ASMWS #18 Low Back Pain: The Quadratus Lumborum Muscle

Course overview

Acute or chronic low back pain and spasm due to the quadratus lumborum (QL) is one of the most overlooked diagnoses by the TCM practitioner. The practitioner who integrates western anatomy and orthopedics can skillfully treat this muscle. It is commonly seen in low back pain, degenerative disc disease, and other related pain syndromes. Dr. Janet Travell calls the quadratus lumborum the “joker of low back pain”. When the QL has active trigger points or is in spasm, a wide range of pain patterns present. Pain is often one-sided, and may radiate to the gluteal and inguinal regions. Strain to the quadratus may be seen acutely, caused by movements involving lifting and twisting. Motor vehicle accidents, trauma and falls may also injure the QL. I have seen golfers, tennis players, and cyclists during hill-climbing strain the muscle due to the peculiar twisting mechanics of their sport. And chronic dysfunction may occur from poor posture and position during sleep and sitting. Treatment to the QL may be specific in acute low back sprain/strain. It may be combined with treatments for other causes of low back pain. This webinar will alert the practitioner to its involvement, and how to safely treat this rather anatomically “hidden” muscle.