Posted by: Oscar Abraham in Clinic,Massage,pain on March 20th, 2014

Quadratus LumborumPatient reported pain in the left anterior inquinal area (where the torso joins the leg) the for the past 17 years. She could not walk properly and it was throwing her whole body out of whack (a technical term). Upon first impression and observation it appeared to be an issue with either the left psoas muscle or the left anterior rectus femoris. These muscles are responsible for flexion of the thigh, that is, raising the leg, an action that is required to walk. After treating both those muscles, I asked the patient to walk. Surprisingly, there was no improvement whatsoever. I had expected some improvement if only for a short duration. But, nothing. Therefore it must be something else. I asked the patient to raise her left leg in a stationary position as she was holding the wall to stabilize herself. She could not do it.

 

I then remembered my first A & P instructor very clearly, “the hip hiker”. The hip hiker muscle is the Quadratus Lumborom muscle which, among other things, stabilizes the hip joint to allow standing on one leg. I asked the patient to return to the table where I treated this muscle while the patient was in a supine (face up) position. After 5 – 10 minutes I asked the patient to walk again. The improvement was amazing. I asked the patient to lift the leg while in a stationary position. Again, night and day. I then treated this muscle in the prone (face down) position and applied heat for 10 minutes. After the treatment I showed the patient a slide of the trigger points and pain patterns for this muscle and she said that she had experienced those exact pain patterns. I then recommended some stretching exercises for the QL which the patient stated she would do regularly.

A week after the initial treatment the patient is reporting normal walking patterns.

All treatments used for this patient were massage treatments.

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