Trigger Point Therapy - Gluteus Minimus
Treating Gluteus Minimus - Stuart Hinds
[Greek gloutos, buttock; Latin minimus, smallest]
The gluteus minimus is situated anteroinferior and deep to the gluteus medius, whose fibers obscure it.
Origin
Outer surface of ilium between anterior and inferior gluteal lines.
Insertion
Anterior border of greater trochanter.
Action
Abducts, medially rotates, and may assist in flexion of hip joint. Antagonists: lateral rotator group.
Nerve
Superior gluteal nerve, L4, 5, S1.
Basic Functional Movement
Example: stepping sideways over an object, such as a low fence.
Gluteus Minimus - Common Trigger Point Sites and Referred Pain Patterns
Referred Pain Patterns
A multipennate muscle with multiple anterior, middle, and posterior trigger points referring strong pain in lower buttock, hip, and lateral lower extremity beyond knee to ankle and calf.
A huge percentage of leg pain, including sciatica, has a connection to gluteus minimus and hamstrings.
Indications
Pain sitting to standing, pain at rest/walking/side lying, night pain (may wake), hip replacement, sciatica/pseudosciatica, leg length discrepancy, postural issues, hip pain in bed, arthritic hip, post hip surgery.
Causes
Sitting on wallet, sports injury (tennis, running, biking), trauma from fall, motorcycling, standing on one leg, sitting cross-legged, hip/ knee/ankle injury/fracture, leg casts.
Differential Diagnosis
Radiculopathy (lumbar). Sacroiliitis. Hip joint dysfunction. Sciatic irritation. Hip bursitis.
Connections
TFL, other gluteal muscles, vastus lateralis, IT band, QL, peroneal muscles, piriformis, pelvic alignment.
Links
Find a Trigger Point Professional in your area
More Articles About ITB Syndrome
More Articles About Hip Injuries and Treatment
Online Hip Course - Stuart Hinds
Dry Needling for Trigger Points
Certify as a Trigger Point Therapist
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