Weak Butt Causes, Symptoms and Treatment

When I first started running I was diagnosed with something that is becoming more and more common. It’s common among runners and other athletes but it’s also common among people who work in offices and sit most of the day. It’s becoming more and more common – weak butt or what is also known as dead butt syndrome.

It sounds a little scary and crazy, but this is the name for a condition in which your glute muscles stop working correctly or “firing” and leave a portion of your lower body weak and imbalanced. Having a weak butt can emerge in many forms from trouble with running, to lower back pain, pain while sitting and more. Today I’m sharing more about this condition, the symptoms I experienced and how to treat a dead butt.

Weak Butt

Weak Butt

What Were My Weak Butt Symptoms?

Prior to experiencing this condition I had never heard of it. My story dates back to early 2011. I had been running consistently for about two years, averaging 20 to 30 miles per week. The condition emerged in the weeks and months following the completion of my first half-marathon in the fall of 2010.

After completing my race I took the necessary rest time and then slowly eased into running again. My goals were to complete a few 5Ks and 10Ks in the fall. But something wasn’t quite right.

The strange thing was I had no pain or symptoms in the area of my glutes. Dead butt syndrome actually manifested itself in one of my toes. I began to have pain in my toe while running. It may sound minor but over time it was becoming more and more troubling to the point where I wasn’t enjoying running or couldn’t complete my runs.

I went to several specialists, including a foot doctor and a running store, and was not getting answers. I even considered if my barefoot running adventures were causing the pain.

Weak Butt

Weak Butt

How is Dead Butt Diagnosed?

I was told I might have “turf toe” which is a common foot condition football players get when kicking a ball. Still seeking answers I finally schedule an appointment through my insurance provider with a sports medicine doctor. At that time I had not run in 26 days, nearly a month, which felt like an eternity for me.

By the time my appointment with the sports medicine doctor rolled around the toe pain wasn’t even there anymore. I told the doctor that the pain would always subside when I stopped running. Walking, taking spin classes, lifting weights and exercising on the elliptical did not cause the toe pain – only running. Turns out I had a weak butt.

As part of my visit to the sports medicine doctor he took an X-ray of my toe to make sure it wasn’t broken or sprained – it was not. He also looked for bone spurs and degeneration of tissue, there was none. He had me pace around the office while watching my stride. He also did hands on adjustments to feel where my hip bones were and to measure.

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What is a Weak Butt?

The technical term for weak butt or dead butt is a misalignment of the sacral region – or a pelvic alignment issue. When pelvic alignment is off the entire body goes haywire. This misalignment is exacerbated by movement and exercise.

Basically every time I kept running I kept pushing my alignment more out of whack and adding to the muscle imbalances. The toe area is simply where my pain manifested. For others it could be pain in other areas of the legs or the back. It just depends on your individual muscle imbalance.

What is a muscle imbalance? A muscle imbalance means one muscle is weaker than another. Muscles work in pairs, and to perform best each side of the pair should be strong.

 Muscle Imbalances

Weak Butt


Muscle Pairs Glutes

The muscle pair for the glutes is the hip flexor. This is the muscle in front of the hip that propels the leg forward when walking or running. For runners this muscle is used a lot. At the time that I developed a weak butt I wasn’t doing a lot of cross training, I was running a lot.

Fast forward to present day, I learned a lot recently about muscle pairs when I went to a yoga class led by Sally. She talked about weak glute muscles, how to engage them and strengthen them. If you are local to Cleveland I encourage you to check out Sally’s class at Inner Bliss Yoga. You can also follow her on Instagram for tips on fixing this condition.

What are Symptoms of Weak Butt?

He said my toe problem is not a toe problem at all. It’s a pain that manifested down there as a result of misalignment of my pelvic region. My body was trying to compensate for the alignment. The doctor said strength begins in the core and upper body. If there are issues up there they can roll downward – in my case to the foot and toe.

When I was diagnosed with weak butt, he found that my right hip was higher than the left, thankfully my legs were the same length, although having legs of differing lengths can be a contributing factor to this condition, he said.

I do have scoliosis as well. I was diagnosed as a pre-teen and had my spine realigned by wearing a brace. I asked the doctor if my scoliosis contributed at all to my weak butt condition. He said it was not a cause of my current condition, but also said he wasn’t surprised I had scoliosis when he saw my hip issues.

How is Weak Butt Treated?

The treatment for a weak butt is a weak glutes test and typically physical therapy, and this is the route I took in 2011 when I was diagnosed with the condition. The sports medicine doctor sent me to physical therapy sessions to strengthen some of my behind muscles – along with pelvic and hip areas.

The physical therapy sessions included both stretching and strength exercises to realign my body and improve my running form going forward. The therapy is also intended to reduce or stop pain – which in my case it did – the toe pain went away. During the sessions we also worked on side-to-side muscles that can become weak and are not used much during running.

Physical therapy sessions included a variety of tools and a glute workout which helped me learn how to strengthen weak glutes. There were also tools I used at home to help stretch and strengthen my body including:

Yoga Mat (the Manduka Black Mat PRO is my favorite)
Yoga Blocks
Foam Roller (great for massaging IT band, read my massage tools review)
Massage Stick
Exercise Resistance Bands (aid with hip strength, and more)

Weak Butt and Running

I did ask the doctor if my barefoot running shoes were to blame for my diagnosis and he said he had no professional opinion on the shoes and that I could continue to wear whatever footwear I wanted. I was still confused, however, as to why the toe hurt so bad.

