Muscle Gain

Muscle Knockout: Muscles you won’t miss until they’re gone

Introduction to the Muscle KO Series

The purpose of this series is to provide readers with an understanding of how stabilizing groups of muscles work. The more a client knows about how muscles work, the more they can learn from their trainers. This series aims to provide some of that fundamental knowledge.

During the final block of medical anatomy, my classmates and I learned the muscles of the arms and legs. It quickly became difficult to remember exactly what muscle did what and in the company of which other muscles. I found the most effective way to learn how muscles work is to learn about disorders that target specific muscle groups and see what symptoms present in patients.

This article focuses on the insanely interesting (to me) gluteus medius and gluteus minimus, which are knocked out in the Trendelenburg gait. Trendelenburg gait is an irregular walking pattern in which the hips sway excessively side to side due to lack of hip stability.

Key Terms:

Abduction: raising the leg to the side, away from the midline

Internal Rotation: twisting the thigh so the kneecap points towards the midline

Gluteus Medius and Gluteus Minimus at Prevail

Many at Prevail Conditioning train their gluteus medius and gluteus minimus whether they know it or not. They are primary stabilizers for walking and all single leg exercises. Many warm-ups include banded movements, like clamshells, that target the gluteus medius and gluteus maximus. Lateral band walks and single leg banded hip extension with external rotations also target the abduction and stabilizing roles of the gluteus medius and gluteus minimus.



The gluteus medius and gluteus minimus lie deep to the gluteus maximus. Their function is to abduct and internally rotate the thigh. The gluteus medius is particularly important because it is the strongest abductor of the hip muscles. Both muscles begin at the outside 12hipof the hip and descend to the lateral, posterior side of the femur (see figure).

In life, the gluteus medius and gluteus minimus contract together whenever a step is taken. When one leg lifts to take a step, both muscles contract to keep the body balanced on the planted foot. Similarly, when one balances on one foot, the gluteus medius and gluteus minimus contract to keep the hip level.

Trendelenburg Gait

Trendelenburg gait occurs when the gluteus medius and gluteus minimus are weakened, 123hipmeaning abduction at the hip will be weakened. Now when a step is taken, the weight of the raised leg causes that hip to drop. The body then loses stability and leans towards the raised leg. To keep from falling, the lumbar spine bends towards the planted leg (see figure and video).

In the video above, we can see that whenever the patient plants with her left foot, her left hip lurches outward, showing a weakness in the gluteus medius and gluteus minimus. This is a common pattern in runners where it can lead to knee and lower back injuries as the hip tilts from side to side every step (Davis et al, 2016).


The gluteus medius and gluteus minimus are essential to every step we take. They are the primary hip abductors and critical to athletes’ stability in all single leg exercises.


Washington University Musculoskeletal Atlas

Stanford Medicine 25

Davis IS, Futrell E. Gait Retraining: Altering the Fingerprint of Gait. Physical medicine and rehabilitation clinics of North America. 2016;27(1):339-355. doi:10.1016/j.pmr.2015.09.002.

Souza RB. An Evidence-Based Videotaped Running Biomechanics Analysis. Physical medicine and rehabilitation clinics of North America. 2016;27(1):217-236. doi:10.1016/j.pmr.2015.08.006.

University of Pittsburgh School of Medicine Anatomy Course

Tyler Paras12tyler

B.S. – Cellular Molecular Biology (Westmont)

M.D. Candidate – University of Pittsburgh School of Medicine

Tyler was born and raised in Santa Barbara, California and began training at Prevail in October 2016. While at Westmont he graduated summa cum laude, led a student-run homeless outreach program, and volunteered with Hospice of Santa Barbara.

After Tyler’s mother was diagnosed with rheumatoid arthritis (RA), he became interested in the cellular mechanisms behind the disease. He conducted his Major Honors project at Westmont on the role of the microbiome in inflammatory arthritis and conducted summers of research at Harvard Medical School studying the role of macrophages in RA. His research has resulted in seven presentations, three at national medical conferences.

Yummy Chocolate Tofu Pudding

10.5 oz silken tofu
1 tsp. vanilla extract
1-1.5 tsp natural peanut butter
2 Tablespoons Unsweetened Cocoa Powder
3 Tablespoons Splenda
1 Scoop Chocolate Muscle Gain

In a Magic Bullet or food processor, blend tofu until creamy. Add Vanilla and Peanut Butter together and blend for 1 minute, scraping sides occasionally. Add the Muscle Gain powder & blend together for 1 minute scraping sides as needed. Measure into 4 serving dishes of equal portions. You can double the recipe of you use a food processor. Keep in the fridge 1 hour before serving.
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Peach ‘N Carrot Smoothie

This smoothie delivers an AMAZING flavor along with a serving of vegetables. You will be shocked at how great it tastes!!!

