Where does lumbar muscle strain hurt?

Written by Cheng Bin
Orthopedics
Updated on June 08, 2025
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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 Li Jin
Orthopedics
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How should lumbar muscle strain be treated?

Patients with lumbar muscle strain mainly suffer from damage to the lumbar muscles due to long-term involvement in heavy physical activity, poor posture, and chronic strain, resulting in symptoms of pain and limited mobility in the lumbar region. If treatment is needed for lumbar muscle strain, it is first important to rest and develop correct habits for using the lumbar region, avoiding prolonged heavy physical activity. Treatment can also include the use of non-steroidal anti-inflammatory and analgesic drugs in combination with hot compresses, physical therapy, massage, or local blockades. These methods can play a positive role in improving the symptoms of lumbar muscle strain and promoting recovery. Generally speaking, with rest combined with medication and other methods, symptoms can be effectively improved in about two to three weeks (the use of medication should be under the guidance of a physician).

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Written by Li Jin
Orthopedics
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How to diagnose lumbar muscle strain

For the diagnosis of lumbar muscle strain, it is mainly based on symptoms, physical examination, or combined with imaging studies. The typical symptoms of lumbar muscle strain include soreness or swelling pain in the lower back, which worsens with exertion and lessens with rest. Patients are also unable to persist in activities that involve bending over. During a physical examination, tender points in the lower back may be found, or imaging studies can be used to rule out other lumbar spine conditions. Under these circumstances, a diagnosis of lumbar muscle strain can be made. Patients with lumbar muscle strain should pay attention to rest, and can use anti-inflammatory pain medications, combined with heat therapy, physiotherapy, massage, and blocking methods for treatment, which generally can effectively improve symptoms and promote recovery. (Specific medication use should be under the guidance of a doctor.)

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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 Li Jie
Orthopedics
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Is lumbar muscle strain easy to treat?

Lumbar muscle strain, as the name suggests, is a fatigue-related injury to the muscles of the lower back. It is primarily caused by excessive fatigue, a continuous state of tension in the lumbar muscles, leading to tension, spasms, and adhesions in the lumbar spine muscles. Sometimes, it may also involve minor joint disorders in the lumbar spine. Generally, the cause of lumbar muscle strain is quite clear. The first thing we recommend is that patients must rest in bed for a period, and this is to be combined with various conservative treatment measures such as acupuncture, massage, physiotherapy, electrical heating, or the external application of medicinal patches or moxibustion. With these treatments combined with rest, we generally achieve quite good therapeutic results. Therefore, lumbar muscle strain is relatively easy to treat and has good treatment outcomes.

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Written by Li Jin
Orthopedics
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Can lumbar muscle strain be cured completely?

Patients with lumbar muscle strain can generally improve their symptoms or even recover after rest or treatment. The main causes of lumbar muscle strain include long-term heavy physical activities involving the waist, poor posture, chronic strain, trauma, etc., which can cause symptoms such as back pain and limited mobility. These symptoms lessen after rest but can worsen after resuming strenuous activities. For the treatment of lumbar muscle strain, it is important first to rest and develop correct habits of using the waist to avoid long-term heavy physical activities involving this area. Treatment may include the symptomatic use of anti-inflammatory pain medications, combined with heat application, physical therapy, massage, or block therapy. These methods can play a positive role in symptom improvement and recovery. (Specific medications should be used under the guidance of a physician.)