A lumbar strain is an injury to the
lower back. This leads to damaged tendons and muscles that can spasm and feel sore.
lumbar vertebra make up the section of the spine in your lower back.
Injury can damage the tendons and
muscles in the lower back. Pushing and pulling sports, such as weight lifting or
football, can lead to a lumbar strain. In addition, sports that require sudden twisting
of the lower back, such as in tennis, basketball, baseball, and golf, can lead to
Certain risk factors can increase
the risk for this injury. The risk factors are:
- Severe lower back curvature
- Forward-tilted pelvis
- Weak back or belly (abdominal) muscles
- Tight hamstrings
. Each person’s symptoms may be
different. Symptoms may include:
- Sudden lower back pain
- Spasms in the lower back that result
in more severe pain
- Lower back feels sore to the
Some of these symptoms may be
caused by other health problems. Always talk with your healthcare provider for a
In addition to a complete medical
history and physical exam, diagnosing low back pain may include the following. However,
specialized tests aren’t often required.
X-ray. A diagnostic test that produces images of internal
tissues, bones, and organs onto film.
CT scan. This is an imaging test that uses X-rays and a
computer to make detailed images of the body. It shows details of the bones, muscles,
fat, and organs.
MRI. This test uses a combination of large magnets,
radiofrequencies, and a computer to make detailed images of organs and structures
Radionuclide bone scan. A nuclear imaging technique that
uses a very small amount of radioactive material, which is injected into your blood
to be detected by a scanner. This test shows blood flow to the bone and cell activity
in the bone.
Electromyogram (EMG). A test to evaluate nerve and muscle
Treatment will depend on your symptoms, age, and general health. It will also depend
how severe the condition is.
Treatment may include:
- Ice packs or heat and compression
applied to the back
- Exercises (to strengthen the abdominal
- Stretching and strengthening exercises
(for the lower back as it heals)
- Learning how to use and wear
appropriate protective equipment
Medicines, such as
anti-inflammatories, muscle relaxants, and spinal injections, may also be used to
pain and inflammation.
Call your healthcare provider if
you have any of these:
- Can’t stand or walk
- Temperature over 101.0°F (38.3°C)
- Frequent, painful, or bloody
- Severe belly pain
- Sharp, stabbing pain
- Constant pain
- Pain or numbness in your leg
- Pain in a new area of your back
- The pain isn’t decreasing after more
than a week
Call your healthcare provider right
away if you have any of these:
- Pain radiating down the leg.
- Pain that is accompanied by fever or
chills, leg weakness, or loss of control of the bladder or bowels.
Cold reduces swelling. Both cold and heat can reduce pain. Protect your skin by placing
a towel between your body and the ice or heat source.
- For the first few days, apply an ice
pack for 15 to 20 minutes.
- After the first few days, try heat for 15 minutes at a time to ease pain. Never sleep
on a heating pad.
- Over-the-counter medicines can help control pain and swelling. Try aspirin or ibuprofen.
Exercise can help your back
heal. It also helps your back get stronger and more flexible, helping prevent
reinjury. Ask your healthcare provider about specific exercises for your back.
Use good posture to prevent reinjury
- When moving, bend at the hips and knees. Don’t bend at the waist or twist around.
- When lifting, keep the object close to your body. Don’t try to lift more than you
- When sitting, keep your lower back supported. Use a rolled-up towel as needed.
- Lumbar refers to your lower back.
- Strain can cause damage to the tendons and muscles causing pain and soreness.
- Nonsurgical methods can cure most low back pain.
- Call your healthcare provider if
symptoms don’t get better over the next few days or if symptoms get worse.
Tips to help you get the most from a visit to your health care
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember
what your provider tells you.
- At the visit, write down the name of a new diagnosis, and any
new medicines, treatments, or tests. Also write down any new instructions your
provider gives you.
- Know why a new medicine or treatment is prescribed, and how it
will help you. Also know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results
- Know what to expect if you do not take the medicine or have the
test or procedure.
- If you have a follow-up appointment, write down the date, time,
and purpose for that visit.
- Know how you can contact your provider if you have questions.