The connection between a mum of 4, bad habits, cricket fast bowlers (CFB), and the quadratus lumborum muscle (QL).
How many times have I been too lazy or tired, taking out the stroller from my car boot and taking the baby out in the car seat just to do my pickups from school?
How many times have I caried my 18 months toddler on my left side waist, just to try to continue my daily household work?
How many times have I lifted my son after having a tantrum or from lying in his cot while bending my back in an awkward position?
Me and the CFB probably share the same source of pain generated from QL Myofascial trigger points (MTrPs).
Narendra and kadyan (2017) found that dry needling of the QL of the CFB suffering from non-specific LBP, decreases their pain level and enlarged the ROM of their back lateral flexion.
Of course, that it is not enough to dry needle the QL (you have to check if there are more MTrPs in the back muscles and in the Gluteus and Hams).
We should use soft tissue release techniques and manual therapy.
Once we manage to reduce the pain originating from the MTrPs quickly, we can carry on to pain-free rehabilitation plan!
We may want to emphasise the exercises to include core and lower back strengthening to support the QL so it is not overworked and unnecessarily strained.
Special attention to posture and form must take precedence when we teach strength training. Additionally, lengthening this muscle can provide relief when it is tight such as Lateral stretches, standing and seated.
By improving the strength and mobility functions of the musculature in the lower back region we aim to reduce the likelihood of a recurrence.
So, why dry needling? The answer is simple!
QL is a deep muscle, part of the abdomen wall, which a needle can reach from the back.
Other techniques would cost time and a lot of effort and in the end just won’t decrease and relax the muscle as we would have wished.
By shortening the hands-on treatment and replacing it with other efficient techniques that helps the patient reach pain free function, we have more time to educate the patient and explain the “do and don’ts ” which are an imperative next step.
So come learn dry needling if you want to reach deeper tissue and pinpoint your treatment, thereby reaching the functional goal more efficiently. It’s a fantastic system for pain reduction and improvement of range of motion.