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 Lv Yao
Orthopedics
37sec home-news-image

Symptoms of lumbar muscle strain

Lumbar muscle strain refers to the condition where the muscles in the lower back are damaged due to chronic labor or sports activities, leading to excessive contraction of muscle fibers. This results in localized pain and limited mobility. The main symptoms include feeling soreness and pain during flexion and extension of the waist, and even feelings of weakness. The affected individual may not be able to carry heavy loads for long periods and, in severe cases, may not be able to stand upright and may require bed rest, accompanied by spasms in the lower back.

doctor image
home-news-image
Written by Guan Yu Hua
Orthopedic Surgery
1min 36sec home-news-image

What are the symptoms of lumbar muscle strain?

Lumbar muscle strain, also known as functional back pain, chronic lumbar injury, and lumbar-gluteal fasciitis, etc., is actually chronic inflammation of the lumbar muscles and their attachment points, such as the fascia or periosteum. It is one of the most common causes of back pain. The main symptoms include swelling and soreness in the lumbar and sacral regions, recurring pain, which is often related to the weather, such as feeling cold. Factors such as daytime fatigue can aggravate it, rest can alleviate it, and the intensity of pain can vary. Sometimes, it is severe and other times it is mild. For instance, some people feel stiff as a board in the morning upon waking up and are afraid to move; this is a typical manifestation. Physical examination can confirm the condition, and some diagnostic tests like lumbar disc CT or MRI can help differentiate if there is any lumbar disc herniation. Additionally, it is also important to distinguish from conditions like piriformis syndrome, which generally involves sciatica, and symptoms like numbness and pain in the lower limbs. Once diagnosed, the first step is strict bed rest, and appropriate blood-activating and pain-relieving medication can be administered. Local heat application, massage, and electrotherapy are some of the physical treatments available. It is advisable to avoid lifting or moving heavy objects routinely, as these activities can impose significant strain on the back and are not conducive to the recovery from back ailments.

doctor image
home-news-image
Written by Zhang Ying Peng
Orthopedics
33sec home-news-image

How to exercise with lumbar muscle strain?

The best exercise method for lumbar muscle strain is to perform functional exercises on the bed, such as the "Little Swallow" exercise. Lie prone on the bed, lifting limbs and head off the bed, supporting your body with only the abdomen, hold for two seconds each time, and perform this exercise more than 20 times a day. The second method is the "Five-Point Support," where you lie on your back on the bed, use your head and limbs to prop up your body, and then leave your waist suspended in the air, holding each position for two seconds, also repeating this 20 times daily.

doctor image
home-news-image
Written by Li Jin
Orthopedics
1min 15sec home-news-image

Can lumbar muscle strain be cured completely?

Whether lumbar muscle strain can be completely cured is related to the severity of the condition. Generally, patients with mild conditions should rest and may use anti-inflammatory and analgesic medications, or treatment methods such as hot compresses, physical therapy, and massage. Symptoms can be effectively relieved within a few days, and recovery is possible. For more severe cases, recovery may be slower if patients do not rest properly, and there could be recurrent episodes as well. Thus, patients with lumbar muscle strain should also pay attention to rest and recuperation routinely, develop correct habits for using the lower back, and reduce heavy physical activities involving the lower back. Additionally, it is important to stay warm and prevent exposure to cold. Patients can also use anti-inflammatory and analgesic medications, and drugs that promote blood circulation and remove blood stasis to facilitate recovery. Heat compresses and physical therapy can be used as well. These methods play an active role in improving symptoms and promoting recovery. (Note: The use of medications should be carried out under the guidance of a professional doctor.)

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
1min 25sec home-news-image

Causes of Lumbar Muscle Strain

Lumbar muscle strain is actually a chronic inflammatory injury of the muscles in the lower back and their attachment points, fascia, or periosteum. It is one of the primary causes of lower back pain. As for its causes, there are generally two: the first being chronic strain; the second is improper treatment of acute lumbar trauma, which then becomes prolonged and turns into chronic lumbar muscle strain. Starting with the first cause, it mainly arises from long periods of bending over during work, putting the lumbar muscles in a constant state of tension, then leading to the compression of small blood vessels and ultimately causing insufficient oxygen supply to the muscles and poor elimination of metabolic substances, which then stimulates local inflammatory injuries. So, this is the main reason. Generally, in the early stages, the muscles are still in a compensatory adjustment phase, but as the condition progresses, they can no longer adjust, resulting in a series of compensatory adjustments, leading to lumbar muscle strain and ultimately causing back pain and restricted lumbar mobility. Thus, the primary causes of lumbar muscle strain are two-fold: the first is long-term chronic overload of the lumbar region, causing inflammation. The second is improper treatment following an acute lumbar sprain or trauma, which eventually leads to chronic lumbar muscle strain. There are essentially these two reasons.