Little muscle- BIG pain! We wanted to tell you about a classic case that appeared in clinic this week as it may also help you – a lady in her mid 30’s came into clinic with excruciating pain and tingling sensations radiating down the back of her thigh. Good old ‘Dr Google’ had suggested this could be sciatica which had got her really worried.
On examination, we found a nasty little group of what are called “trigger points” (focal areas of hyperirritability within a muscle) in her gluteus minimus muscle, and palpation of these reproduced the exact pain she had been experiencing. But what is this? The referred pain generated from trigger points in the gluteus minimus is notorious for activating other trigger points in the TFL, quadriceps, gastrocnemius, hamstrings, and peroneal muscle groups- in fact, gluteus minimus referred pain is often referred to as “pseudo-sciatica”, as it so closely mimics the symptoms of sciatica.
What commonly causes a glute min trigger point?
– Walking or running on uneven ground
– Sitting on a wallet (hello chaps- we’re talking to you!)
– Limping (from a foot or lower leg injury)
– Driving long distances or sitting for long periods
– Sacroiliac joint dysfunction
Fortunately, with a comprehensive treatment programme which addresses the many components of this problem, this issue can be resolved swiftly and successfully in clinic, helping to relieve what is a literal “pain in the butt“!
Butt!? What is TRUE Sciatica?
Learn more with our online course – Understanding pain here.
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