How long does lumbar muscle strain need to rest?

Written by Wang Cheng Lin
Orthopedics
Updated on June 20, 2025
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Generally speaking, for lumbar muscle strain, it is recommended to rest for three to four weeks. During this time, it is important to avoid strenuous activities and exhaustion to allow the symptoms of lumbar muscle strain to gradually alleviate. However, this type of lumbar muscle strain is due to chronic damage to the lumbar muscles. It is difficult to achieve complete healing through rest alone, and the healing time can be very long. It is possible that after resting for three to four weeks, the symptoms can be completely relieved, but symptoms such as back pain may recur after subsequent excessive exertion or intense exercise. Therefore, for patients with lumbar muscle strain, in addition to absolute rest, we also recommend using some physical therapy methods, such as massage and acupuncture, to help relieve back pain and promote the recovery of lumbar muscle injuries.

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Written by Cheng Bin
Orthopedics
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How to care for a strained lumbar muscle

For patients with lumbar muscle strain, the following care measures should be taken: 1. Regularly wear a waist support to protect the lumbar spine. It is best to sleep on a hard bed, avoid excessive weight-bearing walking, avoid long periods of sitting or standing, and avoid excessively bending over to lift heavy objects. These measures can effectively alleviate the clinical symptoms of lumbar muscle strain. 2. Avoid cold and damp environments. Actively apply local heat treatments, using a salt bag or hot water bag for heat application twice a day, each time for more than half an hour for more noticeable effects. 3. Combine with some strength methods, such as acupuncture, moxibustion, and cupping, which are more beneficial for improving the patient's clinical symptoms. 4. Actively apply topical ointments that promote blood circulation and remove blood stasis; gradual recovery can be expected.

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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.

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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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Written by Guan Jing Tao
Orthopedics
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Can lumbar muscle strain be massaged?

Appropriate massage is acceptable, but avoid excessive force to prevent the possibility of further damage to the soft tissues of the back. It is recommended to combine it with local physical therapies, including electrotherapy, acupuncture, and proper kneading, which can aid in the recovery of lumbar muscle strain and improve local blood circulation. Furthermore, for recurring lumbar muscle strain, patients are advised to take oral non-steroidal anti-inflammatory and blood-activating drugs, and avoid repeated bending and heavy lifting activities, as well as prolonged sitting and standing. (The use of medications should be conducted under the guidance of a doctor.)

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Written by Wang Cheng Lin
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.)