How to treat lumbar muscle strain properly?

Written by Li Jin
Orthopedics
Updated on December 13, 2024
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Lumbar muscle strain is mainly caused by long-term poor posture and chronic injuries. Patients with lumbar muscle strain can experience symptoms such as back pain and limited mobility. For the treatment of lumbar muscle strain, it is important to rest and develop good habits of using the back during work. Symptomatic medication treatment can also be applied, such as using non-steroidal anti-inflammatory and analgesic drugs to relieve pain. These drugs can be used for a short period after meals and are effective in alleviating pain. Additionally, treatments like hot compresses, massage, physical therapy, acupuncture, or local blockages can also be used to effectively relieve pain.

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Written by Lv Yao
Orthopedics
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Can I run with lumbar muscle strain?

The occurrence of lumbar muscle strain is mainly due to chronic injury causing excessive fatigue of the muscles, resulting in muscle fiber strain. Lumbar muscle strain is primarily a type of chronic aseptic inflammation, characterized by symptoms such as pain and restricted movement. When lumbar muscle strain occurs, it is not advisable to continue running; instead, it is recommended to apply heat and rest. This is because running can exacerbate the load on the lumbar region, which is not very beneficial for lumbar muscle strain. Therefore, when lumbar muscle strain occurs, rest and appropriate physical therapy should be the main focus.

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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.

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Written by Cheng Bin
Orthopedics
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Where does lumbar muscle strain hurt?

Under normal circumstances, for patients suffering from lumbar muscle strain, the pain is mainly located on both sides of the waist, primarily manifesting as soreness. This soreness becomes more pronounced especially after walking excessively, sitting or standing for long periods, or bending over to lift heavy objects. The usual treatment involves advising the patient to rest as much as possible and to wear a lumbar support belt to protect the waist. Additionally, treatment can include medications such as oral non-steroidal anti-inflammatory and analgesic drugs, and drugs that promote blood circulation and remove blood stasis. Moreover, for such patients, some physiotherapy methods can also be combined, such as acupuncture, massage, traction, massage, electric heat treatments, and cupping. Gradually, the patient will recover.

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Written by Cheng Bin
Orthopedics
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How long do you need to rest for a lumbar muscle strain?

Usually, patients with lumbar muscle strain need to actively rest and protect themselves for about seven to ten days to recover. However, during this period, they must actively cooperate with the treatment. Otherwise, if they continue to perform heavy physical labor, or are exposed to cold, the recovery time is unpredictable and may be prolonged. For such patients, local treatments such as hot compresses, massages, light therapy, and acupuncture can be used to promote the absorption of local creatine kinase. Additionally, they can use topical ointments that invigorate the blood and remove stasis, and take oral non-steroidal anti-inflammatory and blood-activating drugs. (Specific medications should be used under the guidance of a physician.)

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Written by Li Jie
Orthopedics
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What is the location for moxibustion for lumbar muscle strain?

Lumbar muscle strain, as the name suggests, is a fatigue injury of the lumbar muscles. The pathological changes mainly involve local muscle spasms, adhesions, and tension in the lumbar spine, and sometimes there is some disorder in the small joints. Generally, in moxibustion treatment, the most important point is to apply moxibustion at the pain points. We can manually press to locate the most painful area or where the muscles are most tense, and apply moxibustion there, which is known as Ashi point therapy. Secondly, we can select specific acupoints in the lumbar area for targeted moxibustion. Commonly used acupoints include Mingmen, Shenshu, and Yaoyangguan. Targeted moxibustion at these points is usually quite effective.