Immediately after you pull a muscle, there is usually inflammation and swelling surrounding the injury. Back extensions Of course, age is an important factor, with people 30 and older having lower back pain most often, but there are other common causes for it too. . Healthline Media does not provide medical advice, diagnosis, or treatment. Basic at-home remedies, such as rest, compressing the heel and taking anti-inflammatory medication such as ibuprofen, help Achilles tendinitis heal in the majority of cases. Avoid activities that cause pain, swelling or discomfort. We use cookies to make wikiHow great. If you have ever sprained your back muscles, you probably know the answer to what does a pulled back muscle feel like? Treat Cough The more you cough, the more it will irritate the affected muscle. Pharmacies sell various types of heat packs that you can use. Muscle strains occur when any muscle is overly stretched or torn, and each one needs care and rest to repair itself. There are treatments for strained muscles, and patience is the key to healing. A tear to the muscle tissue ends up damaging the small blood vessels, thus causing bruising and other symptoms, depending on the severity of the damage. When the body feels pain it tightens up and 'guards' what it think is the problem/injury site. This increases the circulation to your muscles and gets them ready for activity. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\n<\/p><\/div>"}, How to Treat a Pulled Muscle in Your Back, https://share.upmc.com/2014/08/rice-method-for-treating-injury/, https://medlineplus.gov/ency/article/002116.htm, https://my.clevelandclinic.org/health/drugs/11086-non-steroidal-anti-inflammatory-medicines-nsaids, https://my.clevelandclinic.org/health/diseases/10265-back-strains-and-sprains/management-and-treatment, https://www.aans.org/patients/neurosurgical-conditions-and-treatments/low-back-strain-and-sprain, https://www.spine-health.com/conditions/lower-back-pain/pulled-back-muscle-treatment, https://www.ncbi.nlm.nih.gov/pubmed/17909210, https://www.spine-health.com/treatment/physical-therapy/physical-therapy-benefits-back-pain, https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw206944, https://www.scoi.com/patient-resources/education/articles/how-avoid-pulled-muscle, https://www.healthline.com/health/strains#prevention, https://www.spine-health.com/wellness/nutrition-diet-weight-loss/weight-loss-back-pain-relief. But you can have a strained muscle in other areas, including the groin, thigh, feet . Practice a healthy diet to give your body the nourishment it needs to stay active. This growth causes your body's center of gravity to shift. Lie on your back with your legs stretched out in front of you. Symptoms of strain in the chest muscle include: pain, which may be sharp and intense pull or chronic pain. Stop taking them when your injury has improved. Other symptoms of appendicitis may include: Learn more about pain in the lower right back. Pain primarily relegated to the lower back area. The doctor can run a series of tests and recommend the next steps. Rest on the mat for as long as you like. Sometimes you may experience a pulled muscle when your baby starts to grow. Potential causes of a strained chest muscle include: Repetitive and/or forceful movements that involve the chest muscle, such as swinging a tennis racket. Kimberly is a practicing Licensed Physical Therapist Assistant with 21 years of experience in the field. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. You stop moving. Catal MM, et al. All pain relievers have slightly different instructions. Pulled Muscle In Low Back? Most common in: knees, feet, legs, back. In many cases of a sprained back or pulled back muscle, doctors use non-invasive and standard self-care treatments. This can re-injure your back and delay recovery. Heat dilates blood vessels to bring in additional nutrient-rich blood into the area of injury, It also encourages removal of inflammation by-products and stagnant blood. Stretch your hamstrings to better support your lower back muscles. A person can try the following yoga exercises: A doctor is likely to perform a physical examination to diagnose a lumbar strain. Correct your posture. Whats Causing My Lower Back and Leg Pain? Discomfort sometimes extends to the buttocks, thighs, or hips if the pulled muscle is in this area. That is why injuries to the lumbar and lower back, including sprains and strains, are very common. Yoga may also help relieve pain and strengthen the back. 2 Ice the muscle. from the Touro University Nevada College of Osteopathic Medicine and completed his residency at Central Maine Medical Center. In fact, it is an effective and fast way to reduce strained back pain. Moreover, it can improve range of motion