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

Written by Wang Cheng Lin
Orthopedics
Updated on February 15, 2025
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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 Na Hong Wei
Orthopedics
1min 4sec home-news-image

How to relieve pain from lumbar muscle strain?

Lumbar muscle strain, if the pain is severe, can usually be alleviated using the following methods. First and foremost, during the acute phase, what is primarily needed? First, you need to rest and immobilize, mainly ceasing some activities and ideally lying on a hard bed in a supine position with hips and knees flexed. Secondly, for the painful area, you can apply appropriate physiotherapy. This includes traditional Chinese massage and acupuncture. Thirdly, if there are specific fixed painful points, you might consider blockade therapy. Fourthly, when the pain is particularly severe and affects your work and rest, you can take some non-steroidal anti-inflammatory drugs (NSAIDs). Additionally, use some stimulating medicines or stimulating liniments. If the pain severely impacts your mood and work, you might also consider some sedatives. Fifthly, you can use some external or internal traditional Chinese medicine, which is usually very effective in managing pain.

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Written by Guan Jing Tao
Orthopedics
1min 11sec home-news-image

How to self-repair lumbar muscle strain

Lumbar muscle strain, especially repeated lumbar and back sprains, as well as prolonged sitting, standing, exposure to cold, and chill, can all cause lumbar muscle strain. Therefore, it is first necessary to avoid excessive bending and lifting activities, as well as exposure to cold and chill, particularly abnormal bending and lifting activities. Normally, one should squat first, then lift heavier objects and hold them close to the abdomen, which is a more correct posture for lifting things. After injuring the lumbar muscles, it is advisable to persist with local physical therapy daily, such as heat therapy, acupuncture, and physiotherapy, while avoiding cold, chill, prolonged sitting, and standing. One can also take some non-steroidal anti-inflammatory and analgesic drugs orally. During the non-acute phase, when there is no obvious pain in the lumbar muscles, one can try exercises like planking, proper jogging, and pull-ups to enhance the strength of the back and lumbar muscles, which can promote the recovery of tissue damage from lumbar muscle strain and increase its strength.

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Written by Na Hong Wei
Orthopedics
1min 37sec home-news-image

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 Lv Yao
Orthopedics
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Symptoms of lumbar muscle strain

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.)