How to care for a strained lumbar muscle

Written by Cheng Bin
Orthopedics
Updated on December 28, 2024
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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 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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Can lumbar muscle strain be massaged?

Lumbar muscle strain can be treated with massage if the technique and pressure are appropriate, making it a very important treatment method. Lumbar muscle strain generally involves the muscles which, due to prolonged overload, leads to reduced self-regulatory capacity or chronic aseptic inflammation of the muscle or its attachment points due to poor self-regulation. If the massage technique is correct, it can enhance local blood circulation and accelerate cellular metabolism. This helps in the faster elimination and release of inflammatory substances and pain factors. Moreover, massage can also relax tense muscles, allowing the strained lumbar muscles to rest and the damaged areas to recuperate. Therefore, lumbar muscle strain can indeed benefit from massage, and with the correct techniques, it can have a very effective therapeutic impact.

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Written by Li Jin
Orthopedics
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How to treat lumbar muscle strain

Patients with lumbar muscle strain are primarily caused by long-term engagement in heavy physical activities involving the waist, poor posture, chronic strain, etc. The main symptoms include lower back pain and restricted movement, which alleviate after rest and worsen after physical exertion. To manage lumbar muscle strain, it is crucial first to rest and develop correct habits for using the lower back, avoiding long-term engagement in heavy physical activities of the waist while also paying attention to techniques used. If symptoms are severe, medication such as non-steroidal anti-inflammatory drugs can be used, along with adjunct treatments like heat therapy, massage, or block therapy. These methods can actively contribute to symptom improvement and recovery. (Please use medications under the guidance of a doctor to avoid blind self-medication.)

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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 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.