Trigger Point Release - Quadratus Lumborum

Massage and Trigger Point Therapy tutorial for the treatment of trigger points in Quadratus lumborum.
Trigger Points in the Quadratus Lumborum (QL) are known by some as the "masters" of lower back pain!
Whilst the quadratus lumborum (QL) is a small muscle it plays a vital role in body mechanics enabling us to maintain our upright posture.
Trigger points in the QL are often associated with acute low back pain complaints, especially those cases where the pain is so severe that the client cannot stand.
QL trigger points are also often associated with sciatica-type symptoms and hip pain.
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[@BrettNeumeier]

My partner was nearly incapacitated for a week. Yesterday, she found this video and showed it to me. Using these very clear and straightforward instructions, I got a trigger point to release and was able to stretch the muscle somewhat, and today she's doing really well! Thank you a thousand times for this video, you're our Christmas miracle.

[@Nielasher]

Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website www.nielasher.com/blog

[@davib7534]

People/doctors like this man from Nat Global campus are HEROS! It takes forever to see a PT these days. Posting free videoslike this shows how there are good Doctors and therapists who truely care about helping folks. THANK YOU!

[@Nielasher]

Thank you very much for your feedback🙌🏻 For more information or to find a therapist please visit our website nielasher.com/

[@yellowcard7139]

My PT doesn't know how to treat QL... she laughed and said good luck it's a deep muscle.

[@relevant_nebula]

This is so accurate. This is exactly where I've got pain and it took me a while to find the trigger points but his description is absolutely correct. It's deep, it's sharp and it's excruciating. And I'm walking like that. And can't bend, laugh or sneeze as it's agony.

[@NoirHammer]

I've been seeing an acupuncturist who does hot stones, cupping, and massage. And in just three days, I can walk and stand without going into spasms.

[@leisongivangomo4478]

FINALLY! Someone who knows what they are talking about! Thank you, thank you, THANK YOU!

[@troysublett8493]

the best information i have seen on the internet for the QL. Very easy to understand! Thank you very much!

[@Nielasher]

Please visit our website for further information www.nielasher.com

[@emcee797]

Thank you so much for this post. I’ve had 4 different PTs and 2 different chiros in the last 7 yrs. None considered QL as a possible source of pain, despite my description of symptoms that match QL issues exactly. All targeted either piriformis or IT bands. None of the exercises or treatments relieved my pain and I got a lot of “oh well, low back pain is very common, hard to treat, etc.” One shot at this trigger point technique and I got immediate relief. I try to do it every day, and the difference is noticeable when I miss.

[@Nielasher]

Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website www.nielasher.com/blog

[@cmd3116]

I'm convinced they know it's the QL, but will be out of business if they fix it

[@karenpiraneo5426]

Yes! You describe this pain perfectly! I have suffered for years and have been to the doctor several times thinking I had kidney infections!! the doctor said every time it must be a muscle! No one has helped me except therapists on KZbin discussing this muscle. I do somatic stretching, rumble roller, and swimming. It has helped but it's so deep that it tightens right back! This has destroyed my hip and I am trying to avoid a replacement.

[@Nielasher]

Thank you very much for your feedback 🙌🏻 For more information or to find a therapist please visit our website nielasher.com/

[@WmRike]

My tightness is where the QL connects to the pelvis, but direct massage there hasn't helped. I started digging around with my thumb looking for the lateral trigger points you pointed out. I finally hit one and saw stars for a moment. I think it's helping, though!

[@oliround]

I literally found out how to solve this issue not too long ago and I'm so glad. Thank God for KZbin videos and thank God for Dr. Rowe

[@EvaPev]

How about thanking Dr. Rowe?

[@oliround]

@@EvaPev already have!

[@reneedebruin6236]

Really excellent explanation and therapy! I'm an Acupuncturist and massage therapist. Your teachings and skill are tremendously valuable in helping all those suffering from this pain! Thank you! 😇

[@Nielasher]

Hi Renee, Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website nielasher.com/blogs/video-blog

[@jessebrown1400]

This is easily the most important video to date with regard to my QL issues I have ever stumbled across. The accuracy of this mans description of the symptoms is just 100% bang-on. I can confirm this is one of the most painful injuries with regard to strains that you can experience. I recently pulled a rhomboid and again anything that attaches to the spine is going to be constantly engaged and thus the agony never seems to end. Thankfully that resolved but my QL rages on. Thanks to this mans work I stand a fighting chance to get this under ctrl. I thank you profusely from the bottom of my heart!

[@fazelahmad7320]

Your presentation style is great! Thank you for very good presentations.

