Treatment methods for lumbar muscle strain

Written by Na Hong Wei
Orthopedics
Updated on September 02, 2024
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Firstly, general treatment is necessary, which mainly includes rest, or regularly changing posture, and avoiding bending over to lift objects. This is primarily to alleviate symptoms and prevent recurrence. Additionally, using a lumbar support belt at work can limit the range of motion of the waist and is very effective for lumbar muscle strain. Moreover, after entering the remission phase, when the pain has subsided, it is important to strengthen the muscles of the lower back. If the strength of the lower back muscles is improved, the stability of the lumbar spine will also improve, making lumbar muscle strain less likely to occur. Secondly, some physiotherapy can be applied to the painful area, including massage, manipulation, or acupuncture. Thirdly, if there are specific tender points, localized treatment around these points can be considered, which is highly effective. Fourthly, if the pain is particularly severe, affecting work and rest, or causing patient anxiety, consideration can be given to using some non-steroidal anti-inflammatory painkillers, muscle relaxants, or sedatives like diazepam. Therefore, treatment of lumbar muscle strain is essential and must be correctly administered. (Medications should be used under a doctor's guidance based on specific conditions.)

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Written by Guan Yu Hua
Orthopedic Surgery
1min 46sec home-news-image

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 Guan Yu Hua
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.

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Written by Li Jin
Orthopedics
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How to treat lumbar muscle strain

Patients with lumbar muscle strain are primarily caused by long-term engagement in heavy physical activities involving the waist, poor posture, chronic strain, etc. The main symptoms include lower back pain and restricted movement, which alleviate after rest and worsen after physical exertion. To manage lumbar muscle strain, it is crucial first to rest and develop correct habits for using the lower back, avoiding long-term engagement in heavy physical activities of the waist while also paying attention to techniques used. If symptoms are severe, medication such as non-steroidal anti-inflammatory drugs can be used, along with adjunct treatments like heat therapy, massage, or block therapy. These methods can actively contribute to symptom improvement and recovery. (Please use medications under the guidance of a doctor to avoid blind self-medication.)

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Written by Na Hong Wei
Orthopedics
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What is lumbar muscle strain?

What is lumbar muscle strain? Lumbar muscle strain refers to the cumulative injury of muscles and fascia in the lumbar region caused by long-term unbalanced postures or incorrect positions during labor. It is one of the common causes of lumbar pain. How to understand this definition? Lumbar muscle strain is first and foremost a cumulative injury. What causes it? First, incorrect postures—sitting straight is necessary. Slouching or hunching over, especially when idle, or sitting askew, is detrimental. Second, certain types of labor, like that of miners or farmers transplanting rice, consistently place the lower back in an imbalanced state, perpetually bending forward. This day-to-day accumulation leads to lumbar muscle strain.

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Written by Wang Cheng Lin
Orthopedics
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What should I do if I have a lumbar muscle strain?

The recurrence of lumbar muscle strain primarily requires rest as the first measure; it is essential to rest in bed and avoid exerting the muscles in the lower back. Secondly, some external plasters can be applied, such as non-steroidal anti-inflammatory and analgesic plasters, as well as plasters that promote blood circulation and remove blood stasis, to alleviate pain in the lower back. Thirdly, some physical therapy methods can be used, such as massage, acupuncture, electrotherapy, and magnet therapy to relieve the pain in the muscles of the lower back. However, among these methods, rest is the most important, including being cautious with methods of exercise and training. For instance, some people prefer running, while others enjoy playing ball sports; generally, patients with lumbar muscle strain should absolutely avoid these kinds of activities. If they engage in strenuous activities even once, the lumbar muscle strain will recur. It is recommended for patients with lumbar muscle strain who enjoy exercise to consider swimming; swimming is a non-weight-bearing form of exercise that does not aggravate the condition but can strengthen the muscles in the lower back, alleviating the symptoms of lumbar muscle strain. (Please use medication under the guidance of a professional physician.)