Is lumbar muscle strain serious?

Written by Cheng Bin
Orthopedics
Updated on February 06, 2025
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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 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 Guan Yu Hua
Orthopedic Surgery
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What are the symptoms of lumbar muscle strain?

Lumbar muscle strain, also known as functional back pain, chronic lumbar injury, and lumbar-gluteal fasciitis, etc., is actually chronic inflammation of the lumbar muscles and their attachment points, such as the fascia or periosteum. It is one of the most common causes of back pain. The main symptoms include swelling and soreness in the lumbar and sacral regions, recurring pain, which is often related to the weather, such as feeling cold. Factors such as daytime fatigue can aggravate it, rest can alleviate it, and the intensity of pain can vary. Sometimes, it is severe and other times it is mild. For instance, some people feel stiff as a board in the morning upon waking up and are afraid to move; this is a typical manifestation. Physical examination can confirm the condition, and some diagnostic tests like lumbar disc CT or MRI can help differentiate if there is any lumbar disc herniation. Additionally, it is also important to distinguish from conditions like piriformis syndrome, which generally involves sciatica, and symptoms like numbness and pain in the lower limbs. Once diagnosed, the first step is strict bed rest, and appropriate blood-activating and pain-relieving medication can be administered. Local heat application, massage, and electrotherapy are some of the physical treatments available. It is advisable to avoid lifting or moving heavy objects routinely, as these activities can impose significant strain on the back and are not conducive to the recovery from back ailments.

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Written by Li Jin
Orthopedics
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How to treat lumbar muscle strain

Patients with lumbar muscle strain are primarily caused by long-term engagement in heavy physical activities involving the waist, poor posture, chronic strain, etc. The main symptoms include lower back pain and restricted movement, which alleviate after rest and worsen after physical exertion. To manage lumbar muscle strain, it is crucial first to rest and develop correct habits for using the lower back, avoiding long-term engagement in heavy physical activities of the waist while also paying attention to techniques used. If symptoms are severe, medication such as non-steroidal anti-inflammatory drugs can be used, along with adjunct treatments like heat therapy, massage, or block therapy. These methods can actively contribute to symptom improvement and recovery. (Please use medications under the guidance of a doctor to avoid blind self-medication.)

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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.