trendelenburg gait

Sun, 03 May 2026 22:48:44 +0000

# Understanding Trendelenburg Gait: Causes, Diagnosis, and Treatment If you’ve ever observed someone walking with a distinct, unstable pattern where the pelvis tilts forward during each step, they may be exhibiting what clinicians call a Trendelenburg gait. This unique walking pattern is named after German surgeon Johann Friedrich Trendelenburg, who first described it in the late 19th century. While it can be a sign of underlying musculoskeletal or neurological issues, awareness of this gait type is crucial for early diagnosis and effective management. In this article, we’ll explore what Trendelenburg gait is, its common causes, diagnostic methods, and available treatment options to help improve mobility and quality of life. ## What Is Trendelenburg Gait? A Trendelenburg gait manifests when the pelvis drops significantly on the stance leg side during walking, creating a noticeable upward tilt. During the single-leg support phase, the gluteus medius and gluteus minimus muscles—responsible for stabilizing the pelvis—fail to engage properly. This dysfunction leads to an abnormal weight shift and compensatory adjustments that make walking less efficient and potentially painful. Clinically, this gait is often recognized during dynamic movement, particularly when walking or standing on one leg. While it’s most commonly associated with hip or lower limb pathology, it can also reflect neurological imbalances or core instability.