and decrease pain. When you strain your back, the tendons and muscles supporting the spine are torn, pulled, or twisted. This hormone loosens the pelvic muscles to prepare you for labor. (n.d.). This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2022 wikiHow, Inc. All rights reserved. Please don't hesitate in calling us or myself if you have questions when the need to . If you dont have a gel ice pack, there are several methods to make your own at home. Muscle fatigue. Kneel on all fours with the knees under the hips and the hands under the shoulders. Pulled Hamstring Treatment. If possible, opt for anti-inflammatory drugs over any others. They are at higher risk of a lower back injury. Gentle exercises may help treat a pulled muscle in the lower back. Grade 3: Strain is a complete rupture of the bicep muscle or tendons. . How do you get rid of a lower back spasm? Applying cold therapy will help reduce inflammation, swelling, and pain that occurs immediately following your injury. 2004-2022 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Learn about chronic and acute muscle pulls and strains and the best types of treatment. 520 Lake Cook Road, Suite 350, Place your feet shoulder-width apart to establish a wide base of support. Strains. Consider only taking muscle relaxers at night or bedtime, and avoid taking them if you need to drive or work. Icing the area reduces swelling and helps ease the pain. Dont worry if you have no idea how to treat a strained muscle in the back or how to help pulled back muscle. Most pulled muscles will heal within four or five weeks, although they can feel sore after each day's activity. These can include: Usually, athletes and sports persons experience this problem as their daily routine involves a lot of pulling, pushing, and weight lifting. trouble moving the injured area. Lower back pain and coughing often go hand-in-hand. Join 1,000's of our best customers who receive our best discounts, new product updates, and best health care tips! Keep the upper body relaxed with the chin tucked in. Why Does My Lower Back Hurt When I Cough? Other causes of pain on either side of the lower back, or both sides, include: Learn more about pain in the lower left back. This is a powerful way to "double-shock" your back muscles out of the pain-spasm cycle. The symptoms of a pulled chest muscle may include: Acute muscle pain (a sharp pull) Chronic muscle pain (a dull ache) Pain during breathing. Ice packs and anti-inflammatory medicines can help relieve swelling and pain, and a doctor may also prescribe muscle relaxants. For low dose medications, such as over the counter pain relievers, side effects may not be noticeable. We have 10 pairs of ribs which attach to the spine in back and our sternum in front, plus two other pairs, the lower ribs, which only attach to the spine. It happens when the bicep muscles or tendons are overstretched, but you do not lose mobility or strength. Here are some of the tips to use in fixing that ache throwing you off balance: 1. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. This can happen if you overwork the muscle or twist it too hard. Treating A Sprain At Home 1 Ice your back to reduce swelling. There are many causes for pain in the lower back right side, including some that are unique to men or women. All these conditions can stretch the ligament beyond the normal movement range and cause injury. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2022 wikiHow, Inc. All rights reserved. | According to a 2016 systematic review, yoga may be an effective treatment option for chronic lower back pain. Here we have enlisted seven simple and effective ways to help you. Pilitsis, J. G. (n.d.). 2. Bend your right knee slightly and cross your right leg over the left side of your body. If so, you could be suffering from a muscle strain, a sprain, or another. Pulled muscle or sprain is a common injury caused by a sudden overstretch in the ligaments. Don't take NSAIDs for pain longer than 10 days in a row without consulting your doctor. However, your back, particularly the lower back or lumbar, bears much of your bodys weight while you run, walk, lift, or do other activities. Repeat 10-15 times. Pharmacies and supermarkets typically have gel ice packs that you can keep in the freezer and take out when needed. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Wrap it in a thin towel, to protect your skin from getting damaged by direct ice. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2022 wikiHow, Inc. All rights reserved. Luckily, there are some effective techniques that can speed your recovery. Keep the hips and pelvis on the floor. Kneel on a flat surface with your hands on the floor directly under your shoulders and your knees beneath your hips. If a person twists or pulls a muscle in the lower back as a result of a sudden movement or injury, they may feel a pop. Spread the mat out on a smooth floor and lie down slowly on top of it whenever you feel pain in your back. bruising in the hip flexor, hip, thigh, or . This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Back pain, often due to a pulled muscle, is one of the most common issues health professionals treat. Place ice in a dry towel for up to 10 minutes on the affected area, and then remove for at least 15 minutes before reapplication to avoid ice burns. Tender to the Touch Another indication of a pulled back muscle is a feeling of tenderness when pressure is applied to the muscle in question. Initial Treatment. 3 DIY Treatments - YouTube Dr. Oliver explains how to treat a pulled muscle in the low back with natural solutions that you can do at home. from the Touro University Nevada College of Osteopathic Medicine and completed his residency at Central Maine Medical Center. DOI: Mayo Clinic Staff. Symptoms & causes of appendicitis. The treatment of a pulled groin muscle is typically conservative and includes rest, ice application, and gentle stretching when appropriate. Use proper lifting techniques. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Keeping the low back muscles active through stretching and strengthening exercises can help reduce overall pain levels and prevent future flare-ups from occurring. According to the AANS, a pulled muscle is the most common cause of lower back pain. Acetaminophen may be added as active. There are many different ways to help prevent a pulled back muscle including: Sleep on your back or side. Supplements for heart health: Which ones are beneficial and which ones are not? WALKING One of the major reasons why you may develop lower back pain as a result of pulled muscle is because of physical inactivity. Tendons are solid fibrous bands of thick tissues that connect muscles to bones. Anyone who strains a muscle in the lower back should rest to avoid further damage. Massage therapyreleases endorphins that help you lessen or reduce pain signals in your nervous system. molds and targets the injured and affected back area with better flexibility and comfort. A sustained light . Last medically reviewed on April 7, 2020, There are many possible causes of a painful or tight lower back, ranging from injuries to bad posture. Poor posture. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2022 wikiHow, Inc. All rights reserved. By taking the proper steps right after the injury and caring for the muscle as it heals, you can be back on your feet in no time. Bend the knees, keeping the feet straight and hip-width apart. Here are a few easy stretching exercises. Walk instead of taking the elevator as much as you can. Dont put it on too tightly and dont leave it on all the time. approach rest, ice, compression, elevation: Rest. Alternate sides with each rep, or complete a set on one side and then switch. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. There are mainly three scales determining the severity of a pulled muscle: However, this symptom has other possible causes. Deerfield, The above is not a complete list. Keep the upper body relaxed with the chin tucked in. This occurs at no extra cost to you, and we appreciate your support. A pulled muscle, also known as a muscle strain, is an acute injury that happens when a muscle is overstretched or torn, usually following overuse, improper use of the muscle and/or fatigue. Learn about the causes and how to get relief. A muscle strain, or pulled muscle, occurs when your muscle is overstretched or torn. Make a moist heat source by wrapping a moist towel around a moisture-proof electric heating pad or a hot water bottle. Always use a low temperature setting to avoid tissue burns. Grab the object and lift up with your legs. Apply cold ice compresses on the muscle pull area. https://my.clevelandclinic.org/health/diseases/10265-back-strains-and-sprains, https://www.webmd.com/back-pain/guide/low-back-strain, https://www.spine-health.com/conditions/lower-back-pain/pulled-back-muscle-treatment. That means, even a single instance of. Symptoms of severely pulled muscle (usually grade III strain) persist until the tear . Wait a few weeks before going back to an exercise regimen or sport. With over 15 years of experience, his clinical interests include obesity and weight management, diabetes care, and preventive care, as well as embracing a holistic approach to primary care. Dr. Kramer is a Diplomate of the American Board of Obesity Medicine. Pain increases when standing, walking, or twisting. All rights reserved. Difficulty using the affected muscle. A pulled muscle in the lower back can be painful. It is most frequently due to: While being out of shape can contribute to the problem, even well-conditioned athletes and young children experience lower back pain. As mentioned earlier, strain is typically an injury to either your tendon or muscles. The most common symptoms of a pulled lower back muscle are sudden lower back pain, spasms in the lower back and feeling sore to the touch in that area. Use hydrotherapeutic measurements. 