The doctor said my misalignment probably caused sesamoiditis, which was one of the initial hunches I had when the pain started. I had even talked to a former physical therapist about this and he agreed. My sesamoids were not broken or inflamed, and being I didn’t have pain at the time of the appointment, the condition had likely subsided.

The doctor told me I could continue to run as long as I felt comfortable. He told me to start back slowly at 2 miles at a time, twice per week, all while attending the physical therapy sessions. My therapy started in February and a month later in March I had a follow up appointment with the doctor at which my condition had greatly improved, along with my muscle balance.

What Can Fix a Weak Butt?

For me, following the directors from the doctor and going to physical therapy fixed my weak butt. Ever since the incident I’ve been more mindful of practicing whole body conditioning and strengthening. Today I still run but only a few miles a week. I think the problem really came to a head for me because I was running so many miles and not doing any other cross-training.

At the time of my diagnosis I had also recently taken on a desk job and was sitting a lot more. Sitting has shown to be a contributing factor to a weak butt, also known as gluteal amnesia, and the condition is becoming more and more common today as so many people work at desks and sit all day.

Check out my post about how to stay fit at your desk job to learn how to combat this. A few months ago I purchased a standing desk to help me to stand more during my work day. It has helped me tremendously.

I like the change in routine and my body is less achey after a day of working. I purchased the TaoTronics Standing Desk Converter and it’s been working great. I am having trouble finding that converter in stock now but here’s a link to a similar one.

Weak Butt

Weak Butt

In Summary

At the time when my weak butt diagnosis happened all I cared about was running more. Today, I’m a little older and wiser and I care about having a balanced body overall. As I said, I still run but I’m a little smarter now about working out the whole body.

I am glad my diagnosis was not something more severe and that I was able to fix my dead butt syndrome my simple exercises and stretching that helped me to learn how to strengthen glutes.

The condition is becoming more common but there are fixes. I would encourage you to consider going to yoga firing up those glutes to build additional strength and combat weak hamstrings. Also the standing desk won’t hurt to try.

Have you experienced dead butt syndrome?


17 thoughts on “Weak Butt Causes, Symptoms and Treatment”

  1. That’s crazy! I had no idea that was a thing! As soon as I read this, I kid you not, I went over to the counter and started standing up while working rather than sitting at the table. I’ll keep this in mind as my husband and I are runners too!

  2. If you don’t mind me asking, what were the exercises the PT had you do to align the pelvis? I’m dealing with nearly the exact dilemma. Thanks!

  3. Hi, I had knee pain and was diagnosed with the same pelvic misalignment as you. My chiropractor gave me a heel lift and said to strengthen the muscles. I wonder if the heel lift is needed. How did your dr find out your legs are equally long? How did recovery go for you? I would appreciate your feedback!

    • Hi Christine, I had a physical exam with a PT and a doctor. I remember them measuring my legs from the hip bone so I think that’s how they determined they are both the same length. Recovery went well and I followed all my PT exercise. I do not run as much today as I did back then but (knock on wood) I have not had this pain again.

  4. Thanks for the support everyone! Glad to hear I am not alone! The specific butt muscle the doc mentioned is the gluteus medius. Google it for images. He put his hands on my hips (G-rated) to determine one hip was higher than the other.

    No suggestions of chiropractor, only PT at this point.

  5. Really basic question given the above comments, how does one know one has a weak butt? It sounds like it's pretty common – could my butt be weak?

  6. I have a similar alignment issue. i've been thru PT and visited chiropractors. i'm seeing a chiro now that seems like a cross between PT and chiro. I actually think that yoga is helping me more than anything (odd as that might seem). good luck getting yourself "straightened out"

  7. After spending 2 months in PT for pf and tendon issues one of the main things my PT was working on me was my core. I had so many issues training for the marathon because i was only focusing on running. no more. I have to be more rounded to get a flatter stronger core. 😉 I hope this is the answer for you!

  8. When I look in the mirror, one hip is higher than the other. Maybe that explains some of my aches and pains. Hope the PT works for you!

  9. Very interesting. I am happy you finally have some answers and you are on the road to recovery and running pain free.

    I hurt my knee early Jan and after 25 days of not getting better, I went to a sports med PT and he is doing AMAZING things for me! So I really hope your experience is a good one!!
    Best wishes 😀

  10. Good news! The pelvic bone's connected to the toe bone…!?! (get that song out of your head, hehe). I too have a weak butt, but it manifested itself in extremely angry hip flexors…

    Glad to hear you're on your way to running again. It's definitely been a long time coming!

  11. funny how a weak butt can become a pain in the BUTT!!!! my knee, ankle, toe issues all stem from my weak butt. did you get the last issue of runner's world. theres a whole article about the glutes and exercises to strengthen that area. i still think im going to work on gait changes with barefoot/minimal running in addition to my butt exercises.

  12. Very interesting!!!! Did he say chiropractic would help at all? PT will definitely do great things for you. If I didn't have my lil' rehab friends in my "pocket" I would NEVER be able to do this running thing (thanks "L" and "L"). How wonderful to get the green light to run again and also to hear that it's fixable! WOO! Sounds like it was great news, no? Slow and steady. I'm super excited for you. So glad it wasn't like a fracture, or that terrible turf toe. Yeah for not needing orthotics. Can't wait to hear about your return to running posts. Take 'er easy, chica!


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