The Buttwink is a compensation pattern involving a dynamic Posterior Pelvis Tilt during Hip Flexion that occurs in a squatting or Hip Hinging movement. More specifically, the Buttwink is a compensation pattern that attempts to increase the Range of Motion of the Hip and/or Ankle by rotating the Pelvis and flexing through the Lumbar Spine.

The danger of this compensation pattern is the inappropriate amount of stress placed on anterior portions of the vertebrae and discs in the Lumbar Spine (Low Back). This can cause episodes of acute micro-trauma, eventually leading to disc herniation and/or Low Back Pain.

The Buttwink robs an individual of biomechanical integrity of the spine in regard to alignment and stability; many times the individual may not be aware this compensation pattern is occurring.

RX: Practice a combination of soft tissue therapy and effective stretching techniques on the following overactive and/or tight muscles: Gluteus Complex (Posterior Hip Muscle), Piriformis (Posterior Hip Muscle), Internal/External Hip Rotators, Rectus Abdominis (Anterior Core Muscles), Anterior Portion of Internal/External Obliques (Anterior/Lateral Core Muscles), Semitendinosus (Medial/Middle Hamstring Muscles), and Gastrocnemius (Calf Muscles).

Next, practice Activation exercises to strengthen and facilitate proper firing sequences of the following underactive muscles: Lower Erector Spinae (Low Back Muscles), Lower Multifidus (Low Back Muscles), Iliocostalis Lumborum (Low Back Muscles), Quadratus Lumborum (Low Back Muscles), Posterior Portion of the External Obliques (Posterior Core Muscles), Psoas (Deep Hip Flexors), Tensor Fasciae Latae (TFL – Superficial Hip Flexor), Quadriceps (Anterior Leg Muscles), and the Intrinsic Foot Muscles.

Finally, practice a variety of exercises integrating these underactive muscles with larger Movement Patterns, including squatting, lunging/step-ups, jumping, running, and even standing. Also, challenge stability, coordination, and balance with single-leg and/or Change of Direction (C.O.D.) exercises.