How to care for a strained lumbar muscle

Written by Cheng Bin
Orthopedics
Updated on December 28, 2024
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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.

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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.)

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Is bloodletting useful for lumbar muscle strain?

Bloodletting therapy for lumbar muscle strain has no scientific basis, and improper operations can easily cause infections. Therefore, this method is not recommended. Lumbar muscle strain is primarily caused by poor posture and chronic strain, leading to symptoms such as back pain and limited mobility. The main treatment for lumbar muscle strain involves rest and developing correct habits for using the back. Non-steroidal anti-inflammatory pain relief medications can be used in combination to alleviate pain. Other treatment methods such as heat application, physical therapy, massage, or trigger point injections can also be adopted. Generally, these methods can effectively relieve symptoms. (Specific medications should be used under the guidance of a physician.)

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Written by Li Jie
Orthopedics
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Is lumbar muscle strain easy to treat?

Lumbar muscle strain, as the name suggests, is a fatigue-related injury to the muscles of the lower back. It is primarily caused by excessive fatigue, a continuous state of tension in the lumbar muscles, leading to tension, spasms, and adhesions in the lumbar spine muscles. Sometimes, it may also involve minor joint disorders in the lumbar spine. Generally, the cause of lumbar muscle strain is quite clear. The first thing we recommend is that patients must rest in bed for a period, and this is to be combined with various conservative treatment measures such as acupuncture, massage, physiotherapy, electrical heating, or the external application of medicinal patches or moxibustion. With these treatments combined with rest, we generally achieve quite good therapeutic results. Therefore, lumbar muscle strain is relatively easy to treat and has good treatment outcomes.

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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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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.