06/12/2017
Treatment for Lower Back Injuries
Compared to many other kinds of back injuries, a pulled muscle is usually straightforward to diagnose and easy to treat, and symptoms usually resolve within 4 to 6 weeks. Some severe muscle injuries, such as a complete muscle tear, can take months to heal though.
Recovery from these soft tissue injuries is speedier and more successful long term, with correct management rather than the ‘ignoring’ and hoping it will ‘go away’ approach!
So what is the best way to treat you strained or sprained lower back?
1. Anti-inflammatory medicines (NSAIDs) such as ibuprofen, aspirin, and naproxen reduce inflammation, which often contributes to pain.
2. Muscle relaxants may be prescribed on a short-term basis to reduce muscle spasm. Sadly most muscle relaxants do not affect muscles directly, but rather dampen pain receptors in the central nervous system. These medications have many side effects, and muscle relaxants also carry risk of addiction.
3. Ice packs reduce inflammation that can occur shortly after a muscle is injured. I commonly recommend applying a cold or ice pack for 15- 20 minutes at regular intervals throughout the day, and using a towel or other barrier between the ice and the skin to prevent an ice burn.
4. Heat packs increase circulation, which improves healing and relieves tension in strained muscles. As a general rule, I recommended starting about 48 hours after the injury occurs. A layer should be kept between the heat pack and skin to avoid a burn. Applying heat before changing positions or starting an activity can help ease pain related to movement. For example, using a heating pad on the low back for 10 minutes before getting out of bed in the morning can alleviate stiffness.
5. Walking and staying active during the day is important to keep the spinal structures functional and healthy. Even short, frequent walks can be helpful - walking for 3 to 5 minutes several times a day can help relieve low back stiffness, and in the process reduce discomfort and pain.
6. Activity modification, such as avoiding strenuous activity or heavy lifting when low back pain is intense, can help prevent worsening a muscle injury and low back pain. In some cases a short rest period may be advised; it is best to limit rest to one or two days, as underusing muscles causes deconditioning and stiffness over time.
7. Massage and soft tissue therapy increases circulation, relaxes muscles and releases fascia improving range-of-motion and decreasing pain. Massage therapy also releases endorphins, which lessen pain signals in the nervous system.
8. Ultrasound - I use ultrasound therapy when I have diagnosed a ligament sprain in the lumbar spine. The ligament tissue absorbs the ultrasound waves very effectively whereas muscle tissue doesn’t so I don’t tend to use it on strains alone. When uses correctly ultrasound works to reduce inflammation and pain and speed up the healing process.
9. Kinesio Tape
‘K tape’ as it’s known is very useful in treating muscle injuries in the lower back. It is placed over the affected muscles in a specific way and encourages the soft tissues to relax and promotes healing. I have had really great results using k tape on my patients.
A combination of the above, employed in the correct way works extremely well to treat these injuries. When I see a patient with lumbar or lower back strain/sprain I create a detailed, treatment plan which is tailored to the individual.
Tomorrow - the soft tissue therapy techniques I use to successfully treat lower back injuries 👍🏼
For further information or advice on your back please get in touch 07887781507