Symptoms of Lumbar Strain: Causes and Concerns

Symptoms of a sprained lower back?

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 for extended periods.
Could this be lumbar disc herniation?

Mr. Chen, 40~49 year old female. Ask Date: 2020/09/12

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 walking or very slow jogging, and using a lumbar support belt.

Reply Date: 2020/09/12

More Info

Lumbar strain, often referred to as a muscle strain or sprain, is a common condition that can result from various activities, including lifting heavy objects, sudden movements, or prolonged periods of sitting or standing. The symptoms you describe—such as leaning to one side, experiencing sharp pain upon standing after sitting for a while, and difficulty maintaining prolonged positions—are indicative of a lumbar strain or other related conditions, but they do not specifically confirm a diagnosis of lumbar disc herniation or other serious conditions like lumbar instability.

Understanding Your Symptoms
1. Leaning to One Side (Left Lumbar Pain): This symptom suggests that your body is compensating for pain or discomfort. When one side of the lower back is more painful, it can lead to a postural adjustment where you lean away from the painful side to alleviate discomfort. This compensation can lead to further strain on the muscles and ligaments in the back.

2. Sharp Pain After Prolonged Sitting: The sharp, dull pain you experience when standing after sitting for a long time is common in individuals with lumbar strain. This pain can result from muscle stiffness and tightness that develops during prolonged sitting. When you suddenly change positions, the muscles may not be ready to support your spine, leading to a sharp pain response.

3. Inability to Sit or Stand for Long Periods: Difficulty maintaining positions is a hallmark of lumbar strain. The muscles and ligaments in the lumbar region may be overworked or injured, leading to fatigue and pain when they are required to support your body for extended periods.

Potential Causes
- Muscle Strain: This is the most common cause of the symptoms you describe. It occurs when the muscles or ligaments in the lower back are stretched or torn, often due to improper lifting techniques or sudden movements.

- Lumbar Disc Issues: While your symptoms do not definitively indicate a herniated disc, they could suggest that there is some level of disc involvement, especially if you experience radiating pain or numbness in the legs. A herniated disc can cause nerve compression, leading to similar symptoms.

- Lumbar Instability: This condition occurs when the spine lacks the necessary support from the muscles and ligaments, leading to abnormal movement of the vertebrae. This can result in pain and difficulty with posture.

Recommendations
1. Consult a Healthcare Professional: It is essential to consult with a healthcare provider, such as a physical therapist or orthopedic specialist, who can perform a thorough evaluation. They may recommend imaging studies, such as X-rays or MRI, to rule out more serious conditions like disc herniation or spinal instability.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles surrounding the lumbar spine, improve flexibility, and enhance overall posture. A physical therapist can provide tailored exercises to alleviate pain and prevent future injuries.

3. Pain Management: Over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen), can help manage pain and inflammation. However, it is crucial to follow the recommended dosage and consult with a healthcare provider if pain persists.

4. Activity Modification: Avoid activities that exacerbate your symptoms, such as heavy lifting or prolonged sitting. Incorporating regular breaks and gentle stretching can help alleviate discomfort.

5. Ergonomic Adjustments: If your symptoms are exacerbated by prolonged sitting, consider making ergonomic adjustments to your workspace. This may include using a chair with proper lumbar support or adjusting the height of your desk.

Conclusion
While your symptoms are concerning and warrant further investigation, they do not necessarily indicate a severe condition like lumbar disc herniation or instability. A thorough evaluation by a healthcare professional is crucial to determine the underlying cause of your symptoms and to develop an appropriate treatment plan. In the meantime, focusing on proper body mechanics, engaging in physical therapy, and making ergonomic adjustments can significantly improve your condition and quality of life.

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