Correcting bad living and working habits, avoiding prolonged sitting and standing, using the correct posture to carry heavy objects, and reducing body weight are all helpful in preventing and treating lumbar muscle strain.

Appropriate activities or frequent changes in position can reduce lumbar pain; sleep with a small pillow on the waist can also reduce the symptoms; standing with two hands crossed, can make the waist feel comfortable and reduce pain.

When necessary, you can wear a waist protector.

Under the guidance of the doctor to strengthen the lumbar back muscle functional exercise.

Medication

Nonsteroidal anti-inflammatory drugs

such as diclofenac diethylamide emulsion, flurbiprofen babu cream and so on can be used externally to reduce the inflammatory response and relieve the pain of the local muscles and soft tissues. If the pain is severe, add etoricoxib, celecoxib and other drugs orally.

Closure therapy

If there is a specific point or area of pain in the lumbosacral region, if necessary, you can consider the use of lidocaine and trimethoprim injected into the pain point for closure therapy.

Surgical treatment

The disease generally does not require surgical treatment.

Chinese medicine internal

Treatment should be based on tonifying the kidneys, accompanied by products that invigorate blood, dispel evil spirits, and clear the channels. However, the simple Chinese medicine internal treatment course is longer, and easy to relapse, usually to Chinese medicine internal plus external compresses with each other, the efficacy is more significant.

Kidney deficiency

Kidney yang deficiency, the treatment should be warm and tonifying kidney yang, with tonifying the kidney blood soup plus reduction; Kidney yin deficiency, the treatment should be nourishing the kidney yin, with Zhi Bai Di Huang Pill, the big tonic yin pills plus reduction, or internal consumption of strong waist and Jian Ren Pill and other proprietary Chinese medicines.

Qi stagnation and blood stasis type

The treatment is to activate blood circulation and eliminate blood stasis, and to move qi to relieve pain, using Dilongsan with Dudong, Renjian, Sangsheng, and Dog Ji.

Wind-cold-dampness type

The treatment should be to dispel wind, cold and dampness, the formula is Qiangwu Sheng Dampness Tang or Dewu parasitic soup with subtractions.

Damp-heat type

The treatment is to clear away damp-heat, using Ermiao Tang with papaya, Coix Seed, Radix et Rhizoma Dioscoreae, cypress, Siegesbeckia and so on.

The external use of traditional Chinese medicine

The external use of traditional Chinese medicine for the treatment of lumbar muscle strain has the characteristics of simplicity, convenience, inexpensiveness, and effectiveness, and it is effective in the treatment of lumbar muscle strain by using different dosage forms and methods and by applying the medicines to the localized lesion areas or acupoints, which can directly reach the place where the disease occurs.

We can use external rubbing medicines, such as safflower oil, bone water, bone friend spirit, etc., or external paste of injury and dampness pain relieving cream, Bao Zhen cream, Qizheng pain relief paste, Wen Jing Tongluo paste, and other injury ointment.

Manipulation

Roughly the same as the treatment of lumbar sprain and contusion kneading, pinching and other techniques. For elderly patients, the technique should be light, especially the trigger technique should be used with caution, so as not to cause adverse reactions. The treatment is every other day, 10 times for a course of treatment, during the treatment should not be tired, and to avoid cold.

Generally, first press and knead the waist and legs, and then knead both sides of the erector spinae muscle, push the waist muscles, push or flick the lumbar muscles or ligaments, if necessary, apply excessive flexion, extension of the waist or trigger waist manipulation. Manipulation should be light, soft, flexible, steady, avoid using strong violence, so as not to aggravate the injury.

Acupuncture treatment

Acupuncture has the effect of dredging the meridians and channels, adjusting yin and yang, enhancing immunity, and improving physical condition, with a wide range of clinical indications. As a prominent representative of non-surgical therapy, acupuncture has now become an important means of treating lumbar muscle strain injury, with the advantages of significant efficacy and few side effects.

It mainly includes millipede therapy, moxibustion, bloodletting by stabbing, fire needle, needle knife, skin needle, electroacupuncture, floating needle and so on.