Today I'm going to bring you the gluteus maximus and how to do some uh trigger points and how to
I'm going to show you how to drape also and how to work its a few techniques so let me show you
that you know this is a sensitive area with people so you want to make sure that you are keeping them
covered ask them to undress to their level of comfort what I like to do is I like to put my
hand like at the waist to hold right here that nothing on you know undrapes further than that
and then I kind of pull the sheet in and I tuck make sure you tuck in at the thigh you never want
to go in close to the groin or even here you want to tuck in at the waist and if they are wearing
their underwear then they can you can tuck it in like that okay and tuck in at the waist never
near the groin area Okay so once you have your client uncovered then start palpating you know
palpation you might want to warm up your hands a little bit it's very important for you to you
know palpate gently start find the superior the poster superior iliac spine right here and then
the sacrum the edge of the sacrum the gluteus maximus originates from the posterior part of
the ilium the sacrum and all the way down to the coccyx all the way down to here so all of these
is the origin Origins are closer to the midline insertions 75 percent of the fibers insert to the
IT band and 25 percent of the of the fibers insert on the gluteal tuberosity of the femur so it's
very important that you work the origin and the insertion and look at the IT band if the if the IT
band is tight it's going to pull on the glute if the hamstrings are tight it's going to pull on the
low back also the sacral tuberous ligament is part of where the glute originates the sacral tuberous
ligament and the s i joint so make you've got to make sure and work this out the trigger points
the most common trigger points are right here by the SI joint let's see I'm going to palpate her
SI joint is like right here so the trigger point is usually one of the trigger points is here this
one also refers down this trigger point and then the other two trigger points are about right here
you know right and you can palpate gently to find them and I'm going to show you that right now it's
just showing you more or less you know one of them is right by the S I joined and then two are down
here like by the where the fold where the fold is so you want to make sure and do some needing to
begin with you can go down the IT band I'm gonna after you've warmed it up remember you first you
warm up the the tissues and then you start working the actual muscles after you've warmed it up so
you can do some figure eights right here with your knuckles or you can also do some spreading apart
this is your strongest look at my hands now this is your strongest hip extensor your strongest hip
flexor is the psoas major so this is the opposite this one extends your hip can you extend your leg
for me please see this extends the hip this is the strongest extensor of the leg and this is
one of the movements is where you can pin right at the SI joint and have your client
extend so this would be an active Arctic move so do that you can do that a couple of two or
three times where she can extend her hip and it'll start releasing the origin one more time
okay drop your leg and then the next one I'm going to show you another one where you put a
pillow like for me now it's hard for me to lift their legs so I would put a pillow underneath
here so let me get that real quick okay so now I'm going to get a pillow if if you can't lift
up the leg and you just want it hyper extend the the hip a little bit okay lift up your leg for
me real quick and then you can put the pillow back there and see that automatically you know
puts her hip at extension remember this is the strongest the gluteus maximus is the strongest
hip extensor so this is an extension and if you if you are strong enough that you can hold the
leg here and pin and and stretch here at the SI joint you can go all from the S I join to
the iliac crest even close to the sacrum but do it over the sheet so and then you lift up their leg
you know and down and then again move an inch down lift and down move down another inch lift and come
down so this is a good pin and stretch another one that you can do is after you remove the pillow
then you can put her this is what I call the Frog right here where you do the uh
the leg hip extension here this is great to work the it Bend you can use the forearm
this is X and I don't want to use too much oil here because I don't want to get it all over again
but you can do some great work here on the it Bend you can lift and separate the
fibers lift and separate the fibers lift and separate lift and separate
all the way down by the knee remember that the IT band keeps your knee in you know so several
muscles attach here you can use your you can separate do a soft fist like you're folding a
Taco soft fist and then go from this from the medial part and then out separate the fibers
you can move all the way up to the gluteus Max you can even do this to the gluteus Max
you're gonna try to move this muscle as much as you can so this is a great way to get here
to the greater trobe counter here the hubcap of all the insertions also of the deep hip
Rotator muscles but make sure that you can work this out you know every part of the gluteus
maximus these fibers are tight this is a very strong muscle and putting the muscle on extension
right here really helps and I want to show you too like this this is a large muscle so you could use
the this big uh you know tool right here even to use it for the trigger points so let's say
we're going to go to the SI joint trigger point right here and I can press with this so my thumbs
don't get tired you press and I I kind of do a circular motion there is no evidence of why but
going into a circular motion heals and releases the trigger point a little bit faster probably
because everything in the world is usually round so you can hold it from 10 to 20 seconds
and then release and then you might want to go down here to the other trigger point and
you can palpate let's just assume that I found it right there you can press and hold for 20 seconds
and then release and then you can go to the other trigger point which is approximately here at the
insertion at the gluteal fold the other two are almost right at the gluteal fold so you would also
hold and press this one here for 20 seconds until they completely release and then you go back again
you can do some figure eights with your knuckles with a soft fist you can do some nice petrissage
and effleurage look at my hands now they're completely purple
you can also use forearms you know make sure you push with your legs so that you don't
hurt your back I'm pushing with my legs going rocking back and forth you can do cross fiber
here too because the IT band is actually very difficult to loosen up it's a very tight Bend
so you can do some cross fiber here and the last one that I will show you is you always
want to assist by the knee you grab the ankle the ankle and the knee and then you bring their knee
their knee back you can also pin and stretch here this is another one of
for external rotation internal rotation so you pin and you stretch back and forth
and this is really good to loosen up the origins and then you can move your hand
or your fist or you can also use your palm if you're strong enough you can use the Palm going
all the way around I like to use my fist because it's a little safer for my hand
so you do internal and external rotation to loosen up the origins of the glutes you can also do it
at the insertion you can really feel the chalk counter there at the acetabula moving in and out
internal and external rotation moving one inch at a time from medial to lateral or lateral to medial
so those are some of the techniques that you can use and then of course
you want to finish off with some nice effleurage and some nice uh cross fiber
the ocean waves here and to get some relaxation back to the muscle by doing some even of the nerve
ending Strokes remember that what you're doing is you are training the the nervous system to relax
that muscle so it's very important for you guys to remember that you don't go beyond the tolerance
level of the client now I'm going to show you Sidelines so that will be part two [Music]