Symptoms of lumbar muscle strain

Written by Lv Yao
Orthopedics
Updated on November 13, 2024
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Lumbar muscle strain refers to the condition where the muscles in the lower back are damaged due to chronic labor or sports activities, leading to excessive contraction of muscle fibers. This results in localized pain and limited mobility. The main symptoms include feeling soreness and pain during flexion and extension of the waist, and even feelings of weakness. The affected individual may not be able to carry heavy loads for long periods and, in severe cases, may not be able to stand upright and may require bed rest, accompanied by spasms in the lower back.

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Written by Li Jin
Orthopedics
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Is bloodletting useful for lumbar muscle strain?

Bloodletting therapy for lumbar muscle strain has no scientific basis, and improper operations can easily cause infections. Therefore, this method is not recommended. Lumbar muscle strain is primarily caused by poor posture and chronic strain, leading to symptoms such as back pain and limited mobility. The main treatment for lumbar muscle strain involves rest and developing correct habits for using the back. Non-steroidal anti-inflammatory pain relief medications can be used in combination to alleviate pain. Other treatment methods such as heat application, physical therapy, massage, or trigger point injections can also be adopted. Generally, these methods can effectively relieve symptoms. (Specific medications should be used under the guidance of a physician.)

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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 Sun Shu Jian
Orthopedics
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Can lumbar muscle strain be treated with massage?

Lumbar muscle strain in the non-acute phase can be treated with massage therapy. Lumbar muscle strain is a chronic aseptic inflammation caused by overexertion of the lower back, related to factors such as prolonged sitting and long periods of bending. It can cause pain in the lower back and limited movement. In addition to massage therapy, treatments for lumbar muscle strain can include local heat application, infrared radiation, and electromagnetic therapy. It is also advisable to change daily lifestyle habits by avoiding prolonged sitting and bending, and avoiding exposure to cold. Appropriate exercises to strengthen back muscles, acupuncture, massage, and when necessary, the use of non-steroidal anti-inflammatory and muscle relaxant medications can also be used for treatment.

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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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Orthopedics
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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.)