What should I do if I have a lumbar muscle strain?

Written by Li Jin
Orthopedics
Updated on April 07, 2025
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Patients with lumbar muscle strain primarily suffer from back injuries due to long-term heavy physical activities involving the waist, poor posture, and chronic wear and tear, causing symptoms such as lower back pain and restricted movement. Those suffering from lumbar muscle strain should first focus on rest and develop proper habits of using their waist to avoid engaging in long-term heavy physical activities. At the same time, symptomatic treatment may include the use of non-steroidal anti-inflammatory analgesics, combined with heat application, physical therapy, massage, or trigger point injection. These methods can actively improve pain symptoms and promote recovery.

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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.

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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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What department should I see for a lumbar muscle strain?

Lumbar muscle strain can be treated at the orthopedics department of a hospital. It is primarily caused by poor posture and chronic injury. Patients with lumbar muscle strain may experience symptoms such as lower back pain and limited mobility of the lower back. For the treatment of lumbar muscle strain, it is important to rest and develop correct habits for using the lower back. Symptomatic treatment with medications such as non-steroidal anti-inflammatory pain relievers can also be used to alleviate pain. Additionally, Chinese medicine that promotes blood circulation and removes blood stasis can improve symptoms. Other treatment methods such as hot compresses, physical therapy, massage, and trigger point injections can also effectively improve symptoms.

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Written by Li Jie
Orthopedics
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Can you swim with a strained lumbar muscle?

Lumbar muscle strain, as the name implies, is the fatigue damage to the lumbar spine muscles. It is characterized by tension, spasms, and adhesion of the lumbar muscles, sometimes accompanied by disorders of the lumbar facet joints, straightening of the lumbar curvature, and limited lumbar mobility. Swimming is permissible in such cases because the body is in a weightless state while swimming. This condition allows swimming to strengthen the muscles of the lower back and enhance the muscular strength of the lumbar spine, which can help in exercising and alleviating symptoms. Hence, it is said that one with lumbar muscle strain can swim.

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Written by Wang Cheng Lin
Orthopedics
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Symptoms of lumbar muscle strain

Lumbar muscle strain is mostly caused by excessive activity, overexertion, fatigue, and intense exercise, which leads to the continuous pulling of the lumbar muscle fibers beyond their load capacity, resulting in injury. After the injury, many patients may not have sufficient rest, causing the muscle fibers in the lumbar region to become scarred, which is referred to as lumbar muscle strain. The primary symptoms of lumbar muscle strain are pain and limited mobility in the lumbar region, especially after intense exercise or exertion, with the pain gradually worsening and possibly radiating to the buttocks on both sides. The main treatment involves rest, which is the most important. Additionally, treatments such as physiotherapy, rehabilitation, massage, acupuncture, and oral medication can be used to aid in the recovery and growth of lumbar muscles, with the main symptoms being pain in the lumbar area and restricted movement.