2005-2022 Healthline Media a Red Ventures Company. Effective compression for your lower back will probably require a back brace. Can Sciatica Cause Pain in the Foot? He received his Doctorate in Osteopathic Medicine (D.O.) If swelling has occurred in a particular area, try to keep your leg elevated. Apply it to the shoulder area that hurts and wait about 10 minutes. Symptoms of a pulled muscle include: Bruising, swelling or redness at the injury site. Its a good idea to ice your back right away to reduce swelling. contactus@easyposturebrands.com, Working Days/Hours:9:00AM - 4:00PM EST M-F. EasyPostureBrands.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites Most cases of a pulled back muscle are treated using standard self-care or non-invasive treatments. Swelling around the affected muscle. If the pain is significant, you may be advised to use crutches to reduce pain and prevent further injury. Read and follow all instructions for any medication you use. It also causes the ligaments that support the spine to relax and generate back pain. Here are some first-step strained, Applying cold packs is incredibly effective in reducing blood flow to painful areas. Movement helps to relieve muscle spasms and prevents loss of muscle strength. Generally, pulled and strained muscles in your chest happen because of too much physical exertion. Ice Pack For Pulled Muscle In Shoulder To stop the bleeding or the swelling of the blood vessels and the pulled muscle, you can try to use an ice pack treatment. Keep your back straight during the entire motion. Use a compression bandage to wrap the affected area to prevent movement and help prevent swelling. They can then use this information to adjust their approach to massaging your back. Muscle relaxers come with a risk of addiction, so only take them as prescribed. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. You can also focus hot water on the injured area in the shower. Overstretching or tearing ligaments, which are bands of tissue that hold the vertebrae of the spine in place, can cause a sprain. As mentioned earlier, strain is typically an injury to either your. In this article, well, Does your back hurt when you lie down? ). A total muscle tear, for example, might take months to recover. Ice It may also appear gradually and get progressively worse over time. This will help to reduce the swelling and redness that is typically seen in a muscle pull. Many people experience lower back pain when bending over. A pulled muscle is relatively easier to identify and treat compared to many other types of back injuries, and symptoms normally recover within 4 to 6 weeks. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Additional symptoms may include: Stiffness in the neck. You may experience a radiating, burning pain in the affected area. I hope you have enjoyed our blog posts on various health, nutritional and injury related topics. Other pain relievers like acetaminophen will help reduce the pain from the injury, but they wont fight the inflammation the way NSAIDs will. Hold the stretch while taking one deep breath in and out and then return to the starting position. You can learn more about how we ensure our content is accurate and current by reading our. You can buy prescription or over-the-counter anti-inflammatory medicines. A pulled muscle is a strained and overworked muscle, but may also involve tendons. We avoid using tertiary references. In some circumstances, a person may need to go to the emergency department or call 911. Either way, it is essential to understand that your back is one of the complex structures of muscles and bones. It is important to lift heavy objects carefully and warm up before doing exercise. Treatment. Pain that radiates to your legs, buttock, or thigh areas. As soon as possible, apply ice to the area to fight this inflammation. 7 Things You to Know, Top 7 Portable Heated Seat Cushions to Stay Warm (What Buyers Loved! Torn or twisted ligament (tissue that connects the joints) Overstretched or torn muscle (also known as a pulled muscle) Most common in: wrists, ankles, thumbs, knees. Moreover, it can improve range of motion and decrease pain. