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

Written by Li Jin
Orthopedics
Updated on April 07, 2025
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Patients with lumbar muscle strain primarily suffer from back injuries due to long-term heavy physical activities involving the waist, poor posture, and chronic wear and tear, causing symptoms such as lower back pain and restricted movement. Those suffering from lumbar muscle strain should first focus on rest and develop proper habits of using their waist to avoid engaging in long-term heavy physical activities. At the same time, symptomatic treatment may include the use of non-steroidal anti-inflammatory analgesics, combined with heat application, physical therapy, massage, or trigger point injection. These methods can actively improve pain symptoms and promote recovery.

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Written by Wang Cheng Lin
Orthopedics
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Symptoms of lumbar muscle strain

Lumbar muscle strain is mostly caused by excessive activity, overexertion, fatigue, and intense exercise, which leads to the continuous pulling of the lumbar muscle fibers beyond their load capacity, resulting in injury. After the injury, many patients may not have sufficient rest, causing the muscle fibers in the lumbar region to become scarred, which is referred to as lumbar muscle strain. The primary symptoms of lumbar muscle strain are pain and limited mobility in the lumbar region, especially after intense exercise or exertion, with the pain gradually worsening and possibly radiating to the buttocks on both sides. The main treatment involves rest, which is the most important. Additionally, treatments such as physiotherapy, rehabilitation, massage, acupuncture, and oral medication can be used to aid in the recovery and growth of lumbar muscles, with the main symptoms being pain in the lumbar area and restricted movement.

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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 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 Na Hong Wei
Orthopedics
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Treatment methods for lumbar muscle strain

Firstly, general treatment is necessary, which mainly includes rest, or regularly changing posture, and avoiding bending over to lift objects. This is primarily to alleviate symptoms and prevent recurrence. Additionally, using a lumbar support belt at work can limit the range of motion of the waist and is very effective for lumbar muscle strain. Moreover, after entering the remission phase, when the pain has subsided, it is important to strengthen the muscles of the lower back. If the strength of the lower back muscles is improved, the stability of the lumbar spine will also improve, making lumbar muscle strain less likely to occur. Secondly, some physiotherapy can be applied to the painful area, including massage, manipulation, or acupuncture. Thirdly, if there are specific tender points, localized treatment around these points can be considered, which is highly effective. Fourthly, if the pain is particularly severe, affecting work and rest, or causing patient anxiety, consideration can be given to using some non-steroidal anti-inflammatory painkillers, muscle relaxants, or sedatives like diazepam. Therefore, treatment of lumbar muscle strain is essential and must be correctly administered. (Medications should be used under a doctor's guidance based on specific conditions.)

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Written by Zhang Ying Peng
Orthopedics
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How to exercise with lumbar muscle strain?

The best exercise method for lumbar muscle strain is to perform functional exercises on the bed, such as the "Little Swallow" exercise. Lie prone on the bed, lifting limbs and head off the bed, supporting your body with only the abdomen, hold for two seconds each time, and perform this exercise more than 20 times a day. The second method is the "Five-Point Support," where you lie on your back on the bed, use your head and limbs to prop up your body, and then leave your waist suspended in the air, holding each position for two seconds, also repeating this 20 times daily.