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Spire Injury Clinic

Deactivated/Weakened Gluteus Medius

Deactivated/Weakened Gluteus Medius

Fig 1 Lateral Sling

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Fig 2 Trendelenburg Gait

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Deactivated/Weakened Gluteus Medius

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The Gluteus Medius (G Med) is key in one leg stability. The muscle itself can perform multiple movements including internal and external rotation of the coxal joint but is a key muscle during the gait cycle and dynamic pelvic stability. For this reason runners seem to suffer the worst symptoms from a dysfunctional G Med. The G Med works in a muscular sling called the Lateral Sling. This is comprised of ipsilateral Leg Adductors and G Med and contralateral Quadratus Lumborum (QL) Fig 1. In hip abduction the G med should initiate the movement followed by the ipsilateral Tensor Fascia Latae (TFL) then the ipsilateral QL. If the G Med does not function correctly during the gait cycle a Trendelenburg gait may be adopted by the body. Fig 2

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So a dysfunction in the G Med can cause over recruitment of any of its' associated muscles. Poor G Med function allows the knee to drift medially which in turn causes the ankle to over pronate. This can lead to conditions such as Iliotibial Band Friction Syndrome (ITBFS Runners Knee), Lateral knee pain,  Achilles Tendinopathy, Plantar Fasciitis, Piriformis Syndrome. An over recruitment of the QL because of a poor G Med function accounts for a vast amount of back pain I see in my clinic.

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Below is a week by week guide on how to stretch and exercise to restore normal G Med function in conjunction with your sports massage.

Week 1

Stretches pre exercise

Exercises - Perform 2 sets of 10 reps each side

Week 2

Stretches pre exercise

Exercises - Perform 2 sets of 10 reps each side

 Week 3 

Stretches pre exercise

Exercises - Perform 2 sets of 10 reps each side

Week 4

Stretches - If Active Piriformis proves to difficult go back to the MET stretch

Exercise

Week 5

Stretches - If Active Piriformis proves to difficult go back to the MET stretch

Exercise

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Thanks to you Alex, I was able to march in the veteran's parade at the Cenotaph on Sunday; "eyes right" to His Majesty King Charles III. I keep up the exercises you prescribed and have re-joined the gym, so a thousand thank you's. Best Regards Tim via email

Hi Alex,

I walked all around Clark's village on Monday with no pain or soreness, not even once I'd got home! Thank you so much, you have literally changed my life ! Best wishes, Daisy via email

I was convicted I had Plantar Fasciitis. No matter what I tried, the problem never went away and I was left with the realistic possibility that my future running would always have a degree of discomfort. Having exhausted all options I stumbled across Alex and booked an appointment more in hope than expectation. It was the best running decision I've ever made! ....... 3 months on and the results are amazing! I am now back to running pain free and I can't thank Alex enough. THANK YOU ALEX! Phillipa via Facebook comment

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CONTACT

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Email: bookings@spireinjuryclinic.com

Tel: 07557 537410

Spire Injury Clinic, 50 Norman Drive, Old Sarum,  Salisbury, WIlts. SP4 6FP

Email: bookings@spireinjuryclinic.com

Tel: 07557 537410

Opening Hours:

Mon: 9am - 4:30pm

Tues: 12pm - 9pm

Weds: 9am -4.30pm

Thurs: 12pm - 7.30pm

Fri: 9.00am - 4.30pm 

​​Saturday: 9am - 5pm ​

Sunday: Closed

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