[@Nielasher]

Thank you for your feedback 🙏

[@brettshapiro6289]

Great instruction. It's taken me months to release the tight banding in this area. Stretching is pretty brutal if you have active trigger points. Easy self treatment while seated is using a golf ball and foam block against the chair.

[@Nielasher]

Thank you for your feedback 🙏

[@MFJoneser]

An excellent candidate for addressing maladies involved with socially unapproachable areas of the body.

[@cameronbartlett6593]

->insert $.50 word here

[@MFJoneser]

@@cameronbartlett6593 get educated

[@cordellsenior9935]

It occurs to me that hanging by your hands, gripping an overhead bar or something, will provide the stretching effect, as much, if not more, than the stretching on the bed by hand. Cumulative hanging, 30 seconds or a minute at a time, 5 - 10 minutes a day will contribute positivity.

[@stuartlichty4250]

Having stiffness in the QL is common especially for cyclists, it tends to be tighter in one side. To prevent this and also to loosen existing cases, I’ve found that distance freestyle swimming works great. Make sure to breathe off both sides and use proper technique and you’ll find the rotation on the long axis is very therapeutic.

[@charlescampbell1319]

As a sufferer I say 🙏🏻 thank you......

[@Nielasher]

Thank you for your feedback and wishing you well 🙏

[@loriwilliamson5738]

AWESOME demonstration and instruction.

[@Nielasher]

Thank you for your feedback 🙏

[@camilaGMW]

Wonderful video. Thank you. These are very tricky triggers to treat

[@Nielasher]

These are indeed tricky triggers! Thank you for following our channel. 🙏

[@phuchyouh7171]

Thank you so much for this very detailed explanation of the QL. I just subscribed to your channel 🤩

[@Nielasher]

Hi Phuch, Thank you very much!! 😁 For more information please visit our website www.nielasher.com/blog

[@jeaniel1004]

Good anatomy lesson. The ice is problematic. Ice is simply a pain reliever because it numbs the tissues. It is not recommended however because cold drives blood back toward the heart. In an injury you always want to increase blood flow to the area . Heat brings blood and oxygen to the injured muscle.

[@weirdowithabeardo1728]

Thank you for this amazing video. I have been struggling for almost 5years post spinal op with this issue. No doctor or physiotherapist could figure out what was wrong since the pain manifested right above the buttock. I still feel pain when I sneeze. I'm 6'7 so I'm in extreme pain whenever I do menial tasks around the house like wash dishes, vacuum/wash floors or even bathing the dogs. I can finally show my wife and kids - and the doctors - that the pain is real and not just in my head. Thank you.

[@Nielasher]

Thank you for your feedback 🙏 good luck and best wishes to you!

[@a2b3c]

I was canoeing with my kids, sittin very low for some extended time.. next day we were hiking and we ate a picnic on some logs in the forest.. after getting up i had pain in my lower back like never before, almost couldnt breathe properly anymore.. suddenly i was a total wreck, after some lying down i managed to ealk back to the car again.. today i was sitting again on a rock for like 20 minutes, after getting up - it was even worse today.. that really feels like hell, we are in vacations in Sweden, bought me a tennisball and will see if u find these triggerpoints - thanks a lot for explanations

[@Nielasher]

Thank you for your feedback and good luck to you!

[@oksanamiller7558]

Please make more videos! You are great! Thank you

[@SplashFireFilms]

i took me a long time to find this muscle as a result of pain in this lower back area, this video is amazing, wish i found this before. Deep exactly where i felt the pain Very deep

[@Nielasher]

Hi @ScootertunerEvolutio, Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website nielasher.com/blogs/video-blog

[@alohaXamanda]

Excellent video. I'm trying to work on the trigger points in my own body because I have no friends to help.

[@Nielasher]

Hi @alohaXamanda, Thank you very much for your feedback. For more information or to find a therapist please visit our website www.nielasher.com

[@cameronbartlett6593]

When in doubt....deep knee bends in the cucumber patch will help things turn around. Opah!

[@pipeflush]

Ive been out of work over 2 weeks due to this pain. Certain stretches, and noproxen have been helping along w the healing that comes from time.

[@sepetisionelatu5539]

Thank you, you are the first to talk about these muscles. l have this on my right side and it used to take my breath away at certain movements or just walking and all l had to do was stop and try to control my breathing and just stand still. l finally got over that stage by now l a starting to stretch and l notice when l do any side bend these muscles on my right side are really giving me a hard time to stand up straight after stretching them now l understand. Thank you.

