Physiotherapy Portal

Lazy Arse

Posted by Stuart Fossella on Thursday, September 22, 2016

Are you a lazy Arse? - Dormant Butt Syndrome

This was kindly pointed out to me today by a patient and it made me chuckle.

When I assessed the patient I pointed out her super weak Glutes - these are the muscles that make up the buttocks, and she told me she must have a 'Dormant Butt'.

Now we have previously written about the hard time the Glutes have, either being accused of being too tight or too weak!

But this piece is great, if only for coining the term a Dormant Butt.

<<Here it is->>

The piece potentially links weak Glutes to well... Just about everything :-)

Back pain, Knee pain, Ankle pain...

So here's the link and the Video piece with the recovering victim of Dormant Butt Syndrome - Note on her caption 10 seconds in, she 'Had' Dormant Butt Syndrome - thankfully it would seem she now has a lively Butt

Check the piece above

To all of our patients running the Cheltenham half on Sunday - good luck, you guys certainly aren't lazy Arses.

If you see our very own Francesca on the route - give her a shout - Good luck all of you

“If you have enjoyed reading this piece and know of someone else who may find this or our previous pieces interesting please forward on details of our Blog. Big Thanks :-)

You can find our other pieces right here--->>>

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Trochanteric Bursitis

Posted by Stuart Fossella on Saturday, November 24, 2012

hip anatomy displaying trochanteric bursitis

Trochanteric Bursitis

A Trochanteric bursa is a fluid filled sac that lies on the bony part of the upper, outside edge of the thigh bone (the greater Trochanter). This Bursa or sac acts to reduce friction from overlying muscles.

The following link provides a 3D image of the outside of the thigh bone where the sac sits Healthline

If this structure or structures around this area become irritated and inflamed it can cause pain locally at the site of the Bursa.

Pain came become apparent because of dysfunction of the muscles that attach to closely to the site of the Bursa, because of altered movement patterns, because of hip Arthritis, repetitive trauma from cycling, running frequently on a camber, increasing training intensity rapidly or because of foot posture.

Clinical Signs

  • Localised pain at the upper outside part if the thigh or pain further down the thigh.
  • Pain in walking, running or stair climbing.
  • Sleep may be disturbed because side lying causes an increase in pain.


  • It is important to establish the underlying cause of the ‘Bursitis’ that is limiting your function whilst addressing your acute pain.
  • To do this we will use techniques such as icing, soft tissue release, local hip stretching and strengthening.
  • Pelvis stability may need to be improved to prevent re-traumatising the Bursa.
  • Ultimately foot posture may need modifying or bike set up may need investigating.

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