diff --git a/block/blk-mq.c b/block/blk-mq.c
index 03723f70f36e..553c9b091d09 100644
--- a/block/blk-mq.c
+++ b/block/blk-mq.c
@@ -2252,6 +2252,24 @@ void blk_mq_delay_run_hw_queue(struct blk_mq_hw_ctx *hctx, unsigned long msecs)
 }
 EXPORT_SYMBOL(blk_mq_delay_run_hw_queue);
 
+static inline bool blk_mq_hw_queue_need_run(struct blk_mq_hw_ctx *hctx)
+{
+	bool need_run;
+
+	/*
+	 * When queue is quiesced, we may be switching io scheduler, or
+	 * updating nr_hw_queues, or other things, and we can't run queue
+	 * any more, even blk_mq_hctx_has_pending() can't be called safely.
+	 *
+	 * And queue will be rerun in blk_mq_unquiesce_queue() if it is
+	 * quiesced.
+	 */
+	__blk_mq_run_dispatch_ops(hctx->queue, false,
+		need_run = !blk_queue_quiesced(hctx->queue) &&
+		blk_mq_hctx_has_pending(hctx));
+	return need_run;
+}
+
 /**
  * blk_mq_run_hw_queue - Start to run a hardware queue.
  * @hctx: Pointer to the hardware queue to run.
@@ -2272,20 +2290,23 @@ void blk_mq_run_hw_queue(struct blk_mq_hw_ctx *hctx, bool async)
 
 	might_sleep_if(!async && hctx->flags & BLK_MQ_F_BLOCKING);
 
-	/*
-	 * When queue is quiesced, we may be switching io scheduler, or
-	 * updating nr_hw_queues, or other things, and we can't run queue
-	 * any more, even __blk_mq_hctx_has_pending() can't be called safely.
-	 *
-	 * And queue will be rerun in blk_mq_unquiesce_queue() if it is
-	 * quiesced.
-	 */
-	__blk_mq_run_dispatch_ops(hctx->queue, false,
-		need_run = !blk_queue_quiesced(hctx->queue) &&
-		blk_mq_hctx_has_pending(hctx));
+	need_run = blk_mq_hw_queue_need_run(hctx);
+	if (!need_run) {
+		unsigned long flags;
 
-	if (!need_run)
-		return;
+		/*
+		 * Synchronize with blk_mq_unquiesce_queue(), because we check
+		 * if hw queue is quiesced locklessly above, we need the use
+		 * ->queue_lock to make sure we see the up-to-date status to
+		 * not miss rerunning the hw queue.
+		 */
+		spin_lock_irqsave(&hctx->queue->queue_lock, flags);
+		need_run = blk_mq_hw_queue_need_run(hctx);
+		spin_unlock_irqrestore(&hctx->queue->queue_lock, flags);
+
+		if (!need_run)
+			return;
+	}
 
 	if (async || !cpumask_test_cpu(raw_smp_processor_id(), hctx->cpumask)) {
 		blk_mq_delay_run_hw_queue(hctx, 0);