[@Nielasher]

Thank you very much for your feedback 🙌🏻
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[@copycatsmum]

Great video. So clear. Thank you

[@Nielasher]

Glad you found it informative. Thank you for following our channel xx

[@stojnastanichevski2201]

THANK YOU BEST ANSWER BASE OF LOGICAL THINKING CONECTING ALL DOTS BONE MUSLE LIGAMENT

[@tamekahudson9921]

Thanks so much for this ❤

[@Stepea-vg4zk]

Omg this video is talking to me. Trying to explain my pain to physio and massage therapist. This is what im sending to them

[@Nielasher]

Thank you very much for your feedback🙌🏻 For more information or to find a therapist please visit our website nielasher.com/

[@samuraishonan4706]

I have been using a tennis ball. Really helps. I do both sides for balance.

[@Nielasher]

Thank you for your feedback. Keep it up 💪

[@DireitoIntegral]

A lacrosse Ball is even better.

[@standingmannequin7911]

Thought I was passing a kidney stone, having a hernia or an inflamed appendix. Three months later and I now know that this is it. Sleeping on the same side makes it worse on other side. Thanks for the help in understanding.

[@markwalkerrocker4Jesus]

Fantastic information! Mark Walker, LMT

[@Nielasher]

Hello Mark … thank you for your following our channel and for your feedback. We appreciate it! 🙏

[@susanfit47]

Thank you so much. I use a tennis ball to help release my QL

[@Nielasher]

Good luck and wishing you well 🙏

[@DireitoIntegral]

A lacrosse Ball is much better.

[@jermzrok]

Omg, after a solid 6 years of lower back and glute pain from years of doing heavy Olympic lifts, squats and deadlifts I gave up physio and chiro because it wasn’t helping! It was the massage therapist that suggested it was the Ql just recently. But this video confirmed that !! I finally found the trigger point that was messing with my lower back and glutes! For me it was the last rib. Once I had a lacrosse ball on that trigger point I could feel the tension just loosening shooting down to my glute !! I will now like and subscribe !!

[@metemad]

Very informative. Thank you.

[@Nielasher]

Thank you very much for your feedback 🙌🏻 For more information please visit our website nielasher.com/blogs/video-blog

[@sophistrydebunker]

Great video. I've finally convinced my PT that the QL is the muscle that keeps spasming. Unfortunately i have a bad disc between L3/L4 and even when i doing a simple movement, it can spasm. It locks me down. But through some dry needle therapy, stretching, and some strengthening im getting some relief; not 100%, but am still worried about fascia scar tissue and, whether i should have surgery to mitigate the disc issue. Honestly im torn; surgery sets me back even further, but the spasms aren't stopping. Im considering steroid injections as well. But just wanted to say thanks. I've been an athlete all my life and have always overcome injuries, but this has convinced me i may just have to live with it. Im 64, metabolically healthy, bmi of 17, and hate how this thing makes me feel Old.

[@jessebrown1400]

I would consider TB500 local injection and BPC157 local injection. Healing peptides, extremely useful for soft tissue repair the TB500 is for inflammation relief but it does so by actually healing not mitigation.

[@jessebrown1400]

I have been suffering with QL for 12 yrs myself, lately it's been really bothering me because I am doing lots of weights and having success but didn't actively try to fix the QL issue, big mistake!

[@fineartlifestyling]

The upper trigger point is at the T12.

[@Nielasher]

Thank you for your feedback and for following our channel 🙏

[@jacrowe3477]

Thank you for the video, very helpful and much appreciated

[@Nielasher]

Thank you for your feedback. Please visit our website www.nielasher.com for more information. 🙏

[@user-vh6jf1iq9k]

Thanks

[@Nielasher]

Thank you very much for your feedback 🙌🏻
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[@camilaGMW]

Instead of using the ice pack, is it possible to use Tiger Balm instead?

[@Flapperjaw]

Yes......and/or. BenGay Ultra

[@wiffer22222]

In the referred pain and symptoms section you didn't actually mention referred pain locations, I feel constant pain at the iliac crest and in the buttock and occasional sharp stab in the QL.

[@nataliabaranova5361]

First of all excuse me very much for my English We found this video first this morning and we are very glad and happy, it's simply wonderful! We have one question Have you ever heard, that if for example, on the left side QUADRATUS LUMBORUM has problems it can Sigmoid bent? Thanks for your reply

[@jacksalvatierra7959]

Hi there, i ve got a big knott at my left QL, first i realized 6 years ago and i thought it was a tumor. I even told the doctor that i have found a Nodule in my lower back, ...now after many years i realized is the CL. It is on my left QL. How can i get this knot to normal size? Please can someone help me

[@emcarver8983]

Oh my god. I've had awful pain here for a long time. I was beginning to think I had renal cancer or liver problems.

