Can I run with a strained lumbar muscle?

Written by Guan Jing Tao
Orthopedics
Updated on April 15, 2025
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Generally, it is not recommended. For lumbar muscle strain, it is first advised to rest in bed. After the pain eases, one can take gentle walks and do some lumbar physiotherapy and heat applications. Exercises such as the 'little swallow flight' and other aerobic activities, as well as swimming, can be done. Jogging is also acceptable, but it is advised not to engage in fast, high-intensity, or prolonged running to avoid significant injury and fatigue to the lumbar muscles.

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Written by Na Hong Wei
Orthopedics
1min 45sec home-news-image

Treatment methods for lumbar muscle strain

Firstly, some non-surgical treatments, namely conservative treatments, should be carried out. The majority of patients can see significant relief in their symptoms after conservative treatment, and some of them may even be cured. Conservative treatment begins with general treatment. Primarily, it involves bed rest after the onset of lumbar muscle strain symptoms, ceasing work, and minimizing bending activities. Additionally, wearing a lumbar support is advised to prevent further injury. Secondly, it is appropriate to exercise the muscles of the lower back. If the strength of these muscles is increased, not only can it enhance the stability of the lumbar spine, but it can also reduce pressure inside the intervertebral discs and delay the aging and degeneration of the spine. Thirdly, physical and rehabilitation therapies should be employed. This mainly includes traction, physiotherapy, massage, acupuncture, and external application of traditional Chinese medicine. The goal is primarily to relax spasmodic back muscles. At the same time, it can alleviate pressure within the intervertebral discs and reduce the inflammation around the nerve roots. Fourthly, if the pain is extremely severe and significantly affects everyday life and work, consideration may be given to taking non-steroidal anti-inflammatory pain medications, along with muscle relaxants. This can result in very effective pain relief. If the outcome of standardized conservative treatment is unsatisfactory, surgical treatment can be considered. However, for lumbar muscle strain, non-surgical treatment is generally preferred, with only a few patients requiring surgery.

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Written by Su Zhen Bo
Orthopedics
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What should I do if I have a strained lumbar muscle?

In clinical practice, the patient suffers from lumbar muscle strain. In terms of treatment, it is necessary to promptly stop lumbar activities, avoid exposure to cold in the lumbar region, avoid repeated external force stimulation, and prevent further aggravation of the condition. Lumbar hot compresses should be applied, using spectrum radiators, microwave devices, and physical therapy devices for treatment. Frequent use of traditional Chinese medicine fumigation and application of traditional Chinese manual massage can reduce the degree of adhesion and hardening of lumbar muscle tissues, restore muscle strength, toughness, and elasticity, and alleviate the patient's clinical symptoms. For areas of significant lumbar pain, closed injection is used for transcutaneous drug delivery of traditional Chinese medicine at acupoints. Analgesic drugs, mainly oral non-steroidal anti-inflammatory analgesics, can also be used to reduce local pain.

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Written by Wang Cheng Lin
Orthopedics
1min 22sec home-news-image

What should I do if I have a lumbar muscle strain?

The recurrence of lumbar muscle strain primarily requires rest as the first measure; it is essential to rest in bed and avoid exerting the muscles in the lower back. Secondly, some external plasters can be applied, such as non-steroidal anti-inflammatory and analgesic plasters, as well as plasters that promote blood circulation and remove blood stasis, to alleviate pain in the lower back. Thirdly, some physical therapy methods can be used, such as massage, acupuncture, electrotherapy, and magnet therapy to relieve the pain in the muscles of the lower back. However, among these methods, rest is the most important, including being cautious with methods of exercise and training. For instance, some people prefer running, while others enjoy playing ball sports; generally, patients with lumbar muscle strain should absolutely avoid these kinds of activities. If they engage in strenuous activities even once, the lumbar muscle strain will recur. It is recommended for patients with lumbar muscle strain who enjoy exercise to consider swimming; swimming is a non-weight-bearing form of exercise that does not aggravate the condition but can strengthen the muscles in the lower back, alleviating the symptoms of lumbar muscle strain. (Please use medication under the guidance of a professional physician.)

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Written by Li Jie
Orthopedics
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Can you swim with a strained lumbar muscle?

Lumbar muscle strain, as the name implies, is the fatigue damage to the lumbar spine muscles. It is characterized by tension, spasms, and adhesion of the lumbar muscles, sometimes accompanied by disorders of the lumbar facet joints, straightening of the lumbar curvature, and limited lumbar mobility. Swimming is permissible in such cases because the body is in a weightless state while swimming. This condition allows swimming to strengthen the muscles of the lower back and enhance the muscular strength of the lumbar spine, which can help in exercising and alleviating symptoms. Hence, it is said that one with lumbar muscle strain can swim.

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Written by Guan Yu Hua
Orthopedic Surgery
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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.