How should lumbar muscle strain be treated?

Written by Guan Yu Hua
Orthopedic Surgery
Updated on January 05, 2025
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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 Li Jin
Orthopedics
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Is applying heat useful for lumbar muscle strain?

Patients with lumbar muscle strain can find heat application helpful in relieving symptoms, as it is a type of physiotherapy. Heat application can promote blood circulation, reduce inflammatory reactions, and actively alleviate symptoms such as lower back pain. Patients with lumbar muscle strain should also ensure adequate rest, develop proper habits for using the lumbar region, and avoid long-term heavy physical activities involving the back. Additionally, treatments can include the use of non-steroidal anti-inflammatory drugs, blood-activating and stasis-dissolving medications, in combination with heat application, physiotherapy, massage, or injections. These methods can actively improve symptoms and promote recovery, thus heat application is advisable for patients with lumbar muscle strain.

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Written by Na Hong Wei
Orthopedics
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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.

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Written by Li Jin
Orthopedics
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What department should I go to for lumbar muscle strain?

Patients with lumbar muscle strain can visit the orthopedics department. Lumbar muscle strain is primarily caused by long-term heavy physical activities involving the lower back, poor posture, and chronic strain. Symptoms can include lower back pain and restricted movement, which typically lessen after rest and worsen after physical activity. For treating lumbar muscle strain, it is important to first ensure adequate rest and to develop proper habits for using the lower back, avoiding long-term heavy physical activities. Treatment can also involve the appropriate use of non-steroidal anti-inflammatory and analgesic medications, combined with heat application, physical therapy, massage, or nerve block techniques. These methods can effectively improve symptoms and promote recovery.

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Written by Li Jie
Orthopedics
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Lumbar muscle strain is which part?

Lumbar muscle strain, as the name suggests, refers to a group of symptoms of muscle pain in the lumbar region caused by strain. Typically, it occurs in the waist area, around where we usually wear a belt. Generally, the pain is located about 10 to 20 centimeters above the belt area and about 10 centimeters below it. The pain on either side of the lumbar spine in this area is called lumbar muscle strain, which is usually caused by strain in the muscles of the lumbar spine. If the pain is in the central part of the lumbar spine, this type of pain is generally due to inflammation of the supraspinous ligament or tendonitis. Sometimes, it is caused by a herniated lumbar disc, which may not be closely related to lumbar muscle strain. Therefore, we say that pain in the muscles on either side of the waist is called lumbar muscle strain.

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Written by Li Jin
Orthopedics
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What department should I see for a lumbar muscle strain?

Lumbar muscle strain can be treated at the orthopedics department of a hospital. It is primarily caused by poor posture and chronic injury. Patients with lumbar muscle strain may experience symptoms such as lower back pain and limited mobility of the lower back. For the treatment of lumbar muscle strain, it is important to rest and develop correct habits for using the lower back. Symptomatic treatment with medications such as non-steroidal anti-inflammatory pain relievers can also be used to alleviate pain. Additionally, Chinese medicine that promotes blood circulation and removes blood stasis can improve symptoms. Other treatment methods such as hot compresses, physical therapy, massage, and trigger point injections can also effectively improve symptoms.