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Conditions and Diseases > Back Pain Forum > Ropey, gritty feeling muscle around transverse process
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Q: Ropey, gritty feeling muscle around transverse process
asked by: srfnson on April 8th, 2008
New User
Wondering if anyone can help me here...

Brief history...43 yrs old, chronic back pain for 7 yrs. Original injury due to deadlift. MRI confirmed "tiny" L4/L5 herniation. 3yrs after pretty well recovered however then reinjured myself pushing van out of snow. Had a feeling of letting go on left side QL through to hip area similar to muscle tear. No sharp pain or leg pain felt however.

6 months after that accident I developed a ropey lumpy mass around my left transverse process approx 2" from my spine and 2" above my illium which radiates pain. Painful to sit or drive for extended periods although pressing on this lumpy area would relieve pain somewhat. Dr's have told me it's a 12th rib or scar tissue or trigger point. MRI didn't pick anything up apart from bulging disc. xray ruled out 12th rib problem.

I've having severe buttock pain now on my left side and continued pain in the area where this lumpy knot is located. My quality of life is going downhill as I can't drive for extended periods or sit at work and concentrate for very long.

I've tried every kind of treatment...chiro, core exercises, accupuncture, stretching, prolotherapy but nothing has resolved my pain. I've seen primarily sports medicine Drs or pain clinic Drs who are at a loss to diagnos what my problem is but do not want to refer me to neuro surgeon. (i'm in Canada). One Doc told me he's never seen anything similar what I have in 25yrs of practice.

I'm guessing I have some kind of neural impingement around the l5 transverse process or perhaps disc issues. At this point I'm seriously considering looking to the US for treatment options.

If anyone has experienced similar symptons in terms of a ropey, gritty feeling muscle close to their transverse process in the quadratus lumborum muscle producing pain while sitting please let me know.
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surigama
replied on July 3rd, 2008
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tranverse process - pain
G'day,

Yes I know what you are talking about. I have a similar but not identical problem, and it seemed to be initiated from overdoing lunges in the gym with a barbell.

I don't have a cure, nor do I even know what it is, but I have some theories.

1. Facet joint inflammation, caused by degeneration of the facet cartilage - a facet joint injection is a sure way to diagnose/treat this

2. One of the small muscle insertion points on the tran. process has been torn/severly damaged, and will not heal. If you look at an anatomy diagram, these muscles are extremely slender, and I propose that the slightest stress as they are trying to heal will damage them again, so that a cycle of inflammation, and scarring develops.

I know this isn't much but one thing I have found that relieves the pain somewhat is this.

Get a water running belt [ from an aquarobics store/site] and go to a local heated pool. Put the belt on and get in the deep end of the pool and just walk in the water for about 20 mins. I guess this is decompressing the spine and spinal muscles, and strengthening the supporting muscles without aggravating the damaged muscles.

Another help is to get a light compression back support brace and wear it while sitting. I have found with this I can now ride my motorcycle for 40-60 mins., whereas before I could barely ride 15mins without aggravation.n't.

I have found the following actions agggravate

1. Sitting
2. lunges/deadlift type exercises
3. Hip flexion extension exercises., with the knees straight

All I can do is just try and either stand or lie down most of the time, but if your job involves driving then it's not much help

Good luck
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Zak_han
replied on July 3rd, 2008
Supporter
To srfnson ,my personal opinion.
It sounds like what you're describing is chronic soft tissue injuries due to long trem unbalance in lower back, which can become worse over time and lead to painful ropey lumpy mass around your left transverse process ,etc. Given the severity of your pain and the functional limitations it's now placing on you, it probably is time to consult with a reputable doctor for second opinion.It is a common misconception that back pain always stems from the pressure of a slipped disc or a trapped nerve. This is misleading, the main cause of pain is inflammation stimulating nerves, causing the pain signal.

I would agree that intensive acupuncture (Not general acupuncture), mobilization exercises can be helpful

good luck!
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srfnson
replied on July 14th, 2008
New User
Thanks for your reply...

I think you're right about the soft tissue injury as when my pain seems to eminate from this lumpy mass area and I can feel the texture of the area change when I"m in pain.

It's a very frustrating condition as I've seen 4 doctors so far and getting them to acknowledge that this area is the problem vs a disk issue is very difficult. It seems if it is not disk related their response is that there are too many other conditions or causes that an accurate diagnosis is not possible.

Most docs and physio's have commented they've never seen a patient with the lumpy mass structure that I have around my left L5 transverse process. Unfortunately, nothing in that area shows up on an MRI....
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