[@Nielasher]

Thank you very much for your feedback. For more information or to find a therapist please visit our website www.nielasher.com

[@deboradevecchi1464]

Tank you so much for the accurance of explanation! 🙏

[@Nielasher]

Thank you very much for your feedback🙌🏻 
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[@carlaalhinho9554]

I love this video,

[@Nielasher]

Thank you very much for your feedback 🙌🏻
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[@laviolist]

My QL is on fire 😢Thanks for the video 🙏

[@Nielasher]

Thank you very much for your feedback 🙌🏻
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[@Tad-For-Global-Peace]

Wow ty so much

[@Nielasher]

You're welcome! 😊 🙌

[@yasmine267]

I had a grade 2 QL injury late Jan this year and it still hasn't completely 100% healed despite having physio therapy and rehab. I won't forget that sharp shooting pain, so awful.

[@andreparagas5443]

How’s your QL now? And how did you strain it?

[@jessebrown1400]

Yeah QL pain is insane, usually comes on over the course of a day or 2 and then it rly messes you up for a good week while the body tries to work on the strain or pinched nerve or w/e it is that's triggering.

[@footyball66]

I have tightness and and inflamed feeling in this muscle.....I also think it's pulling on the tendon attached to my L1 vertebra as I have pain there at night.

[@davidthomasmathison]

Thank you great video big fan

[@Nielasher]

Hello David … thank you for your feedback 🙏

[@amilahemantha8971]

Excellent explanation. What should be the time for cold and hot pack application.

[@Nielasher]

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[@MrDaros89]

Four physiotherapists, a couple masseuses, and god knows how much yoga, and I finally managed to nail these bastards down as the origin of my lower back pain from this video...

[@thehemmat]

Thanks!

[@Nielasher]

Thank you for your support!

[@Nielasher]

🙏

[@nagaratnamsuthakaran3639]

Thanks a lot sir

[@Nielasher]

🙏

[@zulmar5749]

Great video, thank you for taking the time and explain it very clear! 🙂

[@IgorMasaz]

Very good Working 👍🇺🇸👍🇺🇦

[@Nielasher]

Thank you for your feedback 🙏

[@Nielasher]

🇺🇦 🇺🇦 🇺🇦

[@IgorMasaz]

@@Nielasher🇺🇦💪👍

[@ironcrosstrainingltd6482]

I love these videos 🙏

[@Nielasher]

Thank you for your feedback. Please visit our website www.nielasher.com for more information. 🙏

[@aimaholijessica482]

I have a sharp pain at my back just below the rib going laterally i try feeling for it and I'm also feeling bone i don't know if it's the tight quadratus or something else

[@Nielasher]

It's good that you're paying attention to your body. Consulting a healthcare professional could help clarify whether it's the quadratus lumborum or another issue. Take care! 👍

[@jericho9653]

I jumped into a field and hit the ground hard 2 nights ago. Got xray and all good but this is exactly what and where im feeling pain. Its like a dull pain but if i lean 5 degrees sideways i nearly hot the floor fit a sharp severe pain. Il start physio after 72 hours. Does it take long to heal? Im 31 and in fairly good shape

[@gesundquelle3345]

Amazing video, thank you!

[@Nielasher]

Thank you for your feedback 🙏

[@little7424]

Could you pls explain me more why you used ice pad before heat pad ??

[@Nielasher]

Thank you very much for your feedback. For more information or to find a therapist please visit our website www.nielasher.com

[@newts1964]

How often should you do this daily and weekly

[@Nielasher]

It's great to hear that you're incorporating this into your routine! For trigger point release on the Quadratus Lumborum, starting with 3-4 times per week is a good approach. Depending on your response, you might adjust the frequency. Always listen to your body's feedback and consult with a healthcare professional if you experience any discomfort. 💪

[@tracyhock4730]

What about a raised spot that's palpable in that exact spot and I feel pain when I lay down to sleep on my back 😔

[@user-rc8eq9jq4f]

great video, thank so much. awesome detailed anatomy of the muscle fibers, i must have something different though. I don't have any of that severe sharp agonizing pain, i only pain when i sleep, it wakes me up in the middle of the night, one i am up it's not to bad, any suggestions for that? and i can't do that stretch on my self.

[@Nielasher]

Thank you for your feedback. For more information please visit our website www.nielasher.com

[@standingmannequin7911]

Try sleeping on the other side.

[@nathanjones4039]

Can the QL cause irritation of the sciatic nerve? I’ve injured my back 6 months ago and have tried chiropractic, PT, nerve study, MRI, cortisone injection of the SI joint/Piriformis muscle and nothing has helped. Would doing trigger point release, and or stretching improve mobility and reduce sciatic pain?

