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Positive Trendelenburg Test with Weakness of Left Gluteal Muscles

The Trendelenburg test is a simple maneuver to evaluate the strength of the gluteus medius and gluteus minimus muscle.  It is performed by having the patient stand unassisted on one leg while the other leg is raised off the ground.  The examiner places their fingers on the posterior ilaic spine.  If there is a significant drop of the hip on the side of the raised leg,  their is weakness in the gluteus medius and minimus muscle. gluteal-muscles

The gluteus medius and mimus muscle are responsible for rotating the hip inward and extending it outward(abduction).

They are critical in stabilizing the trunk and  keeping it in an upright position when one’s foot is raised while walking.

If there is weakness in the glueus medius and minimus there is structural instability with disproportionate forces placed on the hip and knee.  These forces can ultimately result in excessive wear of the joint cartilage and pain. knee-cartilage-22 Often times surgery is the recommended therapy.

At the Centeno-Schultz Clinic we emphasis structural integrity.  If a patient has a positive Trendelenburg, they will be scheduled for therapy to restore gluteal strength which  typically is in the form of intramuscular stimulation (IMS).  If there has been hip or cartilage damage, a novel technique using your own stem cells can used to assist in the regeneration the cartilage.


This one-on-one evaluation will help you understand: 


  • - Candidacy Grade: Good / Fair / Poor
  • - Which Regenexx procedure would be best for optimal results
  • - An understanding of diagnosis/prognosis
  • - Direction of best care
  • - Can be performed in-person or by telemedicine visit 

An evaluation is critical to understanding the underlying problems and selecting the best treatment plan that will help you get back to the things you love, without pain and surgery.