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Quadratus Lumborum Syndrome

 What pain and symptoms are associated with the quadratus lumborum?

Quadratus Lumborum Pain

  • Pain in the low back, constant deep aching even at rest
  • Pain in the hips and buttocks
  • Groin pain
  • Pelvic pain
  • Pain down the front of the thigh
  • Low abdominal pain
  • Stabbing back and or abdominal pain when coughing or sneezing


Where is the Quadratus Lumborum muscle?

The quadratus lumborum is a low back muscle that connects the hip bone and lower back vertebrae to the 12th rib.


What movements does the quadratus lumborum muscle control?

  • Side bending the trunk
  • Straightening of the spine (standing straight)
  • Stabilizes  low back
  • Helps to raise the hip when you lift your thigh
  • Assists other muscles when you exhale


Activities that cause quadratus lumborum pain and symptoms:

  • Lifting heavy objects
  • Twisting while lifting
  • Sleeping on a mattress that is too soft
  • Leg length discrepancy – one leg shorter than other. This can be the way you were born or due to injury. It is often seen after a leg has been in a cast or splint.
  • The QL muscles are often affected when you slip and or fall

Interesting facts about the quadratus lumborum:

  • Known as the ‘hip hiker’ muscle’ because it is the muscle that raises the hip.
  • Pain from the quadratus lumborum can be paralyzing. It brings sharp knife like pain to the lower back area. Turning over in bed and trying to stand from a sitting position can almost bring tears to the eyes.
  • People who have one hip noticeably higher than the other are usually experiencing problems with the quadratus lumborum.