Quadratus Lumborum Syndrome; Learn how to relieve this deep back pain

From our Move with Ease Series, how to take care of your Quadratus Lumborum (QL) – a deep back muscle that can be the cause of chronic back pain. If you are a sufferer of QL syndrome, I sympathize with you because for many years this was a major issue for me causing me many sleepless nights.


I started suffering severe back pain in my early twenties.  For many years I didn’t know what was causing my back pain, but I theorize it must have stemmed from a car accident that occurred in my late teens.  I went to various massage therapists, chiropractors, and  physical therapists, with no real results.


Not until 2009 when I met the best massage therapist I’ve known to date — Joy Pascual — a gifted healer to be sure came into my life and helped me find the root cause of my pain.  For the umpteenth time, I explained my back “situation” which to anyone who has ever suffered chronic pain- it’s the story you repeat over, and over again to professionals as you try to find answers and relief.


Joy, a recent graduate of massage school, who also learned under her father whom she explained was a “natural healer”, innately knew what to do. She asked me to on my lie on my side.


With my head on a pillow and my legs hugging a bolster, she proceeded to touch the side of my waist facing the ceiling. Palpitating the tissues, she slowly started to dig-in and work her way to what I know now to be my quadratus lumborum (QL)  muscle. At some point she put her elbow on the QL muscle and in that instant I started to cry. I started to cry because for over almost 15 years no one could locate my pain or give me any relief and now this young girl just found it.


Sometimes you think you will go mad because it seems no one knows where your pain is– even you.



I would see Joy regularly for months and each time I found more relief. Now that I knew what muscle was the problem, I could also be more proactive at providing my own kind of healing.  I learned all about QL syndrome. Its symptoms, how to get relief, and how to get stronger.


We can all agree that any debilitating pain such as chronic back pain can significantly impact the quality of your life. It can drain you physically, emotionally, and spiritually. With the pain and stress, it certainly makes you feel old and worn down. If you suffer from this back pain, it is my solemn joy to share this information with you. I hope you find the relief you need so you too can move with ease…


The quadratus lumborum is a muscle located in the lower back.  It is connected to the ribs, spine and pelvis, and when it contracts too much or too frequently, it causes hip elevation, and pain in the back, hips, and buttocks.  Because the quadratus lumborum is part of the muscles which are responsible for movement of the spinal column, an injury to this muscle can result in restricted mobility and pain with a variety of movements.


It can sometimes be difficult to tell when a muscle has been strained.  Sometimes, the pain is instant, and may be severe enough that the injured person is aware of the injury the moment it occurs.


Other times, there are no outward symptoms right away, just a steady pain that grows over the course of a few days.  Those with muscle strains in the quadratus lumborum (or other back muscles) will frequently experience spasms or cramps, and although they tend to be unpleasant, they indicate that the back is in the process of healing itself.


As with any other muscle injury, inflammation and a feeling of warmth in the area are frequently associated with quadratus lumborum syndrome.  When a muscle is strained, the body’s response is to increase blood flow to the area, thereby hastening the healing process.


Swelling in the area of the muscle is an indication that there is fluid buildup in the surrounding tissue, and the muscle may be prone to further injury; therefore, any muscle injury accompanied by swelling must be treated with great care.


When you are in extreme pain it’s best to rest and ice the areas of pain. Remember to ice in 20 minute increments  and not directly on the skin to prevent tissue and nerve damage.   Once the pain subsides and is no longer inflamed, you may do a combination of ice, heat, and soft tissue work.  Ice will decrease tissue inflammation and numb the pain sensors in the area. A hot compress relaxes the muscle and increases blood flow, helping to encourage the body’s natural healing process.


Soft tissue work such as massage and tension-release work with a lacrosse ball and foam roller in the following areas: lower back, butt, and side hip region will help at relieving the muscle ache.  As always, it’s crucial to see a doctor if the pain is severe, or if symptoms don’t subside within a few days.


There are various stretching exercises that can help with the pain of quadratus lumborum syndrome.  One common stretch is to sit on the floor with one leg extended out with the other folded in, and then bending sideways over to the outstretched leg with the opposite arm bending sideways trying to reach for the opposite foot.


You can also lay down sideways on the edge a bed, with the top leg hanging off the bed behind you with the same top arm stretched out over the head.


2013-10-12 11.24.30Once you are able to move without pain you may do strengthening exercises for the quadratus lumborum along with the core muscles which include the back, abdominal, and gluteus region.


A good QL exercise is the hip hike shown here on the left.


Pilates exercises also help in strengthening and stretching this region of the body. Lastly seek out the help of a personal trainer of physical therapist for help in learning how to prevent more muscle injury.





Featured Image courtesy of FreeDigitalPhotos.net

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