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Are you at risk for ‘dead butt syndrome’?

By The Health News Team | January 10, 2025
Woman sitting and holding her hips in pain

It’s well-known that sitting too long can lead to health problems. But did you know it can also be bad for your backside? “Dead butt syndrome”, while a funny-sounding term, is no joke; the condition is tied to a sluggish rear end and can cause extreme discomfort and pain.

Stewart Sanders, a physical therapist and the director of Sharp Rees-Stealy’s Running Clinic, shares four things you ought to know about dead butt syndrome:

The definition: Dead butt syndrome, also known as gluteal amnesia, is a condition where the gluteal muscles in the back of your hip are inhibited, weak or not working correctly during functional activities.

The symptoms: Symptoms of dead butt syndrome can include pain in your glutes or lower back. Occasionally, numbness can occur in the lower extremities. If glute muscles are inhibited, it can also lead to mechanical knee and ankle discomfort while walking or running.

The causes: Dead butt syndrome can be caused by inactivity or prolonged sitting. With habitual sitting, muscle imbalance can occur around the hip. The hip flexors and quadriceps in the front of the hip can become tight and inhibit the glutes, leading to weakness and dysfunction. Even active individuals can experience dead butt syndrome if they have difficulty engaging their glutes during exercises.

The solution: Preventing dead butt syndrome involves recognizing its symptoms and making lifestyle changes to counteract the effects of prolonged sitting, such as:

  • Limiting the duration of sitting activities as much as possible or standing and moving frequently to avoid prolonged periods of inactivity

  • Incorporating general exercise and fitness routines with a focus on glutes and core muscles

  • Stretching muscles in the front of your hip, such as the hip flexors and quadriceps, while strengthening muscles in the back of your hip, particularly the glutes

Exercises to wake things up

Stewart also recommends exercises that can help reduce the risk of dead butt syndrome and promote overall health and well-being. These include:

1

Side leg lift

  • Lie on one side with your feet and hips stacked, your leg straight and your head resting on your arm.

  • Keep your core engaged and slowly lift your right leg without rotating your hips.

  • Pause, then lower your leg back to the starting position.

2

Clamshells

  • Lie on your side with your legs stacked and your hips and knees bent 45 degrees.

  • Rest your head on your lower arm, keep your heels together and engage your core.

  • Open and close the top knee, hinging at your hip and heel.

  • Pause, then return to the starting position.

3

Hip extensions

  • Lie on your stomach with a folded pillow under your pelvis.

  • Lift your leg off the ground, keeping your hips stable.

  • Hold briefly, then lower your leg.

4

Glute bridges

  • Lie on your back with your arms at your sides, your knees bent and your feet flat on the ground.

  • Squeeze your glutes and lift your back and butt off the floor to create a bridge from your knees to your shoulders.

  • Pause for two or three counts and release.

5

Lateral band walk

  • Stand in a quarter-squat position with feet hip-width apart and a resistance band around your knees or ankles.

  • Step your left foot out to the side, followed by your right foot, maintaining tension in the band and engaging your glutes.

  • Continue stepping side-to-side while keeping your core tight.

If you experience hip, back or lower extremity pain, talk with your doctor. A mechanical evaluation with a physical therapist may be recommended.

“Try to be active on a regular basis and limit sitting activities as practically as possible,” says Sanders. “Don't let work or recreational activities be a pain in your butt.”

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