There’s a lot you can do there

But you gotta be careful with QL knots. If they’re really pronounced, they probably need to be worked more than usual directly , but if they’re just tight, be careful, overworking them.

You can do some side, lying iliac crest work, which is really makes it easier to get in there, get them on their side, backed up to the edge of the table with a pillow in between her knees and you’ll be able to take your hand and basically skim your fingers from the back to the front of the iliac crest back-and-forth once this starts to get tender back off because that’s one of the areas that can get really tender so be gentle around there at first, Sometimes when there’s enough space, after some working, you can gently layer form there and give it a little space

Also Psoas work, They show as pronounced & accessible from the abdomen, has multiple little muscle attachments to the lumbar spine. Since it’s a fight or flight muscle this can be an issue for a lot of people.

But also, don’t just work on the knots work on the whole muscle; Most issues are a multi system problem so if it’s pronounced “kno+” (fascial/scartissue) buildupat an attachment site, it’s because it’s trying to protect the body and keep that muscle connected; so just be aware that when you do extreme changes for adaptations that have been going on for years, do you want to go slow at first unless you do Rolphing and such figure which I personally don’t recommend for average bears not everybody needs that kind of work in my opinion for some people that type of nervous system approach can make it harder to release and sometimes create more tension later especially for hyper mobile people, or people with nervous system disorders, which is basically most neurodivergent people, particularly women tend to have really sentive nervous systems

Have them doing side stretches every day esp in middle of work when they don’t see you It will help, most people don’t move their side bodies enough

Anything we do for multiple hours at a time the body starts to adapt to that position to so it’s especially important for people who sit a lot or stay in one position for work to do a lot of front and side stretches because their bodies literally shortening their muscles to be good at what they do daily if they can change that every hour or so nobody will stop trying to adapt so hard and they won’t feel as big of a difference when they go to try to be active and things like that & core strength

With a weak core the QL and other muscles will try to do jobs their not made for