How long should I take off work for a lumbar muscle strain?

Written by Guan Yu Hua
Orthopedic Surgery
Updated on September 10, 2024
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Lumbar muscle strain often occurs when engaging in heavy physical labor. For instance, swinging a heavy hammer or bending over for strenuous tasks, as is common for carpenters and roofers. Such occupations involve considerable effort from the lumbar region with frequent movements, and prolonged work can easily lead to local muscle congestion and exudation, stimulating surrounding nerves and blood vessels leading to strain. Generally, after finishing such activities, one may experience lumbar discomfort and stiffness the next morning, where the lumbar region feels stiff like a board, making movement painful. Movement can alleviate the pain somewhat, which is a typical symptom. Lumbar muscle strain usually requires strict bed rest, ideally for about a week, and it is best to take a leave of absence for about seven to ten days. Treatment often involves medications that promote blood circulation and relieve pain, combined with heat application, massage, and physical therapy, all of which can help alleviate symptoms. If it is possible and the workplace allows, it is recommended to rest for about seven to ten days.

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Written by Cheng Bin
Orthopedics
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Is lumbar muscle strain serious?

For severe lumbar muscle strain, in cases where the strain is not very severe, it usually manifests as the patient primarily experiencing symptoms of soreness and pain in the lower back. For such patients, full recovery is still possible with active cooperation in treatment. First, it is necessary to reduce local irritation by strictly resting and protecting the affected area, which is the best condition for patient recovery. It is important to avoid prolonged sitting or standing, excessive bending or lifting heavy objects. It is advisable to wear a lumbar support belt to protect the lower back and actively apply local treatments such as heat application, massage, acupuncture, and cupping. Additionally, topical application of ointments that invigorate the blood and dispel stasis can also be used. Most patients will gradually recover through these active treatment methods.

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Written by Cheng Bin
Orthopedics
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How to alleviate pain from lumbar muscle strain?

For patients with severe pain, topical ointments that activate blood circulation to dissipate blood stasis and reduce swelling and pain can be effectively used to alleviate the symptoms of pain caused by lumbar muscle strain. Additionally, local heat application or massage can be actively performed to effectively promote local blood circulation and the absorption of creatine kinase, improving the symptoms of lumbar muscle strain. Furthermore, oral administration of non-steroidal anti-inflammatory drugs and drugs that activate blood circulation to dissipate blood stasis can be used for treatment. It is important to rest and protect the affected area, wear a lumbar belt for protection, avoid sitting or standing for long periods, and refrain from bending over to lift heavy items or heavy lifting. (Please use medications under the guidance of a doctor.)

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Written by Wang Cheng Lin
Orthopedics
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Can acupuncture be used for lumbar muscle strain?

Yes, and the effect of acupuncture is very good for the treatment of lumbar muscle strain. At the same time, it should also be known that the treatment of lumbar muscle strain is not just about acupuncture treatment. The most important thing is that the cause of lumbar muscle strain is due to fatigue, and the main cause of the disease must be removed to cure the disease fundamentally. Therefore, patients with lumbar muscle strain, in addition to acupuncture, must pay attention to rest and avoid fatigue. If after the acupuncture, the pain is relieved, and then you continue to do heavy physical work, the lumbar muscle strain will recur and will become increasingly severe. Therefore, in general, after acupuncture, it is still recommended to avoid fatigue and pay attention to rest.

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Written by Wang Cheng Lin
Orthopedics
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Symptoms of lumbar muscle strain

Lumbar muscle strain is mostly caused by excessive activity, overexertion, fatigue, and intense exercise, which leads to the continuous pulling of the lumbar muscle fibers beyond their load capacity, resulting in injury. After the injury, many patients may not have sufficient rest, causing the muscle fibers in the lumbar region to become scarred, which is referred to as lumbar muscle strain. The primary symptoms of lumbar muscle strain are pain and limited mobility in the lumbar region, especially after intense exercise or exertion, with the pain gradually worsening and possibly radiating to the buttocks on both sides. The main treatment involves rest, which is the most important. Additionally, treatments such as physiotherapy, rehabilitation, massage, acupuncture, and oral medication can be used to aid in the recovery and growth of lumbar muscles, with the main symptoms being pain in the lumbar area and restricted movement.

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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.