[@Nielasher]

Hi Nathan, Trigger points in Quadratus lumborum often mimic Sciatic pain and the pain felt in the same areas of Sciatic pain, and are therefore relevant in that sense, thus treating QL may well alleviate sciatic symptoms. However apart from the effects caused by the QL working less than optimally, It is unlikely that QL can actually cause actual physical irritation of the sciatic nerve itself. Thank you very much for your feedback. For more information or to find a therapist please visit our website www.nielasher.com

[@khushwinderdhanoa3197]

I have pain under left rib from 6 months doctors gave me vitamins b2 injection still won't go my pain...

[@Akroooo]

Is it possible to do stretches by myself? Use cold / heat by myself

[@Nielasher]

Thank you for your comment and feedback. For more information please visit the blogs and articles section of our website www.nielasher.com where you can find loads more free information and videos regarding your symptoms. 🙏 Good luck xx

[@4nn13h7]

I can assure you if anyone, even my own beloved, senior citizen mother, touched me at either of those points, it would be go time. My response is going to be karate. I tore one of those muscles shoveling as a teenager, and I am so guarded about that part of my body 20+ years later that even I don’t touch it and have learned mostly to keep it entirely stable while moving. About every 3-4 months, I sit or lift wrong for barely a moment, and then it gives me a grueling upper hip or lower rib pain for about 5-7 days. I’d rather have someone hit me in the shin with a baseball bat than brush that spot anything more than very, very lightly.

[@deborahgonzalezknight168]

it is like being constantly pinched and no one can help me.

[@jaredmccain4106]

Does wearing shoes with thicker heels contribute to this at all?

[@rossflowerday133]

thank you this is my problem would a massage gun help rossco

[@Nielasher]

Thank you very much for your feedback. For more information or to find a therapist please visit our website www.nielasher.com

[@maranathacristovienepronto198]

I have both, gluteus, legs cosix

[@Nielasher]

Thank you very much for your feedback. For more information or to find a therapist please visit our website www.nielasher.com

[@boyvoihivaba6970]

I had Benn around 7years ago lot painful and can't move when having sexo

[@samuraishonan4706]

I have fallen to the ground.

[@healthquest4823]

This is exactly what I have...soooo painful.

[@Nielasher]

Thank you very much for your feedback🙌🏻 For more information or to find a therapist please visit our website nielasher.com/

[@janineking6300]

Always brllliant

[@Nielasher]

Hi Janine … thank you for following our channel and for your feedback. We appreciate it! 🙏

[@Btrutaltruth]

I have a lot of triggers and knots in my right hip, tie, leg due to trauma. I can't release them all by myself, the roll doesn't help...Can shockwave therapy help?

[@josiecamilo7098]

Same here I'm going to go to a therapist like the ones on this video because I've done everything else. These trigger release look like the solution.

[@Btrutaltruth]

@@josiecamilo7098 I'm also doing acupuncture right now. It helps to release muscle tension and pain.

[@rachel413g]

I’ve found great relief with the fenix board and dry neadling.

[@Btrutaltruth]

@@rachel413g Have no clue what fenix board is but I'll search..

[@phuchyouh7171]

@@Btrutaltruth looks like old Rachel got you too LOL... I also searched and then felt really stupid 😁

[@sofiacavanaugh3525]

What about red light therapy….

[@Nielasher]

Red light therapy has been explored for various conditions, including muscle pain relief and enhancing recovery. While not directly related to trigger point release, it might complement your treatment by promoting healing and reducing inflammation. Always a good idea to consult with a healthcare professional to see if it fits into your overall care plan. Thanks for bringing it up!

[@ehmt-19]

This video makes me feel like I'm not insane. No therapist I've seen even considered this condition, but it's exactly what I have. I'm hoping theracane will work.

[@susanfit47]

Ill also add ice pack

[@user-eg7in3ed1v]

That's a wonderful video. It is simple and easy understanding lesson

[@livelarge333]

imo wearing a Non stretching belt and jeans (like your subject) causes alot of issues with the lower back.. You need a stretchy waist

[@Nielasher]

Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website www.nielasher.com/blog

[@ghostmanscores1666]

Yes. And snug around my waist cripples me.

[@jessebrown1400]

absolutely lose that leather belt and get a stretchable one.

[@mlion388]

Waste of time

[@vijaygambhir6092]

Thanks

[@Nielasher]

Hi Vijay, Thank you very much for your feedback🙌🏻
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[@gormalfun99]

Thanks

[@Nielasher]

Thank you very much for your feedback. Please make sure to subscribe or for more information please visit our website www.nielasher.com/blog