How to effectively treat lumbar muscle strain?

Written by Cheng Bin
Orthopedics
Updated on August 31, 2024
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The best treatment for lumbar muscle strain usually involves local heat application or massage. It is crucial to employ the correct massage techniques, such as kneading, pinching, and rolling, which can effectively promote local blood circulation, alleviate muscle tension, and improve the clinical symptoms of the patient's lumbar muscle strain. For severe pain, it may also be necessary to combine this with some medications, such as oral non-steroidal anti-inflammatory drugs, or use topical plasters that activate blood circulation and dissolve stasis. Additionally, it is essential to sleep on a hard bed, wear a waist belt for protection, and avoid fatigue, cold exposure, prolonged sitting or standing, excessive bending, and lifting or carrying heavy objects.

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Written by Na Hong Wei
Orthopedics
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Lumbar muscle strain physical therapy methods

After a lumbar muscle strain, physical therapy is a very important treatment method, and when properly handled, it is greatly beneficial to the recovery of the condition. Physical methods include: First, physical therapy should be applied to the area of pain, primarily involving appropriate massage and manipulation. Second, after the acute phase, local heat application can be used, such as wrapping a hot water bottle with a towel. Third, iontophoresis with medications can be applied to the painful area, which is a crucial aspect of treating lumbar muscle strain with traditional Chinese medicine and herbs. Fourth, treatment with microwave or ultrasound can also be conducted. Generally, it is believed that ultrasound therapy has a very good effect on lumbar muscle strain. Finally, acupuncture or traditional Chinese medical traction can also be performed, which usually has a very good effect on lumbar muscle strains.

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Written by Li Jin
Orthopedics
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How to recover from a lumbar muscle strain?

Patients with lumbar muscle strain are mainly caused by long-term heavy physical activities involving the waist, poor posture, chronic strain, etc. The symptoms are primarily manifested as back pain and restricted movement. These symptoms are alleviated after rest and worsened after labor. For the treatment of lumbar muscle strain, it is important to first ensure adequate rest and develop proper habits for using the waist to avoid long-term heavy physical activities. Symptomatic medication treatments, such as non-steroidal anti-inflammatory analgesics, can be used. Additionally, methods like hot compresses, physical therapy, massage, and local block treatment can be employed. These methods play a positive role in symptom improvement and recovery. (Please use medications under the guidance of a doctor.)

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Written by Guan Jing Tao
Orthopedics
1min 11sec home-news-image

How to self-repair lumbar muscle strain

Lumbar muscle strain, especially repeated lumbar and back sprains, as well as prolonged sitting, standing, exposure to cold, and chill, can all cause lumbar muscle strain. Therefore, it is first necessary to avoid excessive bending and lifting activities, as well as exposure to cold and chill, particularly abnormal bending and lifting activities. Normally, one should squat first, then lift heavier objects and hold them close to the abdomen, which is a more correct posture for lifting things. After injuring the lumbar muscles, it is advisable to persist with local physical therapy daily, such as heat therapy, acupuncture, and physiotherapy, while avoiding cold, chill, prolonged sitting, and standing. One can also take some non-steroidal anti-inflammatory and analgesic drugs orally. During the non-acute phase, when there is no obvious pain in the lumbar muscles, one can try exercises like planking, proper jogging, and pull-ups to enhance the strength of the back and lumbar muscles, which can promote the recovery of tissue damage from lumbar muscle strain and increase its strength.

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Written by Na Hong Wei
Orthopedics
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Symptoms of lumbar muscle strain and fasciitis

First, it is a type of chronic pain without obvious causes, mainly characterized by soreness and swelling. The pain usually alleviates after rest but reappears if staying in one position for too long. Therefore, patients with myofascial inflammation caused by lumbar strain often feel restless. Second, there is usually a trigger point, typically located near or within a muscle, or at the junction between muscle and nerve. Pressing on the trigger point often results in radiating pain around it. Furthermore, the pain usually does not worsen but instead lessens over time, which is a key characteristic of myofascial inflammation. Third, the sacrospinalis muscle may become hardened or even spasm on one or both sides. Fourth, there is compensatory abnormal curvature of the spine, mainly presenting as protrusion or lateral curvature of the spine. Thus, the symptoms of myofascial inflammation from lumbar muscle strain usually include pain, specific pain points, surrounding muscle hardening, spasm, and compensatory spinal deformity.

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Orthopedic Surgery
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Can you exercise with lumbar muscle strain?

Lumbar muscle strain primarily arises from repetitive stretching of the back muscles due to work-related activities or intense physical exercise. This leads to a range of symptoms, such as stiffness in the lower back upon waking in the morning, reluctance to move, and symptomatic relief after some activity. It is advised to gently exercise the lower back to effectively alleviate symptoms, avoid strenuous exercise or prolonged bending and heavy physical labor. It's best to strictly rest on a firm mattress, perform warm-up activities for the lower back, and undergo appropriate physical therapy and massage. Consuming blood-activating and pain-relieving medications can also help. Typically, symptoms will gradually ease over 7-10 days. Although light activity for lumbar muscle strain is acceptable, engaging in exercise is not recommended. Rest is necessary, and a general rest period of about half a month will gradually reduce symptoms. Recurrences are common, so it is important to regularly care for your lower back by avoiding activities such as bending to lift heavy objects, carrying heavy loads, etc., as these can easily lead to repetitive strain injuries of the back muscles.