Lumbar muscle strain physical therapy methods

Written by Na Hong Wei
Orthopedics
Updated on September 16, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
1min 19sec home-news-image

Treatment methods for lumbar muscle strain

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.)

doctor image
home-news-image
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.

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
1min 37sec home-news-image

Causes of Lumbar Muscle Strain

The causes of lumbar muscle strain generally include two points: First, after an acute lumbar injury, such as a sprain or trauma, proper treatment is not administered, and sufficient rest is not taken when needed, leading to improper treatment and eventually resulting in chronic lumbar muscle strain. The second point, which is also the main reason, is due to the lumbar region being in a state of continuous tension during prolonged work. This causes the muscles in the lumbar region to be under constant stress, then compressing the small blood vessels, leading to insufficient oxygen supply to the lumbar muscles, and causing metabolic byproducts like lactic acid to accumulate. This eventually stimulates local inflammatory responses that contribute to injury. Initially, the muscles themselves can make some compensatory adjustments. However, as the condition worsens, this ability to regulate increasingly diminishes until it can no longer adjust, leading then to compensatory regulation, also known as serial compensatory adjustment. Thus, if lumbar muscle strain is not treated properly or in a timely manner, the condition will progressively worsen, eventually causing the lumbar muscles to lose their original function and potentially leading to a deformity in the lumbar region. Therefore, the main reasons for lumbar muscle strain are firstly, improper treatment during the acute phase that transitions into chronic lumbar muscle strain, and secondly, the lumbar muscles being in a state of long-term overload, ultimately leading to strain.

doctor image
home-news-image
Written by Kuang Tao
Orthopedics
38sec home-news-image

How long does it take to recover from a lumbar muscle strain?

Lumbar muscle strain is a common clinical disease, usually caused by overexertion or heavy physical labor. Another situation that can lead to lumbar muscle strain is due to acute injuries, such as those who rarely exercise or do physical work suddenly lifting heavy objects or engaging in intense sports, which can cause acute strain of the lumbar spine. How long does it take to recover? If it is an acute strain, it generally takes about two weeks to recover. If it is chronic, it usually takes one to two months. With proper treatment and exercise, improvement can generally be seen within two months.

doctor image
home-news-image
Written by Cheng Bin
Orthopedics
59sec home-news-image

How to care for a strained lumbar muscle

For patients with lumbar muscle strain, the following care measures should be taken: 1. Regularly wear a waist support to protect the lumbar spine. It is best to sleep on a hard bed, avoid excessive weight-bearing walking, avoid long periods of sitting or standing, and avoid excessively bending over to lift heavy objects. These measures can effectively alleviate the clinical symptoms of lumbar muscle strain. 2. Avoid cold and damp environments. Actively apply local heat treatments, using a salt bag or hot water bag for heat application twice a day, each time for more than half an hour for more noticeable effects. 3. Combine with some strength methods, such as acupuncture, moxibustion, and cupping, which are more beneficial for improving the patient's clinical symptoms. 4. Actively apply topical ointments that promote blood circulation and remove blood stasis; gradual recovery can be expected.