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 Na Hong Wei
Orthopedics
1min 25sec home-news-image

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 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 Na Hong Wei
Orthopedics
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Symptoms of lumbar muscle strain and fasciitis

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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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.

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Written by Cheng Bin
Orthopedics
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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.