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  1. #1
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    Brief Medical History Overview

    Age: 29, Male, Presenting Problem Since: 8 years, Symptom Behaviour: constant, Symptoms Worse (24hr Behaviour): longer i sleep, the more it is apparent, Aggravating Factors:: deadlifts, Easing Factors:: hamstring excercises, Investigations: grade 1 spondylolisthesis, No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues, Other Info: no

    Major problem / Symptomatic Areas

    Lumbar, Spine - Posterior

    Question Lower back pain and VERY tight Quadratus Lumborum every morning, especially on one side

    Physical Agents In Rehabilitation
    Hello! I've had this issue for nearly 8 years now but no one has been able to help.

    Issue:
    • The longer I sleep, the tighter my QL gets (especially right QL) which causes low back pain. Soft mattress makes it worse (I sleep on a hard mattress now)


    Background:


    • Did Tae Kwon Do for years, until around 9 years ago. Lots of kicking, predominantly planting with my left leg and kicking with my right (may be a cause?).
    • I have low grade spondylolisthesis but I don't necessarily think it's related (no back pain post injury for a year or two)
    • I think I have weak gluteus muscles (i'm prone to developing ITB when I run, glutes don't activate properly, I have to make conscious effort to activate) OR they aren't weak, but are not activating properly (I can hip thrust 135 lbs)


    What helps a little


    • Leg workouts, particularly hamstring, seems to help a day or two after the workout
    • I have not been consistent in training glutes but glute workouts dont show immediate relief
    • Using a quadballer (like a foam roller but it's a wheel that can really dig deep) on my QL offers relief but doesnt fix the root cause


    What makes it worse

    • Deadlifts (which I don't do anymore)
    • Hyper extensions (reverse hyper extensions don't bother me at all though)


    Any help is appreciated
    Willing to make a payment to support the forum if someone helps me figure this out

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  2. #2
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    Re: Lower back pain and VERY tight Quadratus Lumborum every morning, especially on one side

    I have been fighting with QL patients for years and had a flare-up of it with cold weather in my country. I wrote a brief account of how I treat it here:

    Why All the Quadratus Lumborum Back Pains and How I Treat It – newpainmuse



  3. #3
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    Re: Lower back pain and VERY tight Quadratus Lumborum every morning, especially on one side

    Aircast Airselect Short Boot
    Quote Originally Posted by mmwr715 View Post
    I have been fighting with QL patients for years and had a flare-up of it with cold weather in my country. I wrote a brief account of how I treat it here:

    Why All the Quadratus Lumborum Back Pains and How I Treat It – newpainmuse
    Thank you!! Let me read through this and put it into practice and see if that helps



 
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