re: Sindrome do medio gluteo

[Luismsc]

Procuro informação de colegas que tenham observado repetidamente em mulheres de meia idade, um quadro de dor na região do medio gluteo e tensor da fascia lata.

[suesellars]

Can you get someone to translate your message to English? It would help you to get more replies.

[Max]

Now I may simply be missing the point entirely here but I assume we are talking about GMed/TFL balance here. TFL overactivity is a very interesting topic as it has been blamed for everything from knee and foot pain to pelvic and back pain. My understanding is this - it is a muscle that appears to become overactive in the presence of poor deep hip flexor or poor hip abductor muscle function (hence the relationship with GMed) as it is a synergist for these movements. It is a very common clinical presentation, though there is no concensus on how to deal with the problem. The traditional view was to stretch it, but of course this will have no effect on the mechanisms of the maintenance of it's overactivity. Hence the current view is, to my understanding and clinical practice, to assess the direction of substitution and re-establish appropriate control in that direction, be it flexion or abduction, before stretching if still necessary (often the length problem sorts itself out with the re-establishment of control). Other ideas to inhibit TFL - Tape - Jenny McConnell's inhibitory tape on VL seems to do a fine job of reducing TFL activity as does her gluteal tape........now if only I spoke spanish or portugese I could have a go at answering the question you were asking. By the way - nice pictures of EMG ratio's b/w TFL and GMed improving with treatment in Glen Kasman's Clinical Applications to Surface EMG, published by Aspen Publishers in the USA