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

Written by Su Zhen Bo
Orthopedics
Updated on June 10, 2025
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In clinical practice, the patient suffers from lumbar muscle strain. In terms of treatment, it is necessary to promptly stop lumbar activities, avoid exposure to cold in the lumbar region, avoid repeated external force stimulation, and prevent further aggravation of the condition. Lumbar hot compresses should be applied, using spectrum radiators, microwave devices, and physical therapy devices for treatment. Frequent use of traditional Chinese medicine fumigation and application of traditional Chinese manual massage can reduce the degree of adhesion and hardening of lumbar muscle tissues, restore muscle strength, toughness, and elasticity, and alleviate the patient's clinical symptoms. For areas of significant lumbar pain, closed injection is used for transcutaneous drug delivery of traditional Chinese medicine at acupoints. Analgesic drugs, mainly oral non-steroidal anti-inflammatory analgesics, can also be used to reduce local pain.

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Written by Su Zhen Bo
Orthopedics
1min 3sec home-news-image

Which part to massage for lumbar muscle strain?

After experiencing lumbar muscle strain, massage therapy can be used for treatment. During the massage, focus on the kidney area on both sides of the lumbar spine. Techniques such as muscle lifting and pinching, local elbow pressing, and massage methods like rubbing, kneading, and rolling can be used. Stimulate effective acupoints in the waist to restore normal circulation of qi and blood in the lumbar muscles, promote the muscle tissues to absorb nutrients, enhance the strength, toughness, and elasticity of lumbar muscles, and reduce symptoms such as pain and swelling, as well as increase the range of motion in the lumbar spine area. Additionally, support with lumbar acupuncture, moxibustion, electrotherapy, and physical therapy. Under the guidance of a rehabilitation doctor, strengthen lumbar functional exercises to accelerate recovery. In terms of diet, consume more fresh fruits and foods rich in calcium.

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Written by Li Jie
Orthopedics
39sec home-news-image

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 Guan Yu Hua
Orthopedic Surgery
1min 46sec home-news-image

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 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 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.