National Associaltion of Myofascial Trigger Point Therapists - Symptom Checker

Gluteus Maximus
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This is the technical name of the muscle being described.  This name may be used to find additional information in any medical resource. Gluteus Maximus
A group of muscles generally denotes muscles of the same function and may share a common attachment point. Glutes (Buttock)
Muscle function, in this definition, is what the muscle could do if it was to contract by itself with the body in anatomical position.  This is a general definition of muscle function.  For more information on how muscles work together on the body please refer to a physiology or functional anatomy text.

Strong extender of the thigh at the hip and rotates the thigh laterally.

A description of where a Myofascial Trigger Point may produce pain in the body.  This area is generally located away from the trigger point.

Pain is referred locally to the buttock and is most commonly found in the area of the sacrum as well as the gluteal fold.

A description of the symptoms a person may experience with trigger points in the muscle being described.

A person with TrPs in the gluteus maximus may complain of pain from prolonged sitting and increased pain from walking up hill with a bent forward posture.

   

 A list of possible diseases that fit the information derived from examination of a patient.

  1. Subacute trochanteric bursitis of the subgluteus maximus bursa.
  2. Facet syndrome of the lumbar spine.
  3. Fibrosis of the superficial lumbosacral fascia.

A list of activities or positions that may either CAUSE a trigger point to manifest or PROLONG a pain condition respectively.

  1. The gluteus maximus may be activated by falling or by attempting to stop a fall.
  2. Direct trauma to the maximus from a fall.
  3. Sleeping on the side without support between the legs.
  4. Sleeping on the back with the legs straight.
  5. Injections of medications into the gluteals may aggravate TrPs in this muscle.
  6. Leg lift exercises.
  7. Sitting too long in one position.
  8. Morton foot structure.
  9. A wallet in the back pocket can compress TrPs in the gluteals, thus aggravating them.

A corrective action is usually a modification of daily routine which will reduce stress on the affected muscle(s) in a person with myofascial trigger points.

  1. A lower limb discrepancy of 5 mm (1/4”) or more that causes a functional scoliosis should be corrected.
  2. 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.
  3. When sleeping on the back a bolster, rolled up towel, or pillow should be placed under the knees to keep the gluteals from shortening.
  4. When lying on the side a pillow should be placed between the knees to relieve the tension being created by the “sagging” upper leg.
  5. Move the wallet from the back to the front pocket.
 

References : 
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.