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Bob and Brad
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PT
How to Massage the Quadratus Lumborum with a Massage Gun
Bob and Brad explained how to massage the quadratus lumborum in the lower back with a massage gun. In this video, Brad uses the pointer attachment to massage from the bottom of the ribs down to the pelvic crest while Bob lies on his side.
How to Massage the Quadratus Lumborum With a Massage Gun: A Step-by-Step Guide
Understanding Your Quadratus Lumborum (QL)
Your quadratus lumborum is a deep abdominal muscle you've probably never heard of—but if you have low back pain, it might be the culprit. Located deep in your core, the QL connects your iliac crest (the top of your pelvis) to your 12th rib and the vertebrae of your lower spine (L1-L4).
While it's not a muscle you see in the mirror, your QL works hard every time you breathe, sit, stand, or rotate. When it tightens up, the results are surprisingly painful and often misdiagnosed.
Why Your QL Gets Tight (And You Don't Even Realize It)
The QL is notorious for shortening and tightening in three common situations:
Side Sleeping: If you sleep on the same side every night, your pelvis on the opposite side hikes up slightly. Over time, your QL on that side adapts to this shortened position and stays tight. Sleep on your left side frequently? Your right QL is probably shortened.
One-Sided Sitting: Just like sleeping position, if you tend to sit more on one side of your pelvis—maybe from your desk setup or driving habits—the opposite side hikes up, causing the QL to gradually shorten and stiffen.
Flexed Posture: Sitting slouched or with a rounded lower back overworks your QL, making it hypertonic (overly tense) and stiff. This is one of the most common causes in today's desk-bound world.
The Problem With a Tight QL (And Why You Should Care)
A shortened quadratus lumborum doesn't stay isolated. Because of where it attaches, a tight QL can:
Pull down on your rib cage, creating chest tightness or breathing issues
Pull up on your pelvis, creating an imbalance in your lower spine
Pull on your lumbar spine, contributing to low back pain and dysfunction
This imbalance in your spine is why QL tightness so often gets blamed on "sciatica" or "disc problems" when the real issue is muscle tension and poor positioning. Treating the symptom (the pain) without addressing the QL means your pain keeps coming back.
How to Massage Your QL With a Massage Gun: The Technique
What You'll Need:
A massage gun with a pointer attachment
A partner (or you can do this on your own with some practice)
2-3 minutes per side
Step-by-Step Instructions:
1. Position: Have the person lie on their left side to access the right quadratus lumborum. (Reverse this to work the left side.)
2. Find the QL: The QL lies deep to the erector spinae (the muscles running along your spine). You're targeting the area between your rib cage and pelvis, about 1-2 inches away from the spine.
3. Massage Path: Starting at the bottom of the rib cage, slowly work the massage gun downward toward the pelvic crest. Keep the device 1-2 inches away from the spine—you're not going directly on the vertebrae.
4. Pressure and Strokes: Apply downward pressure as you move the massage gun in two directions:
Side to side (perpendicular to the muscle fibers)
Parallel with the muscle (up and down along the QL)
5. Target Tender Spots: Pay special attention to any tender spots, knots, or trigger points you feel. These are the tightest areas and need extra attention. Spend 20-30 seconds on each tender spot.
6. Repeat on Both Sides: Finish by rolling the person to their right side and repeating the process on the left QL.
Duration: 2-3 minutes per side is typically sufficient. You don't need to overwork the muscle.
Best Massage Gun Attachments for QL Work
The pointer attachment is ideal for the quadratus lumborum because:
It targets deep muscle tissue with precision
It allows you to stay 1-2 inches away from the spine safely
It gives you control to focus on specific trigger points
If you have other attachment options (like a flat head), the pointer will give you the most effective results for deep core work.
Make it a Regular Practice
The QL responds well to consistent massage—especially if you're addressing the root cause (changing sleeping position, adjusting your desk setup, or improving posture). Many people find that 2-3 sessions per week of QL massage combined with lifestyle changes can eliminate chronic low back pain within a few weeks.
Ready to feel the difference? Grab a Bob and Brad massage gun and try this technique tonight. Your lower back will thank you.
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