regressions, progressions, and why hips must not sag to avoid shearing forces on the spine.

  9. 1:33:20 – 1:46:40

    Big Three #3: Bird Dog—Cross-Body Anti-Rotation Training

    The bird dog trains cross-pattern stability (right arm/left leg and vice versa) and reinforces neutral spine under limb movement. Huberman stresses controlled, modest limb height and strong ground push rather than dramatic arching.

  10. 1:46:40 – 1:57:20

    Decompression: Gentle Hanging To Create Space For Nerves

    For some, mild spinal traction can relieve nerve compression by slightly lengthening the spinal column. Huberman describes a conservative hanging variation that maintains foot contact with the ground.

  11. 1:57:20 – 2:15:00

    Directional Extension: Huberman’s Own Herniated Disc Story

    He recounts a severe L3–L4 disc bulge with hip and leg pain resembling sciatica, worsened by crunches and resolved rapidly with extension-based exercises. The case illustrates how understanding disc direction can make rehab dramatically more effective.

  12. 2:15:00 – 2:23:20

    Sciatica And Nerve Pathway Pain: Same Mechanics, Different Symptoms

    Huberman situates sciatica (leg-dominant pain, tingling, numbness) within the same disc and nerve-root framework. He notes that while manifestations differ, many effective strategies overlap with those for back-specific pain.

  13. 2:23:20 – 2:40:00

    Neck Strength, Feet, Toes, And Breathing: The Hidden Back System

    He shifts to distal contributors to spinal health: front-of-neck strength to combat tech-neck, foot and toe strength for a stable base, and relaxed belly breathing at rest for tissue recovery. These often-overlooked areas have outsized effects on spine load.

  14. 2:40:00 – 2:51:20

    Anti-Rotation Core Training With Staggered Stances

    Huberman explains how exercising in a staggered stance (one foot forward, one back) while keeping the torso square trains the anti-rotation capacity crucial for real-world tasks. This is easily integrated into light upper-body work.

  15. 2:51:20 – 3:05:00

    Medial Glute Activation: Fixing The ‘Belt-Line’ Low-Back Ache

    He introduces a side-lying medial glute drill, adapted from Jeff Cavaliere, to address pain near the upper pelvis often tied to weak or spasmed hip stabilizers. This protocol both trains and relaxes the medial glute.

  16. 3:05:00 – 3:18:00

    Psoas And Fascial Stretch: Long Lunge With Overhead Reach

    Huberman describes a simple lunge-based stretch that targets the psoas and a myofascial line from wrist to heel, often producing a sense of ‘lengthened’ spine and hip freedom. It’s practical enough to do after long sitting or travel.

  17. 3:18:00 – 3:34:00

    The Mental Protocol: Observing And Rewriting Your Movement Patterns

    In closing, Huberman emphasizes that long-term back health hinges on awareness of how we habitually sit, stand, walk, lift, and breathe. He urges brief, non-neurotic self-audits and small persistent corrections rather than complicated daily regimes.

  18. 3:34:00

    Wrap-Up, Resources, And Newsletter Protocols

    Huberman concludes by reiterating that the shared protocols are low-cost, time-efficient ways to build a resilient spine. He points listeners to show notes, his newsletter, and future expert guest episodes for deeper dives on back health and related topics.

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