What should I do if I've pulled a muscle in my back?
Back muscle strain may result from lifting heavy objects, causing injury to the back muscles and fascia. This condition can be relieved through physical therapy and medication, as detailed below:
1. Physical therapy: After straining the back muscles, bed rest is recommended to prevent further injury. Applying cold compresses locally—using an ice pack or cold towel on the affected area—can help reduce swelling and relieve pain. After 48 hours, local heat application or physical therapy may be used to improve blood circulation, thereby reducing swelling and pain in the lower back.
2. Oral medications: If pain is significant, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, diclofenac sodium, loxoprofen sodium, or celecoxib may be taken orally under a doctor's guidance. Depending on gastrointestinal tolerance, one of these medications can be taken after meals for optimal effect.
In addition, adequate bed rest is the best treatment. Avoiding activities that could re-injure the back muscles and ligaments helps prevent muscle fiber tearing and promotes healing. Patients may attempt light mobility when appropriate, but must avoid bending over while lifting or carrying heavy objects, as these movements can damage spinal muscles and joints.