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TENDON COMPRESSION PAIN: GLUTEUS MEDIUS

Did you get the concept for Achilles Tendon compression pain from the two pictures in last week’s newsletter? Limit “loaded end of range dorsiflexion”. Not sure what that means? – well you’ll have to wait until after our next Stretchband Mobility series until we do Achilles Tendon Rehab 🙂
OK! Easy one today for those who followed our series last year: Gluteus Medius. If you never got to see it either go hunting in the Cafe on the website, or sign up for easy access to our amazing new Rehab Vault where the search engine will find you all videos, PDFs, and newsletters from the last 2 years. It’s got everything you want and it lays it out nicely for you! However it’s not  ready quite yet – stay tuned until next week 🙂
So, over to you Chris:Gluteal tendons. The gluteals attach onto the greater tuberosity of the femur which is a big bump of bone on the outside of the thigh. When the hip is flexed and adducted, the tendon is pushed against the bone. This happens when the patient allows the hip to drop into a “Trendelenburg” position, like this picture:
 (A) Good Gluteus Medius control 
vs (B) Weakness of Gluteus Medius leading to the “Trendelenburg Sign”
 
Practical Considerations:
  • The other factor here is sleeping on that hip. The body weight may cause the tendon to be compressed, especially on hard mattresses or surfaces.
  • Wider pelvis will also predispose to this type of tendon compression.
  • Long periods standing and leaning into the hip lazily is very detrimental to the tendon as it is loaded at end range.
 The Gluteus Medius Tendon (and less so, Gluteus Minimum underneath) are subject to compression as it slides around the Greater Trochanter
 
Cheerio! Ulrik
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