Symptoms of lumbar muscle strain and fasciitis

Written by Na Hong Wei
Orthopedics
Updated on September 24, 2024
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First, it is a type of chronic pain without obvious causes, mainly characterized by soreness and swelling. The pain usually alleviates after rest but reappears if staying in one position for too long. Therefore, patients with myofascial inflammation caused by lumbar strain often feel restless. Second, there is usually a trigger point, typically located near or within a muscle, or at the junction between muscle and nerve. Pressing on the trigger point often results in radiating pain around it. Furthermore, the pain usually does not worsen but instead lessens over time, which is a key characteristic of myofascial inflammation. Third, the sacrospinalis muscle may become hardened or even spasm on one or both sides. Fourth, there is compensatory abnormal curvature of the spine, mainly presenting as protrusion or lateral curvature of the spine. Thus, the symptoms of myofascial inflammation from lumbar muscle strain usually include pain, specific pain points, surrounding muscle hardening, spasm, and compensatory spinal deformity.

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Written by Li Jin
Orthopedics
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Can lumbar muscle strain be cured completely?

Patients with lumbar muscle strain can generally improve their symptoms or even recover after rest or treatment. The main causes of lumbar muscle strain include long-term heavy physical activities involving the waist, poor posture, chronic strain, trauma, etc., which can cause symptoms such as back pain and limited mobility. These symptoms lessen after rest but can worsen after resuming strenuous activities. For the treatment of lumbar muscle strain, it is important first to rest and develop correct habits of using the waist to avoid long-term heavy physical activities involving this area. Treatment may include the symptomatic use of anti-inflammatory pain medications, combined with heat application, physical therapy, massage, or block therapy. These methods can play a positive role in symptom improvement and recovery. (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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Causes of Lumbar Muscle Strain

Lumbar muscle strain is actually a chronic inflammatory injury of the muscles in the lower back and their attachment points, fascia, or periosteum. It is one of the primary causes of lower back pain. As for its causes, there are generally two: the first being chronic strain; the second is improper treatment of acute lumbar trauma, which then becomes prolonged and turns into chronic lumbar muscle strain. Starting with the first cause, it mainly arises from long periods of bending over during work, putting the lumbar muscles in a constant state of tension, then leading to the compression of small blood vessels and ultimately causing insufficient oxygen supply to the muscles and poor elimination of metabolic substances, which then stimulates local inflammatory injuries. So, this is the main reason. Generally, in the early stages, the muscles are still in a compensatory adjustment phase, but as the condition progresses, they can no longer adjust, resulting in a series of compensatory adjustments, leading to lumbar muscle strain and ultimately causing back pain and restricted lumbar mobility. Thus, the primary causes of lumbar muscle strain are two-fold: the first is long-term chronic overload of the lumbar region, causing inflammation. The second is improper treatment following an acute lumbar sprain or trauma, which eventually leads to chronic lumbar muscle strain. There are essentially these two reasons.

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Written by Na Hong Wei
Orthopedics
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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 Yu Hua
Orthopedic Surgery
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How long should I take off work for a lumbar muscle strain?

Lumbar muscle strain often occurs when engaging in heavy physical labor. For instance, swinging a heavy hammer or bending over for strenuous tasks, as is common for carpenters and roofers. Such occupations involve considerable effort from the lumbar region with frequent movements, and prolonged work can easily lead to local muscle congestion and exudation, stimulating surrounding nerves and blood vessels leading to strain. Generally, after finishing such activities, one may experience lumbar discomfort and stiffness the next morning, where the lumbar region feels stiff like a board, making movement painful. Movement can alleviate the pain somewhat, which is a typical symptom. Lumbar muscle strain usually requires strict bed rest, ideally for about a week, and it is best to take a leave of absence for about seven to ten days. Treatment often involves medications that promote blood circulation and relieve pain, combined with heat application, massage, and physical therapy, all of which can help alleviate symptoms. If it is possible and the workplace allows, it is recommended to rest for about seven to ten days.

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Written by Lv Yao
Orthopedics
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Can I run with lumbar muscle strain?

The occurrence of lumbar muscle strain is mainly due to chronic injury causing excessive fatigue of the muscles, resulting in muscle fiber strain. Lumbar muscle strain is primarily a type of chronic aseptic inflammation, characterized by symptoms such as pain and restricted movement. When lumbar muscle strain occurs, it is not advisable to continue running; instead, it is recommended to apply heat and rest. This is because running can exacerbate the load on the lumbar region, which is not very beneficial for lumbar muscle strain. Therefore, when lumbar muscle strain occurs, rest and appropriate physical therapy should be the main focus.