This Forgotten Muscle Could Be the Reason You have Knee or Back Pain

This Forgotten Muscle Could Be the Reason You have Knee or Back Pain

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When we think about pain—especially in the lower back, knees, or hips—we often point fingers at the usual suspects: poor posture, tight hamstrings, or a bad mattress. But there’s one critical muscle group that’s quietly at the center of it all… and most people completely overlook it.

We’re talking about your glutes—the powerhouse muscles in your backside.

Why Glutes Matter More Than You Think

The gluteal muscles (gluteus maximus, medius, and minimus) aren’t just about aesthetics or athletic performance. They’re foundational to how your entire body moves and stabilizes. When these muscles are weak or under-activated, your musculoskeletal system suffers—and pain starts to creep in.

What Happens When Your Glutes Are Weak?

  1. Lower Back Pain: Weak glutes mean your lower back takes over during basic movements like walking, standing, or lifting. That overcompensation leads to stiffness, strain, and chronic pain.
  2. Knee Injuries & Pain: Without strong glutes to control hip and thigh movement, the knees are forced to work harder to stabilize you—especially during stairs, squats, or running. This increases the risk of patellar tracking issues and ligament strain.
  3. Hip Pain & Misalignment: Glutes help align the pelvis. Weak glutes tilt the pelvis forward or sideways, which distorts your spine and stresses the hip joints.
  4. Poor Posture & Balance: Glutes keep you upright and balanced. Weakness leads to slouching, waddling gait, and instability—especially in older adults.
  5. Tight Hamstrings & Overworked Quads: When your glutes don’t fire, other muscles try to compensate. Hamstrings and quads tighten up, leading to stiffness and even more discomfort.

How Strong Glutes Help Relieve Pain

Strong glutes do far more than power your workouts—they play a central role in keeping your body pain-free. As the largest and most powerful muscle group, your glutes stabilize your hips, support your spine, and absorb impact during daily movement.

  • They stabilize your pelvis and spine, reducing pressure on joints
  • They improve movement efficiency, preventing overuse injuries
  • They absorb shock and force, especially during walking and running
  • They restore balance, reducing falls and compensatory strain

Signs You Might Have Weak Glutes

Weak glutes often go unnoticed until they start triggering problems elsewhere in the body. From instability in the pelvis to increased stress on the knees and spine, the signs of underperforming glutes show up in subtle but damaging ways. Here’s how to recognize them.

  • You struggle with stairs or get tired quickly while walking
  • Your knees cave inward during squats or lunges
  • You suffer from chronic low back, hip, or knee pain
  • You spend hours sitting each day without breaks

How to strengthen your Glutes

Start with these foundational glute-activation exercises:

1. Glute bridges

2. Clamshells

3. Bodyweight squats

4. Lateral band walks

Final Take

If you’ve been dealing with recurring pain, especially in the lower body or back, the solution may not be more pills or rest. It might just be that your glutes are asleep—and it’s time to wake them up. Don’t chase fancy treatments if the foundation is weak. No amount of massages or braces can substitute for strong, functional glutes.

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Medical Review: This article is written and medically reviewed by Dr Nishtha Mittal (Senior Health Content Editor at Zanskar Health). This article and its contents are provided for educational and informational purposes only and do not constitute medical advice or professional services specific to you or your medical condition.