Symptoms
Low back pain
Non-specific low back pain commonly involves trigger points in the quadratus lumborum and gluteus medius.
Overview
Non-specific low back pain — by far the most common presentation — frequently has a meaningful muscular contributor. Quadratus lumborum and gluteus medius referral closely mimics 'lumbar' pain. Identifying these often unlocks progress when generic exercise programs stall.
Clinical notes
Reproducible pain on QL or gluteus medius palpation, combined with negative red flags, strongly supports a myofascial-led plan.
Red flags — when to refer
Saddle anesthesia, bilateral leg weakness, bladder/bowel changes, unexplained weight loss, history of cancer, fever, IV drug use — urgent referral.
Muscles often involved
References
- • Travell & Simons, Vol. 2