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 should bend your torso forward & back is "asleep" and therefore the QL is doing this work. 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 it -- like my brain was not connected to that muscle. Any thoughts how something like this happens? Is this just a mechanical issue or could it be neurological?
Hi there and thanks os much for posting this question.
In my opinion there is not a neurological condition unless you think you need to rule that out. That process that you are describing it is more common than it looks like.
When you refer that a muscle is asleep and can't get engaged in muscular activity we refer it in physiology that a specific muscle doesn't fire properly meaning that when you fire a muscle (concentric, eccentric and stabilize) you need to contract that muscle lengthen (eccentric) the opposite muscle and stabilize the muscle so it is a quite complicated process that you can train and improve
Let me review with you some general concepts first
Skeletal muscle is made up of bundles of individual muscle fibers called myocytes. Each myocyte contains many myofibrils, which are strands of proteins (actin and myosin) that can grab on to each other and pull. This shortens the muscle and causes muscle contraction.
It is generally accepted that muscle fiber types can be broken down into two main types: slow twitch (Type I) muscle fibers and fast twitch (Type II) muscle fibers. Fast twitch fibers can be further categorized into Type IIa and Type IIb fibers.
Wanted to share a great sight that may give you some insight
"In other words The quadratus lumborum (Illustration A) is frequently overloaded when we work stooped forward for long periods of time. A Myofascial Trigger Point (TrP) is a hypersensitive spot in a muscle that when stimulated, often produces pain referred in a predictable pattern away from the Trigger Point. Trigger Points develop in muscle as the result of direct trauma, overload or overuse"
In my opinion I will give you few recommendations:
1.- Stretch that specific muscle group
2.- Work in an isolate manner that muscle with very mild movements (Face down bring your torso up and hold ithttp://www.youtube.com/watch?v=haI9Hh5OSmc&feature=plcp
3.Worl the opposite muscles (psoas, hip flexor) http://www.youtube.com/watch?v=DsSGnpzoTzs&feature=plcp
4. Strengthen the lower back http://www.youtube.com/watch?v=ahCG9YLyDWw&feature=plcp
I hope this helps and consult to your doctor before doing these exercises
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
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. MedHelp 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.