I posted this in another forum but it seems applicable in this one as well:
I'm a 42 yr. old female who's had back pain for over a year after seemingly pulling a muscle during sit-ups. I've been under going trigger point therapy for about 9 months and it has helped tremendously with the pain. However, a recent evaluation by a physical therapist has revealed that the trigger points are a result of overload on the quandratas lumborim (? - QL).
It seems that whatever muscle in your abs that should bend your torso forward & back is "asleep" and therefore the QL is doing this work instead. I cannot remember the name of the muscle and the PT didn't seem to know why the muscle would be asleep. It was strange though because I could not engage the muscle. If I try to contract (like bracing for a punch to the stomach) my back muscles contract instead -- like my brain is not connected to the ab muscle. Any thoughts how something like this happens? Is this just a mechanical issue or could it be neurological?
To answer your question, yes this can be a neurological issue. If the muscle truly is not firing then there may be a complication in the signalling of the muscle. However, it may also be that you are not able to perform the purposeful activation of the muscle when you ask it to do so. In order to truly see if the muscle is/is not firing you would need to see a neurologist to have an EMG reading, which would tell the doctor if the muscle has any activity available. The other possibility is that the muscle is simply very weak, which can happen in cases of low back pain and other muscles have begun to compensate for that weakness. For any further questions feel free to post.
Copyright 1994-2016MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.