1 1/4 cup Carrot Juice
1 cup of Ice
1 Pouch AdvoCare Peaches’N Cream Fiber Drink
1 serving of AdvoCare Muscle Gain (1 pouch or 2 scoops)
1/2 Tbsp Flaxseed Oil

Blend until smooth (blender, magic bullet, hand mixer, etc)

Nutritional info: 350 calories, 10g fiber, 30g carbohydrates, 25g protein, 7g fat

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Muscle Sculpt Pancakes

(makes 15, 4 inch pancakes)

Dry Ingredients:

4 Cups Dry Oatmeal

8 Scoops AdvoCare Muscle Gain Powder (in Vanilla, Canister)
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½ Cup Splenda (or 4 packets of Stevia)

Wet Ingredients:

1 1/2 cups warm water

1 1/2 cups of light, sugar free Vanilla Yogurt
2 Eggs
1 Tbsp Liquid Butter Extract

1. Grind the oatmeal in a food processor, blender or Magic Bullet ~into a fine powder
2. Mix the oatmeal, Muscle Gain, and Splenda (or Stevia) together in a large bowl
3. Pour warm water into the dry mixture~ stir while pouring
4. Add the rest of the wet ingredients and use a wire whisk to get a smooth batter
5. Using a 1/4 measuring cup, pour batter into a pan on a low burner or onto a griddle
6. Cook pancakes until lightly brown


Muscle Gain SPARK Pie

2 Pkgs. or 2 scoops Pink Lemonade or Mandarin SPARK
1/4C Lemon or Lime Juice – Boiling Hot                                                
1 Sm Pkg. Sugar-Free Lemon or Lime Jello
2 1/4 C Vanilla Greek Yogurt (0% Fat)
1 ~ 8oz Cool Whip (Sugar Free Light)
1 Heaping Scoop of Vanilla Muscle Gain
1 Low-Fat Graham Cracker Crust or the Mini/Individual Graham crust are great!
Directions: Microwave 1/4 Lemon juice to a boil. Stir in Lemon Jello, and SPARK until dissolved. Add and stir in Greek Yogurt and Muscle Gain. Fold in Light Sugar Free Cool Whip then pour into Graham Cracker Crust. Refrigerate 4 hours or you may freeze….Taste Amazing and Kids love it too!
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Muscle Truffles

Basic Ingredients:
1 C Peanut Butter
1 C Chocolate or Vanilla Muscle Gain Powder
1 C Honey


Mix all the above together& then add: 4 C total of any of the below ingredients. Get Creative!!!
Old Fashioned Oats
Sunflower Seeds
Pumpkin Seeds (toasted)
Chopped Pecans
Chopped Almonds
Chopped Peanuts
Dried Cranberries
Oat Bran Flax Seeds (whole or grounded)
*Add more honey if too stiff or more oats if too goopy.
You don’t want the truffles to be so sticky that they won’t hold their shape*

Roll into about 1 inch balls.
Stack in a storage container in layers with wax paper in between each layer
Refrigerate or freeze truffles.

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Chocolate Muscle Gain Truffles

1/4 cup butter or margarine
3 tablespoons honey
2-1.46 oz packets Chocolate Muscle Gain
1/3 cup finely chopped pecans

Melt butter and honey together in saucepan over low heat. Pour into mixing bowl. Add Muscle Gain powder. Beat thoroughly. Shape into one-inch round balls. Roll into pecans. Place on plate. Chill until ready to serve. Makes 16.

Pumpkin Snack Cake


1 can (15 ounces) pure pumpkin
2 eggs
1 tablespoon vegetable oil
2 teaspoons pumpkin pie spice
2- 7 oz packages Apple Cinnamon Muffin Mix
2- 1.32 oz packets Vanilla Muscle Gain
1/3 cup water
Powdered sugar

Preheat oven to 375 degrees F. Beat pumpkin, eggs, oil and pumpkin pie spice together in mixing bowl. Add muffin mix, Muscle Gain and water. Beat until smooth. Pour into lightly oiled 13 x 9 inch baking pan. Bake 30 to 35 minutes, or until toothpick inserted into center comes out clean. Cool. Dust lightly with powdered sugar. Cut into 20 squares.

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