Trigger Point Therapy - Treating Gluteus Maximus
Thigh Muscles - showing the Gluteus Maximus and Gluteus Medius
Weak gluteal muscles can have wide-reaching implications up and down the kinetic chain
The gluteus maximus plays a significant role in stabilizing both the sacroiliac joint and the knee joint.
It does so by means of superior fibers, which attach to the aponeurosis of the sacrotuberous ligament, and inferior fibers, which attach anteriorly to the iliotibial band, providing tension down to the knee.
Because the gluteus muscles are also called on to support and stabilize our core - they are called into action without our realizing it when we are sitting at a work desk, or driving for long periods.
Gluteus Maximus - Common Trigger Point Sites
Overuse from simple every day activities can lead to trigger points in this muscle, and these trigger points may exist for long periods without manifesting in painful symptoms.
It is also hypothesized that gluteal trigger points could be a result of inhibition in the gluteals caused by spasm in the psoas, gluteus medius, and gluteus minimus.
The formation of these trigger points provides much-needed tension for sacroiliac support.
We also note that the glutes can tend to get overlooked by some therapists, understandably, as this is a sensitive area to treat.
When clients appear in our clinics with lower back pain, we almost always check for trigger points in gluteus maximus.
Once you deal with the sensitivity of treating this area (with careful and detailed explanation to the client) trigger points in the glutes are actually quite simple to identify and treat.
As with all large muscles, these trigger points can take a while to release.
Ask your therapist about trigger points.
Gluteus Maximus - Common Pain Map
Here's a stretch that we often recommend for these muscles:
Lie on a bench on your side. Allow the top leg to fall forward and off the side of the bench.
Try not to let your leg fall too far forward and use the weight of your leg to do the stretching for you.
Muscles Being Stretched
Primary muscles: Tensor fasciae latae. Gluteus medius and mininus.
Secondary muscles: Sartorius. Gluteus maximus.
Injuries Where This Might Be Useful
Trochanteric bursitis. Iliotibial band syndrome.
About NAT Courses
As a manual therapist or exercise professional, there is only one way to expand your business - education!
Learning more skills increases the services that you offer and provides more opportunity for specialization.
Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money.
About Niel Asher Education
Niel Asher Education is a leading provider of distance learning and continued education courses.
Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.
Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne).
We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
Award Winning Instructors
Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.
If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.
In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.
There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.
Niel Asher Technique
Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.
The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.
Most of our courses are available as either "Printed" or 'Download" editions. When you purchase a download edition, you receive immediate lifetime access to all course material. Course texts can be downloaded and printed if required.
When you purchase a "Printed" edition, you will also receive free access to the download edition.
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Where to Start?
We offer a range of over 50 courses, presented by some of the worlds leading manual therapists. All courses are reviewed annually, and new courses are regularly added.
Our courses are modular, and designed to build on what you already know. For more information, please visit our "Where to Start?" page.
This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
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Scraping, a manual, ancient practice where pain points are worked with a gua sha (smooth-edged tool), reportedly increases blood flow by up to 400 per cent more than foam rolling and massage guns. By breaking up old, damaged blood vessels to promote new growth and healing, these tools are useful for getting into the nooks and crannies of a pain point, especially in delicate areas like along the shin muscles and under the foot.
Tim Tian has taken the scraper idea and supercharged it, creating a manual, triangular tool that blends heat and vibration therapy. “Cold blades stiffen muscles, blocking a deep release,” he says.
The heated scraper device takes just three seconds to reach 50ºC. This helps muscles soften, making it easier to massage away tension, increase blood flow and promote healing. The scraper is specially great for alleviating delayed onset muscle soreness (DOMS) in the quads, and provides a relaxing switch-up from the foam roller slog.