How should lumbar muscle strain be treated?

Written by Li Jin
Orthopedics
Updated on February 18, 2025
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Patients with lumbar muscle strain mainly suffer from damage to the lumbar muscles due to long-term involvement in heavy physical activity, poor posture, and chronic strain, resulting in symptoms of pain and limited mobility in the lumbar region. If treatment is needed for lumbar muscle strain, it is first important to rest and develop correct habits for using the lumbar region, avoiding prolonged heavy physical activity. Treatment can also include the use of non-steroidal anti-inflammatory and analgesic drugs in combination with hot compresses, physical therapy, massage, or local blockades. These methods can play a positive role in improving the symptoms of lumbar muscle strain and promoting recovery. Generally speaking, with rest combined with medication and other methods, symptoms can be effectively improved in about two to three weeks (the use of medication should be under the guidance of a physician).

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Written by Cheng Bin
Orthopedics
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Is lumbar muscle strain serious?

For severe lumbar muscle strain, in cases where the strain is not very severe, it usually manifests as the patient primarily experiencing symptoms of soreness and pain in the lower back. For such patients, full recovery is still possible with active cooperation in treatment. First, it is necessary to reduce local irritation by strictly resting and protecting the affected area, which is the best condition for patient recovery. It is important to avoid prolonged sitting or standing, excessive bending or lifting heavy objects. It is advisable to wear a lumbar support belt to protect the lower back and actively apply local treatments such as heat application, massage, acupuncture, and cupping. Additionally, topical application of ointments that invigorate the blood and dispel stasis can also be used. Most patients will gradually recover through these active treatment methods.

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Written by Guan Jing Tao
Orthopedics
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Can I run with a strained lumbar muscle?

Generally, it is not recommended. For lumbar muscle strain, it is first advised to rest in bed. After the pain eases, one can take gentle walks and do some lumbar physiotherapy and heat applications. Exercises such as the 'little swallow flight' and other aerobic activities, as well as swimming, can be done. Jogging is also acceptable, but it is advised not to engage in fast, high-intensity, or prolonged running to avoid significant injury and fatigue to the lumbar muscles.

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Written by Na Hong Wei
Orthopedics
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What is lumbar muscle strain?

What is lumbar muscle strain? Lumbar muscle strain refers to the cumulative injury of muscles and fascia in the lumbar region caused by long-term unbalanced postures or incorrect positions during labor. It is one of the common causes of lumbar pain. How to understand this definition? Lumbar muscle strain is first and foremost a cumulative injury. What causes it? First, incorrect postures—sitting straight is necessary. Slouching or hunching over, especially when idle, or sitting askew, is detrimental. Second, certain types of labor, like that of miners or farmers transplanting rice, consistently place the lower back in an imbalanced state, perpetually bending forward. This day-to-day accumulation leads to lumbar muscle strain.

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Written by Li Jin
Orthopedics
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How to diagnose lumbar muscle strain

For the diagnosis of lumbar muscle strain, it is mainly based on symptoms, physical examination, or combined with imaging studies. The typical symptoms of lumbar muscle strain include soreness or swelling pain in the lower back, which worsens with exertion and lessens with rest. Patients are also unable to persist in activities that involve bending over. During a physical examination, tender points in the lower back may be found, or imaging studies can be used to rule out other lumbar spine conditions. Under these circumstances, a diagnosis of lumbar muscle strain can be made. Patients with lumbar muscle strain should pay attention to rest, and can use anti-inflammatory pain medications, combined with heat therapy, physiotherapy, massage, and blocking methods for treatment, which generally can effectively improve symptoms and promote recovery. (Specific medication use should be under the guidance of a doctor.)

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Written by Sun Shu Jian
Orthopedics
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Can lumbar muscle strain be treated with massage?

Lumbar muscle strain in the non-acute phase can be treated with massage therapy. Lumbar muscle strain is a chronic aseptic inflammation caused by overexertion of the lower back, related to factors such as prolonged sitting and long periods of bending. It can cause pain in the lower back and limited movement. In addition to massage therapy, treatments for lumbar muscle strain can include local heat application, infrared radiation, and electromagnetic therapy. It is also advisable to change daily lifestyle habits by avoiding prolonged sitting and bending, and avoiding exposure to cold. Appropriate exercises to strengthen back muscles, acupuncture, massage, and when necessary, the use of non-steroidal anti-inflammatory and muscle relaxant medications can also be used for treatment.