Quadratus lumborum is a large flat quadrilateral muscle of the posterior abdominal wall.
Proximal Attachment:
Iliolumbar ligament and adjacent posterior part of the iliac crest.
Distal Attachment:
(Shown) Medial half of the lower border of the 12th rib
(Not Shown), Apex anterior surfaces of the transverse processes of vertebrae L1 to L4.
Action: Flexes the trunk to the same side. When standing on one leg, acts to help prevent the pelvis dropping onto the unsupported side.
The Quadratus Lumborum is a common source of lower back pain. Because the QL connects the pelvis to the spine, any abnormal rotation of the innominate bone will stretch the QL Muscle. If chronic, the muscle will become inflamed and painful.
The above animation shows the posterior rotation of the right innominate. The white arrows indicate the points of inflammation in the presence of a chronic postural distortion (posterior rotation).
Prof/Dr Brian A Rothbart Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot Structure and the PreClinical Clubfoot Deformity
Developer of Rothbart Proprioceptive Therapy
Inventor and Designer of Rothbart Proprioceptive Insoles
Founder of International Academy of Rothbart Proprioceptive Therapy
Author of Forever Free From Chronic Pain