Quadratus Lumborum Laser Magic
If your low back pain patient is not responding to traditional therapy try to laser the Quadratus Lumborum bilaterally. I recommend 1500 joules per side for a total of 3000 joules a session. This amount of energy is necessary since 65% of this joule number is lost at the superficial layer of tissue. To reach the deeper tissue of the QL with adequate laser photon energy you need higher amounts of joules. Don’t believe me? Try it with lower dosages and then with my recommendation. See for yourself. Real world results speak for themselves. Ask the patient. They will tell you. Better yet, watch them get better before your eyes.
Make sure the patient is side lying to reach the muscle effectively. Pay close attention to he origin at the 12 rib and insertion on the iliac crest. Medial and lateral branches. Good luck and have fun. Patients will often notice an immediate decrease in pain. It usually take about three sessions for resolution of these points.
Dr. Perry
PS. Don’t forget to check satellite trigger points in the Gluteus Medius and Minimus! Always adjust POST laser. And NEVER neglect checking the bilateral psoas muscles. They are always involved with a QL problem. You can alternate laser applications and trigger point therapy from the QL to the psoas until resolved.
Dr. Perry Nickleston, DC
VP Practice Development, K-LaserUSA and Clinical Director of the Pain Laser Center, LLC in Ramsey, NJ
1-866-595-7749 Ext. #102
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