Hi
1. Firstly I will write the story:
It started when I've changed my bad. All life I was sleeping on very hard mettresse/bad and I've switched to more softer one and the pain started. After half year I wen to physiotherapist and he said that my quadratus lumbar and psoas are compressed, he made also needle therapy for my very low back (firt vertebraes of lumbar region). After that I feel better for one week and pain returned. He also gave me 2 excercises for stretching quadratus lumbar and psoas - but after these excercises + sleeping pain was much bigger so I've gave up with that.

I've changed mattress to harder one with thermoactive foam at the upper layer. The pain was less but it started to getting bigger and bigger and after couple of months I was not able to fall asleap. I changed my mattress again for one without thermoactive foam but with same hardeness. It was again better for couple of days.

I went to another physiotherapist and he said that my quadratus lumbar is "irritadet". It was better after deep massage which he did and he said that I have to use lacrose ball for these muscles - It doesn't helped me in longterm what is more I had always 2,3-day long pain in my back (much worse from this one from beggining).

I went to another one phisiotherapist and he said me that I need to do stretching - so the same as the first one - it also doesn't help

2. My spine status:
I need to mention firstly that my job is sedentary 8h/day + couple more in my free time. I'm also excercising in the gym (all excercises but recently I've dropped squats and dead lift because of this pain - so about 1,5h x 3 in week)
All physiotherapists said that I have very little scoliosis (I had one X-Ray photo but it was very old) and there is nothing to worry about my spine condition - they also said that I can make dead lifts, squats and everything. More problems are with my muscles. My scoliosis is very similar to this one (lumbar):
scoliosis.jpg

3. Pain symptoms:
All trigger points on the picture:
lower-back.jpg
Pain is located on the right (my right) side of my spine 4-5 cm from spinous processes and it's really near or exactly located on transverse processes. first trigger point is located on the height of 5-6th spinous process, and another one is located right below first rib.

third trigger point is located at the spine beggining ( I don't know how to say that) but it started to pain more after spine hyperextension (last image):

hyper.jpg

The pain is bigger always in the morning and when I'm trying to sleep. It's getting bigger when I'm laying on my left side (my hip on right side (one with pain) is closest to the first rib).

3. My questions:
1. I'm not sure which muscels are painfull. I'm thinking about quadratus lumborum but isn't it strage that I feel pain only very near transverse processes? I've started thinking about other muscles:
12062tn.jpg

2. What I should do to stop this? Streching, lacrose ball excercises or both. I'm aslo very concerned about pain day after all this streching etc.. excercises - is it ok? I feel also a little bit better after inserting my finger very deep in pain area to maximize it and holding it for some time - I can feel like breaking muscle fibers? I don't know how to describe it - is it ok to do such kind of deep massage?
3. And finally do you believe it's related to my mattress? In the past pain was less when sleeping on hard bed but recently I feel pain even when sleeping on very hard bed.

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