Treatment methods for lumbar muscle strain

Written by Na Hong Wei

Orthopedics

Updated on September 02, 2024

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Firstly, general treatment is necessary, which mainly includes rest, or regularly changing posture, and avoiding bending over to lift objects. This is primarily to alleviate symptoms and prevent recurrence. Additionally, using a lumbar support belt at work can limit the range of motion of the waist and is very effective for lumbar muscle strain. Moreover, after entering the remission phase, when the pain has subsided, it is important to strengthen the muscles of the lower back. If the strength of the lower back muscles is improved, the stability of the lumbar spine will also improve, making lumbar muscle strain less likely to occur. Secondly, some physiotherapy can be applied to the painful area, including massage, manipulation, or acupuncture. Thirdly, if there are specific tender points, localized treatment around these points can be considered, which is highly effective. Fourthly, if the pain is particularly severe, affecting work and rest, or causing patient anxiety, consideration can be given to using some non-steroidal anti-inflammatory painkillers, muscle relaxants, or sedatives like diazepam. Therefore, treatment of lumbar muscle strain is essential and must be correctly administered. (Medications should be used under a doctor's guidance based on specific conditions.)

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Written by Na Hong Wei

Orthopedics

1min

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Lumbar muscle strain physical therapy methods

After a lumbar muscle strain, physical therapy is a very important treatment method, and when properly handled, it is greatly beneficial to the recovery of the condition. Physical methods include: First, physical therapy should be applied to the area of pain, primarily involving appropriate massage and manipulation. Second, after the acute phase, local heat application can be used, such as wrapping a hot water bottle with a towel. Third, iontophoresis with medications can be applied to the painful area, which is a crucial aspect of treating lumbar muscle strain with traditional Chinese medicine and herbs. Fourth, treatment with microwave or ultrasound can also be conducted. Generally, it is believed that ultrasound therapy has a very good effect on lumbar muscle strain. Finally, acupuncture or traditional Chinese medical traction can also be performed, which usually has a very good effect on lumbar muscle strains.

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Written by Cheng Bin

Orthopedics

59sec

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How to care for a strained lumbar muscle

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 Na Hong Wei

Orthopedics

1min 37sec

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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 Na Hong Wei

Orthopedics

1min 4sec

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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

1min 18sec

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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.