- TrPs in the gluteus medius and piriformis muscles.
- Trochanteric bursitis.
- L5 radiculopathy
- S1 radiculopathy
- Sciatic nerve entrapment.
- “Sciatica” NOTE: sciatica is a symptom, not a diagnosis; its cause should be identified.
- SI joint dysfunction.
- Facet Syndrome of the lumbar spine.
- Nerve root compression by spinal tumors.
- Spinal stenosis.
- Compression of the cauda equina (section of the spinal cord) by a herniated lumbar disc.
- The gluteals may be activated by falling or by attempting to stop a fall.
- Sleeping on the side without support between the legs.
- Sleeping on the back with the legs straight.
- Injections of medications into the gluteals may aggravate TrPs in this muscle.
- Lengthy tennis matches.
- Long walks on a soft sandy beach.
- Standing on one leg for an extended period of time.
- Sitting too long in one position.
- Morton foot structure.
- A wallet in the back pocket can compress TrPs in the gluteals, thus aggravating them.
- Putting pants on while standing can overload the gluteals especially if the person catches their foot on the inside of the pant and falls.
- SI joint dysfunction.
- Prolonged standing, as when waiting in a line, or standing for long periods at a social event.
- A lower limb discrepancy of 5 mm (1/4”) or more that causes a functional scoliosis should be corrected.
- Limit sitting to no longer than 15 to 20 minutes. Get up and walk around. A timer may be placed on the other side of the room to initiate.
- When sleeping on the back a bolster, rolled up towel, or pillow should be placed under the knees to keep the gluteals from shortening.
- When lying on the side a pillow should be placed between the knees to relieve the tension being created by the “sagging” upper leg.
- Move the wallet from the back pocket to the front pocket.
- Use of a rocking chair to help relax muscles.
- Sit down or lean against a wall when putting on pants and socks.
- Displacement of the SI joint should be corrected by mobilization or manipulation techniques.
Simons DG, Travell JG, Simons LS, Myofascial Pain and Dysfunction: The Trigger Point Manual, vol 1, 2nd Ed. Baltimore: Williams and Wilkins, 1999.
Travell JG, Simons DG, Myofascial Pain and Dysfunction, vol 2. Baltimore: Williams & Wilkins, 1992.
This information is not intended to diagnose, treat, or cure any disease.
A proper diagnosis should be sought from a licensed health care provider.