Hip & PelvisCyriax Deep Transverse FrictionGeneral regional overview
PNA Regional Principles · Overview
Hip & Pelvis — Deep Transverse Friction
What changes when Cyriax Deep Transverse Friction meets the hip & pelvis? Start with the patient's movement, assess safely, and see what the re-test reveals.
2 specific variationsClinical re-test built in
Important: this is a clinical framework, not a complete technique protocol.
This page was generated from broader regional principles. It can help you frame assessment, patient comfort, safety and reassessment, but its generic positioning, contact and dosage text must not be treated as technique-specific hands-on instruction. Study a detailed, individually authored procedure and use supervised practical training.
Each variation below is written so you can follow patient setup, contact, direction, dose and the re-test that decides whether the technique earned a place in the plan.
01
Hip & PelvisGluteus medius/minimus tendon region
Gluteal Tendon — Deep Transverse Friction
One question matters more than the name of this variation: will the patient notice a useful change in Single-leg stance, step-down and lateral-hip pain response.? The careful re-test gets the final word.
The change we are looking for
Selected adjunct for localized lateral-hip tendon symptoms after careful differentiation from bursal and referred pain.
Primary target
Gluteus medius/minimus tendon region
The movement that tells us
Single-leg stance, step-down and lateral-hip pain response.
Patient focus
Selected adjunct for localized lateral-hip tendon symptoms after careful differentiation from bursal and referred pain.
Therapist verifies
Single-leg stance, step-down and lateral-hip pain response.
Success signal
Keep the technique only if the re-test shows a meaningful improvement in single-leg stance, step-down and lateral-hip pain response. without symptom worsening.
Full clinical application
1
Position the patient
Side-lying with the treated hip uppermost and supported so compression is minimized.
2
Set the contact
Use a precise contact over the clinically identified tendon region near the greater trochanter while avoiding direct aggressive pressure on the bony prominence.
3
Apply the technique
Apply small transverse movement across the tendon fibers.
4
Dose & re-test
Short tolerable bouts only; follow with progressive hip-abductor loading. Re-test: Single-leg stance, step-down and lateral-hip pain response.
Clinical pearl
Compression sensitivity is common in gluteal tendinopathy, so more pressure is not better.
Safety / avoid
Avoid highly irritable lateral-hip pain where compression itself is strongly provocative.
02
Hip & PelvisProximal hamstring tendon
Proximal Hamstring Tendon — Deep Transverse Friction
One question matters more than the name of this variation: will the patient notice a useful change in Pain with sitting, resisted knee flexion/hip extension and functional loading.? The careful re-test gets the final word.
The change we are looking for
Selected adjunct for localized proximal-hamstring tendon pain when symptoms are clearly tendon-related.
Primary target
Proximal hamstring tendon
The movement that tells us
Pain with sitting, resisted knee flexion/hip extension and functional loading.
Patient focus
Selected adjunct for localized proximal-hamstring tendon pain when symptoms are clearly tendon-related.
Therapist verifies
Pain with sitting, resisted knee flexion/hip extension and functional loading.
Success signal
Keep the technique only if the re-test shows a meaningful improvement in pain with sitting, resisted knee flexion/hip extension and functional loading. without symptom worsening.
Full clinical application
1
Position the patient
Prone or side-lying with the hip positioned comfortably and the tendon region accessible.
2
Set the contact
Precise transverse contact over the tendon region near the ischial tuberosity while respecting patient comfort and privacy.
3
Apply the technique
Small transverse strokes across the tendon fibers.
4
Dose & re-test
Brief tolerable bouts followed by progressive hamstring loading. Re-test: Pain with sitting, resisted knee flexion/hip extension and functional loading.
Clinical pearl
Avoid prolonged compressive treatment at the proximal hamstring in a compression-sensitive tendinopathy.
Safety / avoid
Do not use if symptoms suggest acute avulsion or significant tear.
Safety / do not apply when…
Screen fracture, severe OA irritability, postoperative restrictions, acute inflammatory pathology and red-flag pelvic symptoms.
Stop or modify if symptoms peripheralize, neurological status worsens, the response is disproportionate or the patient asks to stop.
Clinical rule
A technically correct technique is not automatically a useful technique. Keep it only when the patient's pain, range or function improves in a clinically meaningful way, then transfer that gain into active movement, loading or self-management.
