Is applying heat useful for lumbar muscle strain?

Written by Li Jin
Orthopedics
Updated on December 13, 2024
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Patients with lumbar muscle strain can find heat application helpful in relieving symptoms, as it is a type of physiotherapy. Heat application can promote blood circulation, reduce inflammatory reactions, and actively alleviate symptoms such as lower back pain. Patients with lumbar muscle strain should also ensure adequate rest, develop proper habits for using the lumbar region, and avoid long-term heavy physical activities involving the back. Additionally, treatments can include the use of non-steroidal anti-inflammatory drugs, blood-activating and stasis-dissolving medications, in combination with heat application, physiotherapy, massage, or injections. These methods can actively improve symptoms and promote recovery, thus heat application is advisable for patients with lumbar muscle strain.

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Written by Li Jin
Orthopedics
1min home-news-image

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 Na Hong Wei
Orthopedics
1min 19sec home-news-image

How to assist in the examination of lumbar muscle strain?

How should lumbar muscle strain be assessed through auxiliary examinations? What auxiliary examinations are needed for lumbar muscle strain? Clinically, lumbar muscle strain is quite common; out of every ten people, at least two or three have it. The characteristic of these patients is that their symptoms are severe but their physical signs are mild. Therefore, when encountering such patients, a screening process is generally required, which involves a method of exclusion. After examination, an X-ray is usually taken first to check for obvious lumbar spondylolisthesis, the severity of bone hyperplasia, and any traumas, whether fresh or old, that might have caused vertebral fractures. Then, some people might need a CT scan, which aims to exclude lumbar disc herniation. Many patients do not have herniated discs, or only have slight bulging, but their symptoms are severe, making them restless. Generally, there is no need for an MRI, but some patients strongly request an MRI examination. After the MRI, sometimes high-density shadows can be seen in the muscles of the lower back, which might be caused by injuries within these muscles. Therefore, the auxiliary examinations for lumbar muscle strain are usually negative, with few positive findings, which is a characteristic of this condition.

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Written by Na Hong Wei
Orthopedics
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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 Li Jin
Orthopedics
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How to recover from a lumbar muscle strain?

Patients with lumbar muscle strain are mainly caused by long-term heavy physical activities involving the waist, poor posture, chronic strain, etc. The symptoms are primarily manifested as back pain and restricted movement. These symptoms are alleviated after rest and worsened after labor. For the treatment of lumbar muscle strain, it is important to first ensure adequate rest and develop proper habits for using the waist to avoid long-term heavy physical activities. Symptomatic medication treatments, such as non-steroidal anti-inflammatory analgesics, can be used. Additionally, methods like hot compresses, physical therapy, massage, and local block treatment can be employed. These methods play a positive role in symptom improvement and recovery. (Please use medications under the guidance of a doctor.)

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Written by Na Hong Wei
Orthopedics
1min 19sec home-news-image

Treatment methods for lumbar muscle strain

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.)