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The quadratus lumborum and low back pain
Journal of Manipulative and Physiological Therapeutics
|February 1, 1991
Summary
Quadratus lumborum myofascial trigger points can cause acute or chronic low back pain. Examination of this muscle is recommended for patients with flank, buttock, or hip pain.
Area of Science:
- Pain Management
- Musculoskeletal Disorders
- Physical Therapy
Background:
- Myofascial trigger points in the quadratus lumborum muscle are a potential cause of low back pain.
- This condition may be underdiagnosed and more prevalent than previously recognized.
Observation:
- Two cases are presented: one with acute low back pain and another with chronic pain.
- Symptoms included low back, buttock, and lateral hip pain, along with flank pain.
Findings:
- Quadratus lumborum myofascitis can present with various pain patterns.
- Thoracolumbar joint dysfunction frequently coexists with quadratus lumborum myofascitis.
Implications:
- Clinicians should consider examining the quadratus lumborum in patients with low back and related pain.
- Integrated treatment including myofascial therapy and joint manipulation is effective for quadratus lumborum myofascitis.