What are the symptoms of lumbosacral muscle strain and how is it treated?

Sep 05, 2024 Source: Cainiu Health
Disease description:

I have recently been experiencing a persistent dull pain in my lower back, especially after physical exertion, when the pain becomes more noticeable. Bending over for a short while makes it difficult to straighten up again. I suspect that I might have lower back muscle strain. What are the specific symptoms of lower back muscle strain? If it indeed turns out to be lower back muscle strain, what is the appropriate treatment for a speedy recovery?

Doctor's answer (1)
Dr. Chen Jian

Lumbar muscle strain, also known as chronic low back pain or nonspecific lower back pain, is mainly caused by chronic injuries to the soft tissues of the lower back, such as muscles, fascia, and ligaments. Its symptoms primarily include:

1. Lower back pain: Persistent or intermittent lower back pain, which may worsen during activity or rest.

2. Pain radiation: Pain sometimes radiates to the buttocks, thighs, or even lower legs. The extent and severity vary among individuals, but rarely extend beyond the knee joint.

3. Muscle tension and spasms: The lower back muscles may become tense, spastic, or develop localized hard nodules.

4. Stiffness: Stiffness in the lower back upon waking up in the morning, which improves with movement.

5. Limited movement: Restricted range of motion in the lower back, causing discomfort when bending, lifting objects, or turning around.

Treatment for lumbar muscle strain:

1. General treatment: Avoid heavy physical labor, prolonged sitting or standing, and keep the lower back warm.

2. Medication: Use nonsteroidal anti-inflammatory drugs such as ibuprofen capsules or celecoxib tablets to reduce inflammation and relieve pain.

3. Physical therapy: Heat application, electrotherapy, ultrasound, and other treatments can help relieve pain and muscle tension. When necessary, traditional Chinese therapies such as acupuncture and massage may also be performed.