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 Cheng Bin
Orthopedics
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How long do you need to rest for a lumbar muscle strain?

Usually, patients with lumbar muscle strain need to actively rest and protect themselves for about seven to ten days to recover. However, during this period, they must actively cooperate with the treatment. Otherwise, if they continue to perform heavy physical labor, or are exposed to cold, the recovery time is unpredictable and may be prolonged. For such patients, local treatments such as hot compresses, massages, light therapy, and acupuncture can be used to promote the absorption of local creatine kinase. Additionally, they can use topical ointments that invigorate the blood and remove stasis, and take oral non-steroidal anti-inflammatory and blood-activating drugs. (Specific medications should be used under the guidance of a physician.)

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Written by Guan Jing Tao
Orthopedics
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Apply heat to the lumbar muscles area for lumbar muscle strain.

Mostly, the affected areas with definite tender points are recommended for appropriate hot compresses, which can effectively improve lumbar muscle strain. In addition, lumbar muscle strain may be accompanied by definite local tender points, especially at the locations where muscle damage is clear. Applying hot compresses there can also effectively alleviate back pain and symptoms of restricted movement. It is recommended to persist with hot compresses, use heating pads, or apply some medicated plasters daily. Use heating pads once or twice a day, each session lasting 10 to 20 minutes. If using medicated plasters, follow the instructions, continuing for one to two weeks. Moreover, during the recovery period, avoid prolonged sitting, standing, and heavy lifting activities. (The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Na Hong Wei
Orthopedics
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Treatment methods for lumbar muscle strain

Firstly, some non-surgical treatments, namely conservative treatments, should be carried out. The majority of patients can see significant relief in their symptoms after conservative treatment, and some of them may even be cured. Conservative treatment begins with general treatment. Primarily, it involves bed rest after the onset of lumbar muscle strain symptoms, ceasing work, and minimizing bending activities. Additionally, wearing a lumbar support is advised to prevent further injury. Secondly, it is appropriate to exercise the muscles of the lower back. If the strength of these muscles is increased, not only can it enhance the stability of the lumbar spine, but it can also reduce pressure inside the intervertebral discs and delay the aging and degeneration of the spine. Thirdly, physical and rehabilitation therapies should be employed. This mainly includes traction, physiotherapy, massage, acupuncture, and external application of traditional Chinese medicine. The goal is primarily to relax spasmodic back muscles. At the same time, it can alleviate pressure within the intervertebral discs and reduce the inflammation around the nerve roots. Fourthly, if the pain is extremely severe and significantly affects everyday life and work, consideration may be given to taking non-steroidal anti-inflammatory pain medications, along with muscle relaxants. This can result in very effective pain relief. If the outcome of standardized conservative treatment is unsatisfactory, surgical treatment can be considered. However, for lumbar muscle strain, non-surgical treatment is generally preferred, with only a few patients requiring surgery.

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Written by Li Jin
Orthopedics
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Can lumbar muscle strain be cured completely?

Patients with lumbar muscle strain can generally improve their symptoms or even recover after rest or treatment. The main causes of lumbar muscle strain include long-term heavy physical activities involving the waist, poor posture, chronic strain, trauma, etc., which can cause symptoms such as back pain and limited mobility. These symptoms lessen after rest but can worsen after resuming strenuous activities. For the treatment of lumbar muscle strain, it is important first to rest and develop correct habits of using the waist to avoid long-term heavy physical activities involving this area. Treatment may include the symptomatic use of anti-inflammatory pain medications, combined with heat application, physical therapy, massage, or block therapy. These methods can play a positive role in symptom improvement and recovery. (Specific medications should be used under the guidance of a physician.)

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Written by Guan Jing Tao
Orthopedics
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Can I run with a strained lumbar muscle?

Generally, it is not recommended. For lumbar muscle strain, it is first advised to rest in bed. After the pain eases, one can take gentle walks and do some lumbar physiotherapy and heat applications. Exercises such as the 'little swallow flight' and other aerobic activities, as well as swimming, can be done. Jogging is also acceptable, but it is advised not to engage in fast, high-intensity, or prolonged running to avoid significant injury and fatigue to the lumbar muscles.