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Understanding Back Pain: Trouble Maker No.2

Anatomy, Physiology, and Psychosomatics (Bodynamic System)


Back view of a woman with lower back pain.

Back pain is a prevalent condition affecting many individuals, and among the key players is the Quadratus Lumborum muscle. This section aims to deepen your understanding of the anatomy, physiology, and psychosomatic aspects related to the Quadratus Lumborum, shedding light on why it's a frequent source of back pain and how to effectively manage it.



Key Muscles Involved: Quadratus Lumborum


Mechanical Reason: The Quadratus Lumborum is a deep muscle located in the lower back. It plays a crucial role in stabilizing the spine during side-bending and twisting movements. The strain on this muscle can occur through improper postures, such as prolonged slouching, or during sudden, awkward movements, leading to discomfort and dysfunction (Cleveland Clinic, Spine-health).


Physiological Reaction: Strain in the Quadratus Lumborum initiates an inflammatory response that mirrors the reaction seen in the Erector Spinae. The muscle may also go into spasm as it tries to stabilize the affected area, causing localized pain and tenderness. This discomfort may radiate towards the hips or lower ribs due to the extensive attachments of the muscle (Cleveland Clinic).



Quadratus Lumborum in Psychosomatic Developmental Phases


8 Months to 2.5 Years (Autonomy): During this crucial phase, the Quadratus Lumborum is involved in the function of social balance. It supports the child's ability to be aware of their own feelings and needs, while also considering the expectations of others. This development is particularly evident during activities such as creeping and crawling, and when the child attempts to balance on one leg or imitate standing on one leg, as seen in coping behaviors.



Dos and Don'ts When the Quadratus Lumborum Hurts


Dos:

  • Practice Proper Posture: Regularly check and correct your posture to minimize stress on the Quadratus Lumborum.


  • Engage in Balanced Exercise: Activities that promote overall core stability can help prevent strain.


  • Apply Heat Therapy: Using heat can help relax the muscles and alleviate pain.


Don'ts:

  • Avoid Prolonged Sitting: Long periods of sitting, especially in poor posture, can exacerbate pain.


  • Be Cautious with Twisting Motions: Avoid activities that involve excessive twisting of the lower back.


  • Limit Heavy Lifting: When lifting, ensure proper technique to avoid overloading this muscle.



Conclusion

Understanding and addressing the specific needs of the Quadratus Lumborum can significantly aid in managing and preventing lower back pain. By adopting preventative measures and being mindful of daily activities, one can maintain a healthier back and reduce the risk of pain. Regular exercise, proper posture, and ergonomic adjustments are essential in maintaining muscle health and preventing lower back pain. Incorporating manual and psychological therapies can further enhance treatment outcomes, addressing both physical and mental aspects of back pain (Cleveland Clinic, Spine-health).


For more detailed information, you can refer to the resources from Spine-health and the Cleveland Clinic.



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Source: "Body Encyclopedia - A Guide to the Psychological Functions of the Muscular System" by Lisbeth Marcher, Sonja Fich.

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