TRIGGER POINT OF THE WEEK – GLUTEUS MINIMUS
The Gluteus Minimus is a small multipennate muscle; This means in terms of trigger points that it can be considered as several separate muscles each with their own potential to have a trigger point. The Gluteus Minimus muscle lies deep to the Medius, it abducts, medially rotates, and may assist in flexion of hip joint. The trigger point maps are florid for such a tiny muscle, and lateral calf pain is a common feature – often mistaken for L5 dermatome issues. Trigger points referring strong pain in lower buttock, hip, and lateral lower extremity beyond knee to ankle and calf. Here you can see the anterior and posterior gluteus Minimus trigger point maps.
By: Bob Gerwin
Gluteus Minimus dysfunction from trigger points may present as: Hip pain sitting to standing also pain at rest pain on walking and pain side lying at night Which even wake the patient. The pain map can also be confused with sciatica/pseudo-sciatica. Some of the common causes of trigger points in the Gluteus Minimus might be from: Leg length discrepancy, postural issues, hip pain in bed, arthritic hip, post hip surgery. Other factors such as sitting on the wallet, sports injury (tennis, running, biking), trauma from fall, motorcycling, standing on one leg, sitting cross-legged, hip/ knee/ankle injury/fracture, leg casts may also have a role to play in trigger point genesis.
How do you treat trigger these trigger points? We’d be delighted if you want to share your own best practice.