Long-Term Lower Back Ligament Strain: Causes, Symptoms, and Recovery Options

Chronic strain of the lumbar ligaments?

Hello, Doctor! Today I went to see a doctor about my lower back, and he said I have a lower back muscle strain (commonly referred to as an internal injury).
The doctor mentioned that this could lead to ligament scarring, which over time can cause poor blood circulation and muscle stiffness, among other issues.
I've been experiencing these symptoms for about 7 years.
Could you please advise me on ways to improve this condition? The doctor mentioned that the chances of recovery are very low, which was a bit discouraging, but I don't want to avoid it; I want to address this issue.
I forgot to ask the doctor if I could try doing some exercises, such as weight training at the gym, squats, deadlifts, etc.
I would greatly appreciate your guidance, Dr.
Chen! Thank you!

Rong, 20~29 year old female. Ask Date: 2018/08/07

Dr. Chen Yongxue reply Orthopedics

Hello, chronic strain in the lower back is often caused by lifestyle habits or work requirements.
First, it is important to reduce prolonged periods of maintaining the same position (whether standing or sitting).
Additionally, avoid heavy lifting; if lifting is unavoidable, please use protective gear.
Secondly, it is essential to increase muscular endurance, such as through core muscle training, etc.
Thank you.

Reply Date: 2018/08/07

More Info

Long-term lower back ligament strain can be a challenging condition to manage, especially when it has persisted for several years, as you have described. The underlying causes of such a strain often include repetitive stress, poor posture, lack of core stability, and sometimes previous injuries that may not have healed properly. Over time, these factors can lead to the formation of scar tissue in the ligaments, which can restrict blood flow and contribute to muscle stiffness and chronic pain.

Causes of Long-Term Lower Back Ligament Strain
1. Repetitive Strain: Activities that involve repetitive bending, lifting, or twisting can lead to chronic strain on the lower back ligaments.

2. Poor Posture: Sitting or standing with improper posture can place undue stress on the lower back, leading to muscle and ligament strain.

3. Weak Core Muscles: A weak core can fail to provide adequate support to the spine, increasing the risk of injury.

4. Previous Injuries: Past injuries that did not heal properly can lead to chronic pain and dysfunction in the lower back.

Symptoms
Symptoms of long-term lower back ligament strain can include:
- Persistent lower back pain that may radiate to the legs
- Stiffness in the lower back, especially after periods of inactivity
- Muscle spasms in the lower back
- Difficulty in performing daily activities due to pain or stiffness

Recovery Options
1. Physical Therapy: Engaging in a structured physical therapy program can be highly beneficial. A physical therapist can design a personalized rehabilitation program that focuses on strengthening the core muscles, improving flexibility, and correcting posture. Techniques such as manual therapy, stretching, and strengthening exercises can help alleviate pain and improve function.

2. Exercise: While it may seem counterintuitive, appropriate exercise can be crucial for recovery. Low-impact activities such as swimming, walking, or cycling can help maintain mobility without placing excessive strain on the lower back. Strength training can also be beneficial, but it is essential to focus on proper form and avoid heavy lifting until you have built sufficient strength and stability. Exercises that strengthen the core, such as planks and bridges, can provide additional support to the lower back.

3. Pain Management: Over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen), can help manage pain and inflammation. In some cases, your doctor may recommend physical modalities such as heat or ice therapy, ultrasound, or electrical stimulation.

4. Lifestyle Modifications: Making changes to your daily routine can also help. This includes ergonomic adjustments at your workplace, taking regular breaks to stretch, and incorporating more movement into your day.

5. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. While the evidence for these treatments can vary, they may provide additional options for pain relief.

6. Surgery: In severe cases where conservative treatments fail, surgical options may be considered. However, this is typically a last resort and should be discussed thoroughly with a spine specialist.

Prognosis
The prognosis for recovery from long-term lower back ligament strain can vary significantly based on individual factors, including the severity of the strain, the presence of any underlying conditions, and your adherence to treatment recommendations. While it may be discouraging to hear that the recovery rate is low, many individuals can achieve significant improvements with a dedicated approach to rehabilitation.

Conclusion
It is essential to work closely with your healthcare provider to develop a comprehensive treatment plan tailored to your specific needs. While it may take time and effort, many individuals with long-term lower back issues can find relief and improve their quality of life through a combination of physical therapy, appropriate exercise, and lifestyle changes. Remember, gradual progress is key, and it’s crucial to listen to your body and avoid pushing through pain.

Similar Q&A

Understanding Symptoms of Lumbar Strain: Causes and Concerns

I often experience the following symptoms every time I strain my back: 1. My body tilts to one side (left lower back pain). 2. After sitting for a long time, when I stand up, I feel a strong, dull pain at the base of my lower back for about 5-10 seconds. 3. I cannot sit or stand ...

Dr. Chen Bochen reply Orthopedics
Lumbar synovial entrapment is a theory that has not been fully validated. Generally, low back strain is primarily due to myofascial inflammation. Treatment options include medication (anti-inflammatory and analgesic), reducing prolonged sitting or standing, engaging in brisk walk...

Understanding Prolonged Muscle Strain and Treatment Options for Back Pain

Hello, doctor. Initially, I experienced pain in the iliac bone, and later, when sitting and leaning forward or to the right, I felt pain in the left side of my lower back, which feels like a muscle strain. After an X-ray examination by an orthopedic doctor, it was determined that...

Dr. Wang Zhaomin reply Rehabilitation
If muscle strain pain persists and does not heal, it may be a chronic strain. Symptoms may not fully resolve, and soft tissue injuries can vary in presentation; not all lesions may be visible.

Strengthening Ligaments: Solutions for Chronic Pain and Spinal Issues

Hello Doctor: I have been suffering from body aches for several years and have undergone various treatments (both traditional and Western medicine) without success. X-ray results show that several segments of my coccyx are rotated (with different angles stacked) and there is pelv...

Dr. Chen Xingyuan reply Orthopedics
Dear Reader: If you have been experiencing body aches for several years, it is likely that there is an underlying health issue. It is advisable to visit a larger hospital for further examination to identify the cause of your symptoms and receive appropriate treatment. The ligamen...

Understanding Chronic Lower Back Pain: Causes and Relief Strategies

Hello, my mother has been lifting heavy objects and standing for long periods due to work for several years. During this time, she has been experiencing frequent lower back pain, sometimes to the point of weakness, especially after work, making it difficult for her to sleep. She ...

Dr. Jiang Junyi reply Neurology
Based on your description, the symptoms may be related to conditions such as herniated discs, bone spurs, vertebral dislocation or slippage, thickening or calcification of spinal ligaments, all of which can cause nerve root compression. The symptoms primarily manifest as unilater...