How long does it take to recover from a lumbar muscle strain?

Written by Kuang Tao
Orthopedics
Updated on March 22, 2025
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Lumbar muscle strain is a common clinical disease, usually caused by overexertion or heavy physical labor. Another situation that can lead to lumbar muscle strain is due to acute injuries, such as those who rarely exercise or do physical work suddenly lifting heavy objects or engaging in intense sports, which can cause acute strain of the lumbar spine. How long does it take to recover? If it is an acute strain, it generally takes about two weeks to recover. If it is chronic, it usually takes one to two months. With proper treatment and exercise, improvement can generally be seen within two months.

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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.

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Written by Guan Yu Hua
Orthopedic Surgery
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How should lumbar muscle strain be treated?

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 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.

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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 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.