Back Muscles
Quadratus Lumborum
SymptomsDeep, aching pain at rest & worse when sitting or standingPain with side bending, twisting, leaning forward & walking up stairs.Difficulty with turning in the bedExtreme pain when rolling over in the bedCoughing & sneezing causes sharp agonizing stabs of painIntense pain over the hip bone Location of trigger pointsSuperficial TrPs are 1 hand-breadth from the spine, at the level of the rib cage & slightly belowDeep TrPs are closer to the spine- hard to reach with acupressure Pain radiationInto the area of sacrum and across the lower backThe lower part of the buttockSometimes into the groin, labia, testicles & side of the abdomenAlong the hip bonePartially into the outer thigh
Location of Trigger Points (TrPs)
Deep Q.L. TrPs
Superficial Q.L. TrPs
Superficial Q.L. TrPs
Causes for development of trigger pointsOften injured in car accidentsHeavy lifting while twistingPicking something up from the floorGetting up from a low chair, car seat, or bedEmotional stress can lead to tension in this muscle
Self-acupressure of tender Trigger pointsPlace the ball between the wall and your backPress from the side under the rib cageFind the tender area in the muscleMove the ball horizontally over the tender spotFind a new spot belowMassage all tender spots on both sides
General recommendationsMove ball over the tender area 15-20 timesFind a new spot & repeat the processApply this massage at least 2-3 x a daySeveral short daily sessions are preferableDo not apply very strong pressureIncorporate into HOME TREATMENT PROTOCOL
Acupressure
Stretching