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Acetaminophen may be added as active prescription medications, such that you can take it in combination with opioids. Use an ice pack or slush bath of ice and water for 15 . This can be due to compensating for a sore joint, like a hip or knee. is another great way to reduce lower back pain. Regular icing will go a long way in those first 48 hours after injury. Pain that occurs suddenly. Massaging your ankle after a sprain may help reduce pain and swelling, but you also want to be careful. swelling. . 5. -Lower back pain that radiates into the buttocks but doesnt affect the legs, -Stiffness in the lower back restricting motion range, -Inability to make normal posture due to tightness, stiffness, or pain, -Muscle spasm either at rest or with activity. If a person twists or pulls a muscle in the lower back as a result of a sudden movement or injury, they may feel a pop or tear as it happens. There are several exercises you can perform to help your lower back heal. Cancer treatment shows promise against multiple sclerosis in mouse study, Alzheimer's: Blood test may detect 'toxic' protein years before symptoms emerge, Low levels of vitamin D in the brain linked to increased dementia risk, Causes and treatment of a stiff lower back, Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, What to know about lower back pain when sitting. Muscle spasms. Contact injuries or a blow to the chest, such as that from an auto accident or contact sports. Naturally, youll want the injury to heal as fast as possible. They may help you reduce pain by altering the way your brain interprets the pain signals. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2022 wikiHow, Inc. All rights reserved. . Apply ice or cold therapy in the acute stage with is usually the first 24 to 48 hours. Grade 2 treatment. Ice. If the pain is severe or your doctor isnt available, dont hesitate to visit the emergency room. Learn more about back pain, as well as treatments, self-care tips, and how to prevent it. Of those, 1 in 5 have symptoms that develop into a long-term issue, with pain lasting more than a year. Pulled back muscle symptoms. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2022 wikiHow, Inc. All rights reserved. To relieve the pain, it is essential that you find a more comfortable position to sleep or rest. Over-the-counter (OTC) anti-inflammatories like ibuprofen (Advil) or naproxen (Aleve) can help reduce swelling and inflammation, which in turn helps relieve the pain. Muscle strains are most common in the hamstrings, lower back, shoulders and neck. This means no running, jumping and leashed walks to potty. Wrap some ice with a clean cloth and apply it to the skin. In the scenario where the shoulder blade fails to properly elevate the part of the shoulder known as the acromion, such as with a throwing action, shoulder impingement . By initially resting the muscle, the amount of spasm and scarring can be minimized. Difficulty walking, sitting, or standing. Treating a Dog's Pulled Muscle When a dog pulls a muscle, the muscle is weaker for some time and at risk for further injury. If the pain is on the right side of the back, it may be due to appendicitis. If the pain has not eased after 12 weeks, a person should see a doctor. Strained back muscles make it difficult to rest and sleep. The Best Sleeping Positions for Lower Back Pain, Alignment Tips, and More, How to Massage a Sprained Ankle Correctly, 8 Best Wrist Braces in 2022: For Carpal Tunnel, Wrist Pain & More, your back hurting more when you move, less when you stay still. But if the pain is unbearable or makes it difficult to move, see a doctor. While they can happen with any muscle, most cases occur in the lower back, neck and hamstring. However, lower back pain on your left side may also be due to: Pain on only one side of your lower back may also be caused by overusing your muscles in a particular way. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2022 wikiHow, Inc. All rights reserved. Veritas Health, LLC, Once the pain subsides, use heat therapy to dilate the blood vessels and stimulate more blood flow, providing oxygen and healing nutrients to the injured area. Keep a layer between your skin and the heat pack to avoid burns. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Move the buttocks slowly back toward the heels. , such that you can take it in combination with opioids. A pulled muscle is a colloquial term for a muscle strain, which is an injury to a muscle caused by overstretching of the muscle fibers. