Dry Needling: Quadratus Lumborum

This video looks at a myofascial dry needling technique for the Quadratus Lumborum muscle.
Please do not attempt dry needling unless you are suitable trained and qualified to do so. This video is purely for information purposes.
Comments and discussion welcome.

[@TimTrevail]

These videos are designed be a reminder of safe application. The needle lengths should be varied depending on the size of the individual patient and amount of adipose tissue in the area.

[@sherileepoetcmt]

Thanks for wearing gloves. In many videos, I've noticed they aren't. You are a professional!

[@TimTrevail]

Depending on the location of the health practitioner, gloves are not always mandatory for needling to meet OHS requirements. I do promote the use of at least one glove to help manage any small bleeds though.

[@dr.maanpascua1566]

oh, this is my chronic pain site...so its quadratus lumborum...I had my dry needling today. Hope to have some relief Thanks for this video.

[@curtisdickson6277]

Did it work?

[@silverymoon3589]

Thanks for the video :) How can you exactly know that you are not stabbing the kidney? Because, as you know, the quadratus lumborum is quite narrow from side lying position so it would not that easy to accurately stab it.

[@devinchen6635]

I agree, please explain.

[@JoeMeats]

Is this temporary relief or permanent? And or temporary relief until you use that muscle again? If someone had that pain and played sports, like baseball for example would a steroid shot be more affective?

[@rrakeshsingh9476]

Steroids will harm but dry needling along with proper stetch and strength give permanent relief

[@mikemartinez9703]

This shit hurts. Had it done last week.

[@benh9688]

I've seen many therapists championing a side-lying position with 90 degree penetration at the mid axillary line, requiring 70mm+ needles, an approach I've never understood. I've never been satisfied or comfortable with the explanation that the needle won't penetrate the visceral peritoneum due to natural deflection along the musculoperitoneal interface posteriorly. Also, accuracy is obviously massively decreased too. So I'm glad to see what seems a much more common sense approach to QL MTrP treatment. Do you have an opinion on this other, mid axillary method?

[@TimTrevail]

Thanks for your comment. I think both options are viable, but it depends on the individual. I'd argue that if we can get to the target muscle with a shorter length needle (as we would in prone compared to side-lying), then that is usually preferable as we are reducing the risk of unnecessarily penetrating other non-target tissues. Regarding visceral penetration, that could happen in either position if you get your angles and depth of penetration wrong, so I'm not convinced that is a strong argument for side-lying over prone. I do find that some patients with low back pain don't tolerate prone positioning for an extended period of time during treatment, and may be better off in side-lying for treatment, but I more commonly treat with the method shown in the video. Hope that helps. Tim

[@chrispergram8142]

What happens if the kidney is accidentally hit during the process?

[@Truerealism747]

Hello tim.ive been given your link from a fellow who has myofacial pain syndrome.ime in the UK do you do dry needling ime almost wear to go ime in the Midlands thankyou

[@kartikeysingh7007]

First of all thnk you for such informative stuff. I would like to know for how much time we need to put needle in? And how many times should we prick?

[@DarknessYT2010]

this is my problem being a paraplegic ..the pain is insane ...im heading to my nearest Dry needler thankyou

[@ЮрийМакаров-о8м]

Скажите пожалуйста, Вы не знаете кто из Российских врачей этим занимается?