Repetitive Strain Injury/quadratus lumborum


I have had 4 back surgeries in  the last 6  years, that did not fix lower back pain.I feel I have been diagnosed incorrectly.Recently I have been found to have quadratus lumborum, which fits all of my symptoms to a T. I have been getting massage 3 times a week and an attempt at other therapy, but not with tremendous relief.My question is there a surgery that will end this problem??

Hi Warren,

As you've seen, surgery isn't the answer to this problem.  When a muscle is tight it is pulling hard on the insertion point where the muscle tendon merges into the bone.  It's like pulling your hair really hard and your scalp hurts, and then if you try to turn your head in the opposite direction, you can't.  Plus, if you keep trying to turn your head it will hurt even worse, and you could potentially pull the hair right out of your head.  This is exactly what is happening when your muscles are tight and pulling on the tendon -- the joint hurts where the tendon inserts and you can't move easily.

It will help you understand if you first go to and read about repetitive strain injuries.  I suggest you also read the sections titled "Muscles and Pain" and "What's Happening Exactly."  Then if you go to you can read about each of the muscles that will rotate your pelvis and are the #1 cause of low back pain.  Until the muscles are released the pain in your back won't stop.  I agree that your Quadratus Lumborum is a part of the problem, but it's actually not the first piece of the puzzle, but you'll read about that in the thread I just gave you.

I've worked with thousands of people who have this problem, and I know that the odds are excellent that you'll get relief if treat each of the muscles (it's important to do them in the order given)that are explained in the thread.  You can go to a massage therapist, but I've found that it's actually much better if you learn how to self-treat since you'll need to do the treatments very frequently (once a day) until the tension is permanently released.

Wishing you well,
   Julie Donnelly  

Repetitive Strain Injury

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Julie Donnelly, LMT


I can accept questions that relate to chronic or acute pain caused by muscle spasms and contractions. Repetitive Strain Injury is actually Cumulative Trauma to muscles. Releasing the spasm &/or contraction will relieve the strain that is felt at the insertion point on the bone. I am the co-developer of the unique safe-stretching program "Focused Flexibility Training," which combines easy instruction for self-treating spasms throughout your body with proven yoga stretches. I have recently authored two new books: "The 15 Minute Back Pain Solution," and "The Secret to Your Best Golf Game EVER!


Since 1989 I have been working with endurance athletes and individuals suffering from chronic pain conditions. I have authored seven self-treatment books and three self-treatment DVDs and I have developed the Julstro System for the treatment of carpal tunnel syndrome, Trigger Finger, and other Hand/Wrist pain. I am a national and international presenter at conventions, seminars, and workshops. Principle topics are "Work Shouldn't Hurt," and "The Pain Free Athlete." In 2005 and 2006 I was the massage therapist for ultracyclists competing in the Race Across America (RAAM) 3000+ mile race from San Diego, CA to Atlantic City, NJ. I've taught the Julstro techniques to physical therapists at the Cleveland Clinic, to massage therapists in areas around the USA, and I've taught Julstro self-treatment clinics to dancers at Juilliard School of Performing Arts (NYC),the sprinting team at NC State, and I am working closely with several Olympic-hopeful. We have successfully eliminated the repetitive strain injuries that could keep them out of the Olympic Games, and the best part is they know how to do the self-treatments so they can stay pain-free and flexible.

Triathlete Magazine, Endurance Magazine, multiple national and international trade journals.

Swedish Institute of Allied Health, NY, NY - Initial education in massage therapy Licensed NYS Massage Therapist since 1989. SUNY Empire State College, Saratoga Springs, NY - B.Sc. degree in Interdisciplinary Health Education I was an Associate Professor helping to develop the massage training program for SUNY Rockland Community College

Past/Present Clients
Privacy prevents me from filling in this section without prior consent from my clients. Life Experience: I have been specializing in the treatment of chronic pain and sports injuries since receiving my NY massage license in 1989. A personal bout with carpal tunnel syndrome was the catalyst to my developing a self-treatment that heals the symptoms of carpal tunnel syndrome quickly and without surgery. My work with endurance athletes was the inspiration to teach people how to self-treat so they could stop pains even during a race or heavy training day. Both of these situations ultimately became the products that are sold on my websites: and I currently treat people in my offices in Sarasota, FL, Cary, NC, or Pearl River, NY

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