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. Staying active is crucial to keep your spinal structure healthy and functional, and walking is no exception. References. pins and needles, numbness or, weakness likely due to nerve irritation. Explain your injury fully to your massage therapist. This technique numbs back pain and decreases swelling and inflammation. Look for childrens versions of anti-inflammatories at your pharmacy. It keeps your backbone naturally aligned. Some initial treatments for pulled neck muscle include: Over the Counter Pain Medication Over-the-counter pain medications can help reduce the pain and discomfort caused by pulled neck muscle. Strained lower back muscles may begin as a sudden, throbbing pain when you lift or bend. muscle spasms. Sometimes even simply pulling or twisting a tendon or muscles may result in a strained back. A qualified healthcare provider reviews the symptoms of the patients and the reason for injury or performs a physical examination. Slowly perform the reverse movement, tilting the pelvis toward the heels. bruising. Trouble standing up or sitting down. Most people will be fully recovered within two weeks of the injury, but if the pain isnt getting better after a weeks time, see a doctor. Get up and walk around every 20 minutes or so to keep circulation to your muscles up. Pulled muscles, or strains, are common in the lower back because this area supports the weight of the upper body. Agnes Maher. Ice Therapy. Stiffness in the back region. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. He received his Doctorate in Osteopathic Medicine (D.O.) Grade 3 Pulled Muscle . Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Hold for 20 seconds or until your feel your muscles loosen, then do it on the other leg. Massage therapy releases endorphins that help you lessen or reduce pain signals in your nervous system. rest, ice, compression, and; elevation. These include: While most people will have pain in their lower backs at some point, these injuries usually heal within several days. Grab our. While lower back pain is common and is usually not an emergency, get medical attention right away if you experience any of these symptoms: You should limit normal activity for the first few days after your injury but resume it as soon as you can after that time. 1999-2022 Veritas Health, LLC. You can do this at work or at home while youre watching TV. Hypertension: Can 15 minutes of yoga a day help control blood pressure? Compressing the muscles can help keep the swelling down, and that in turn helps keep your pain under control. "In the case of a hamstring strain, they can't walk." Hold at the top for 510 seconds and then return to the starting position. This type of injury usually causes mild to severe pain, and other symptoms, like bruising and immobility, can develop too. Wrap the ice in a clean towel and gently press it down to the affected area. Ice is a proven, super-effective method to help acute injuries, like a muscle strain. Minor injuries may only overstretch a muscle or tendon, while more severe injuries may involve partial or complete tears in these tissues. to earn advertising fees by advertising and linking to Amazon.com. (2018). It is important to understand that disc herniation is a more painful condition than back strains and requires long-term treatment, depending on the severity of your condition. By signing up you are agreeing to receive emails according to our privacy policy. Treatment of a muscle pulled in back injury is not so difficult until some severity. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. version.2022.01.01-2022.01.01, NSAIDs: Non-Steroidal Anti-Inflammatory Drugs, Muscle Relaxants: List of Common Muscle Relaxers, Causes and Diagnosis of Lower Back Strain, Lower Back Pain Symptoms, Diagnosis, and Treatment. -Place a wedge pillow underneath the knees to minimize stress on the lower back. Regularly exercising to help strengthen your back muscles can help prevent repeated back injuries. They can help you get temporary relief from pain. A strain is a tear in either a muscle itself or one of the tendons that attach the muscles to the spinal column. Walking or lightly jogging for 5-10 minutes is a good warm up. Treatment for a pulled muscle in the lower back If you do pull a lower back muscle, there are several things you can help relieve the swelling and pain. Lower back spasms can be debilitating, but they are treatable. Using a back brace is another great way to reduce lower back pain. Treating pulled a muscle in the lower back is pretty easy. A doctor might order an X-ray, MRI (magnetic resonance imaging), EMG (electromyograph) or radionucleotide bone scan to confirm that you have a pulled lower back muscle. Most lower back pain is a result of stress or. Slowly perform the reverse movement, tilting the pelvis toward the heels. The idea of using heat or ice for strained back muscles may sound traditional or outdated to you, but it is a reliable, tried, and tested way to reduce pain. Apply Cold To The Pulled Back Muscle You should apply ice to your injury as soon as possible. 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