low back pain - quadratus lumborumChronic Low Back Pain – Quadratus Lumborum (QL) can cause debilitating pain. It is a factor in most chronic low back pain cases.

The pattern often radiates downward from the low back into the crest of the hip, sacrum, lower buttock and hip. It is typically worse on one side.

Pain may prevent turning over in bed and may disrupt sleep. You may be unable to bear the pain of  standing upright or walking. Unloading the lumbar spine of upper body weight provides relief. Coughing or sneezing can be extremely painful.

This myofascial pain can be mistaken for the shooting pains of a spinal issue, sometimes referred to as sciatica.

Pain from QL trigger points can become significant when walking or running.

The first step in untangling any case of lower back pain is to confirm or eliminate more serious spinal injury or degeneration as a cause. Once this has been considered, we can focus on the soft tissue aspects of chronic lower back pain – quadratus lumborum is just one them.