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

Written by Wang Cheng Lin
Orthopedics
Updated on February 15, 2025
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The recurrence of lumbar muscle strain primarily requires rest as the first measure; it is essential to rest in bed and avoid exerting the muscles in the lower back. Secondly, some external plasters can be applied, such as non-steroidal anti-inflammatory and analgesic plasters, as well as plasters that promote blood circulation and remove blood stasis, to alleviate pain in the lower back. Thirdly, some physical therapy methods can be used, such as massage, acupuncture, electrotherapy, and magnet therapy to relieve the pain in the muscles of the lower back. However, among these methods, rest is the most important, including being cautious with methods of exercise and training. For instance, some people prefer running, while others enjoy playing ball sports; generally, patients with lumbar muscle strain should absolutely avoid these kinds of activities. If they engage in strenuous activities even once, the lumbar muscle strain will recur. It is recommended for patients with lumbar muscle strain who enjoy exercise to consider swimming; swimming is a non-weight-bearing form of exercise that does not aggravate the condition but can strengthen the muscles in the lower back, alleviating the symptoms of lumbar muscle strain. (Please use medication under the guidance of a professional physician.)

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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 Jie
Orthopedics
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Lumbar muscle strain is which part?

Lumbar muscle strain, as the name suggests, refers to a group of symptoms of muscle pain in the lumbar region caused by strain. Typically, it occurs in the waist area, around where we usually wear a belt. Generally, the pain is located about 10 to 20 centimeters above the belt area and about 10 centimeters below it. The pain on either side of the lumbar spine in this area is called lumbar muscle strain, which is usually caused by strain in the muscles of the lumbar spine. If the pain is in the central part of the lumbar spine, this type of pain is generally due to inflammation of the supraspinous ligament or tendonitis. Sometimes, it is caused by a herniated lumbar disc, which may not be closely related to lumbar muscle strain. Therefore, we say that pain in the muscles on either side of the waist is called lumbar muscle strain.

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Written by Guan Yu Hua
Orthopedic Surgery
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How should lumbar muscle strain be treated?

Lumbar muscle strain is a particularly common disease, such as strenuous exercise or long periods of heavy physical labor. For instance, farmers bending over, farming, hoeing, cutting grass, fertilizing, and spraying pesticides are all activities closely related to the movement of the lumbar muscles. The human body's muscles engage in 80% of activities, and their involvement in lumbar muscle strain is very common. It mainly manifests as swinging hammers, digging tree pits, bending over to lift heavy objects, and carrying heavy weights. Subsequently, pain and discomfort in the lumbar region occur. The next morning, upon waking, the symptoms may become more apparent. The lumbar area may feel stiff, akin to a plank, making getting out of bed difficult. Through physical examination and radiographic imaging, such as CT scans of the lumbar spine, the condition can generally be identified and confirmed. In such cases, strict bed rest is required, generally for at least ten days, during which symptoms gradually alleviate. During this period, treatments such as traction, physiotherapy, massage, and heating can help alleviate the symptoms. If necessary, blood-activating and pain-relieving medications may be taken. The condition is treatable, but it is advisable to avoid prolonged sitting in the future. When engaging in heavy labor, it is better to restrict the lumbar region by wearing a lumbar belt or engaging in lighter physical activities that do not overly exert the lumbar area. Regular care for the lumbar region is essential. Once there is damage to the lumbar region, recurrent episodes can affect the quality of normal life and work.

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Written by Li Jie
Orthopedics
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What is the location for moxibustion for lumbar muscle strain?

Lumbar muscle strain, as the name suggests, is a fatigue injury of the lumbar muscles. The pathological changes mainly involve local muscle spasms, adhesions, and tension in the lumbar spine, and sometimes there is some disorder in the small joints. Generally, in moxibustion treatment, the most important point is to apply moxibustion at the pain points. We can manually press to locate the most painful area or where the muscles are most tense, and apply moxibustion there, which is known as Ashi point therapy. Secondly, we can select specific acupoints in the lumbar area for targeted moxibustion. Commonly used acupoints include Mingmen, Shenshu, and Yaoyangguan. Targeted moxibustion at these points is usually quite effective.

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Written by Li Jin
Orthopedics
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What should I do if I have a lumbar muscle strain?

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.