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 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 Guan Yu Hua
Orthopedic Surgery
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Can you exercise with lumbar muscle strain?

Lumbar muscle strain primarily arises from repetitive stretching of the back muscles due to work-related activities or intense physical exercise. This leads to a range of symptoms, such as stiffness in the lower back upon waking in the morning, reluctance to move, and symptomatic relief after some activity. It is advised to gently exercise the lower back to effectively alleviate symptoms, avoid strenuous exercise or prolonged bending and heavy physical labor. It's best to strictly rest on a firm mattress, perform warm-up activities for the lower back, and undergo appropriate physical therapy and massage. Consuming blood-activating and pain-relieving medications can also help. Typically, symptoms will gradually ease over 7-10 days. Although light activity for lumbar muscle strain is acceptable, engaging in exercise is not recommended. Rest is necessary, and a general rest period of about half a month will gradually reduce symptoms. Recurrences are common, so it is important to regularly care for your lower back by avoiding activities such as bending to lift heavy objects, carrying heavy loads, etc., as these can easily lead to repetitive strain injuries of the back muscles.

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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.

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Written by Cheng Bin
Orthopedics
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How to alleviate pain from lumbar muscle strain?

For patients with severe pain, topical ointments that activate blood circulation to dissipate blood stasis and reduce swelling and pain can be effectively used to alleviate the symptoms of pain caused by lumbar muscle strain. Additionally, local heat application or massage can be actively performed to effectively promote local blood circulation and the absorption of creatine kinase, improving the symptoms of lumbar muscle strain. Furthermore, oral administration of non-steroidal anti-inflammatory drugs and drugs that activate blood circulation to dissipate blood stasis can be used for treatment. It is important to rest and protect the affected area, wear a lumbar belt for protection, avoid sitting or standing for long periods, and refrain from bending over to lift heavy items or heavy lifting. (Please use medications under the guidance of a doctor.)

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Written by Li Jin
Orthopedics
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How to treat lumbar muscle strain properly?

Lumbar muscle strain is mainly caused by long-term poor posture and chronic injuries. Patients with lumbar muscle strain can experience symptoms such as back pain and limited mobility. For the treatment of lumbar muscle strain, it is important to rest and develop good habits of using the back during work. Symptomatic medication treatment can also be applied, such as using non-steroidal anti-inflammatory and analgesic drugs to relieve pain. These drugs can be used for a short period after meals and are effective in alleviating pain. Additionally, treatments like hot compresses, massage, physical therapy, acupuncture, or local blockages can also be used to effectively relieve pain.