In general, trigger points in gluteus medius hurt most during walking, slouching in a chair, and lying on the back (compression of the maximus compresses the medius), or when the muscle is directly compressed.

The pain can be intense enough to keep you awake, or wake you up if you roll over onto your side, compressing the trigger points.

This can make sleep difficult if you have these trigger points on both sides.

These trigger points could be mistaken for sacroiliac dysfunction, can be a reason for “failed surgical back,” and may contribute to sciaticalike pain.

Although trigger points in the gluteus medius tend to congregate near the tendon attachments, they can be found anywhere in the muscle.

When the gluteus medius and minimus are weakened by trigger points, trochanter pain (in the area of the hip ballandsocket joint), sciaticalike pain and what some call “hip abductor pain syndrome” may result.

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