How Weak or Tight Glutes Can Cause Lower Back Pain
- Michael Dominy, LMT, CPT
- Jun 19
- 2 min read
When you experience lower back pain, it’s easy to assume the issue is coming from that area. But pain doesn’t always show up at the source. In many cases, lower back pain may be influenced by muscle imbalances elsewhere — especially in the glutes.
This article explores how both glute tightness and underactive glute muscles can contribute to lower back discomfort, and what may help bring relief.
Pain Isn’t Always Where You Feel It
The body works as a connected system. When certain muscles aren’t doing their job—either due to tightness or weakness—other areas may start to compensate.
When this happens in the hips and pelvis, it can place added strain on the lumbar spine and small stabilizing muscles in the lower back.
Tight Glutes and Low Back Pain
Tightness in muscles like the gluteus maximus or piriformis may reduce hip mobility and increase stress in surrounding areas.
In some cases, a tight piriformis can place pressure on the sciatic nerve, potentially contributing to symptoms like lower back pain, buttock tension, or even pain radiating down the leg.
This condition—sometimes referred to as deep gluteal syndrome—can make everyday movement uncomfortable.
Underactive Glutes and Compensating Muscles
On the opposite end of the spectrum, underactive glute muscles can also be a contributing factor. When the gluteus medius, minimus, or maximus aren’t engaging properly, smaller muscles like the quadratus lumborum (QL) or hamstrings may overcompensate.
This compensation may lead to fatigue, tightness, and discomfort in the lower back or hips—especially with walking, lifting, or prolonged standing.
Common Causes of Glute Dysfunction
Sitting for long periods weakens glutes and shortens hip flexors
Poor posture or movement patterns can reduce glute activation
Muscle imbalances in the hips or core can affect how your glutes function
What May Help Relieve Glute-Related Back Pain
While every case is different, many people find relief by addressing both tension and weakness in the glutes.
Some helpful approaches may include:
Manual therapy to reduce glute and hip tightness and restore mobility
Corrective exercise to activate and strengthen underused glute muscles
Postural awareness and movement retraining to reduce compensation patterns
These strategies, when applied consistently, may support better movement, reduce discomfort, and improve overall stability.
Final Thoughts
Lower back pain can have many contributing factors—and the glutes are often overlooked. Whether it's due to tightness, weakness, or both, restoring proper function in this key muscle group may offer valuable support for managing and preventing low back discomfort.
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