The Gluteus Medius muscle is broader and more superficial than the minimus. It has a large origin from the rim of the ilium inferior to iliac crest, between posterior gluteal line and anterior gluteal line.During walking, this muscle, along with the gluteus minimus, prevents the pelvis fromdropping toward the non-weight-bearing leg. Trigger point referred pain patterns in the gluteus medius tend to refer pain to the lower back, medial buttock, and sacral and lateral hip, radiating somewhat into upper thigh.
The Gluteus Medius muscle is mostly deep to, and obscured by the posterior fibers of the Gluteus Maximus muscle; it can be palpated and accessed on the surface between the Gluteus Maximus and the tensor fascial (TFL). It is interesting to note that the trigger point referred pain map for the Gluteus Medius is very different to that of the Gluteus Minimus muscle which refers extensively down the back and the side of the leg. Clinically, we often find the hip abductors manifest trigger points secondary to gate and posture issues, leg length discrepancy. It’s also worth remembering that the muscle is put under test when looking for the Trendelenburg sign.
How do you treat trigger these trigger points? We’d be delighted if you want to share your own best practice.