How many days will it take for a lumbar muscle strain to heal by itself?

Written by Wang Cheng Lin
Orthopedics
Updated on September 03, 2024
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Lumbar muscle strain is a chronic condition, not an acute onset. It is caused by fatigue, overexertion, trauma, and vigorous exercise, leading to prolonged and repeated strain, pulling, rupture, and damage of the lumbar muscles, resulting in scar formation and lumbar muscle strain. Therefore, this disease is essentially a chronic ailment, and its healing mainly relies on rest to promote recovery. If muscle damage occurs in the lumbar region and one does not rest, continuing to work and bear loads as usual, the muscles will not heal and will eventually become scarred. Thus, the duration for the healing of lumbar muscle strain depends not on the number of days, but whether adequate and proper rest has been taken. Additionally, applying medications that invigorate blood circulation and disperse blood stasis can assist in recovery. Generally, if care is taken to rest adequately, avoid carrying heavy loads, prevent fatigue, and avoid vigorous exercise, while also using oral medications or plasters that invigorate blood and dispel stasis, healing can gradually occur. However, the condition may recur under fatigue and strain in the future, as it is a chronic disease and complete healing is very difficult to achieve. (Note: This answer is for reference only. Medication should be administered under the guidance of a professional physician, and medications should not be used blindly.)

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Written by Li Jie
Orthopedics
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Is lumbar muscle strain easy to treat?

Lumbar muscle strain, as the name suggests, is a fatigue-related injury to the muscles of the lower back. It is primarily caused by excessive fatigue, a continuous state of tension in the lumbar muscles, leading to tension, spasms, and adhesions in the lumbar spine muscles. Sometimes, it may also involve minor joint disorders in the lumbar spine. Generally, the cause of lumbar muscle strain is quite clear. The first thing we recommend is that patients must rest in bed for a period, and this is to be combined with various conservative treatment measures such as acupuncture, massage, physiotherapy, electrical heating, or the external application of medicinal patches or moxibustion. With these treatments combined with rest, we generally achieve quite good therapeutic results. Therefore, lumbar muscle strain is relatively easy to treat and has good treatment outcomes.

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Written by Li Jie
Orthopedics
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Can you swim with a strained lumbar muscle?

Lumbar muscle strain, as the name implies, is the fatigue damage to the lumbar spine muscles. It is characterized by tension, spasms, and adhesion of the lumbar muscles, sometimes accompanied by disorders of the lumbar facet joints, straightening of the lumbar curvature, and limited lumbar mobility. Swimming is permissible in such cases because the body is in a weightless state while swimming. This condition allows swimming to strengthen the muscles of the lower back and enhance the muscular strength of the lumbar spine, which can help in exercising and alleviating symptoms. Hence, it is said that one with lumbar muscle strain can swim.

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Written by Na Hong Wei
Orthopedics
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Can lumbar muscle strain be massaged?

Lumbar muscle strain can be treated with massage if the technique and pressure are appropriate, making it a very important treatment method. Lumbar muscle strain generally involves the muscles which, due to prolonged overload, leads to reduced self-regulatory capacity or chronic aseptic inflammation of the muscle or its attachment points due to poor self-regulation. If the massage technique is correct, it can enhance local blood circulation and accelerate cellular metabolism. This helps in the faster elimination and release of inflammatory substances and pain factors. Moreover, massage can also relax tense muscles, allowing the strained lumbar muscles to rest and the damaged areas to recuperate. Therefore, lumbar muscle strain can indeed benefit from massage, and with the correct techniques, it can have a very effective therapeutic impact.

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Written by Guan Yu Hua
Orthopedic Surgery
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How should lumbar muscle strain be treated?

Lumbar muscle strain is a particularly common disease, such as strenuous exercise or long periods of heavy physical labor. For instance, farmers bending over, farming, hoeing, cutting grass, fertilizing, and spraying pesticides are all activities closely related to the movement of the lumbar muscles. The human body's muscles engage in 80% of activities, and their involvement in lumbar muscle strain is very common. It mainly manifests as swinging hammers, digging tree pits, bending over to lift heavy objects, and carrying heavy weights. Subsequently, pain and discomfort in the lumbar region occur. The next morning, upon waking, the symptoms may become more apparent. The lumbar area may feel stiff, akin to a plank, making getting out of bed difficult. Through physical examination and radiographic imaging, such as CT scans of the lumbar spine, the condition can generally be identified and confirmed. In such cases, strict bed rest is required, generally for at least ten days, during which symptoms gradually alleviate. During this period, treatments such as traction, physiotherapy, massage, and heating can help alleviate the symptoms. If necessary, blood-activating and pain-relieving medications may be taken. The condition is treatable, but it is advisable to avoid prolonged sitting in the future. When engaging in heavy labor, it is better to restrict the lumbar region by wearing a lumbar belt or engaging in lighter physical activities that do not overly exert the lumbar area. Regular care for the lumbar region is essential. Once there is damage to the lumbar region, recurrent episodes can affect the quality of normal life and work.

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Written by Na Hong Wei
Orthopedics
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How to assist in the examination of lumbar muscle strain?

How should lumbar muscle strain be assessed through auxiliary examinations? What auxiliary examinations are needed for lumbar muscle strain? Clinically, lumbar muscle strain is quite common; out of every ten people, at least two or three have it. The characteristic of these patients is that their symptoms are severe but their physical signs are mild. Therefore, when encountering such patients, a screening process is generally required, which involves a method of exclusion. After examination, an X-ray is usually taken first to check for obvious lumbar spondylolisthesis, the severity of bone hyperplasia, and any traumas, whether fresh or old, that might have caused vertebral fractures. Then, some people might need a CT scan, which aims to exclude lumbar disc herniation. Many patients do not have herniated discs, or only have slight bulging, but their symptoms are severe, making them restless. Generally, there is no need for an MRI, but some patients strongly request an MRI examination. After the MRI, sometimes high-density shadows can be seen in the muscles of the lower back, which might be caused by injuries within these muscles. Therefore, the auxiliary examinations for lumbar muscle strain are usually negative, with few positive findings, which is a characteristic of this condition.