Simple lower back spasms
is rarely dangerous
Diagnostic Criteria
- presence of tight lower back muscles and symptoms which improves significantly with heat and massage
- absence of
1. neurological symptoms such as pins and needles, diminished strength/reflex, altered sensation
2. history of trauma or dangerous mechanism
Prognosis
- most symptoms rapidly resolve within a month and fully in 6 weeks
Do you need any imaging?
Imaging is rarely required.
Changes of the spinal structure is increasingly common as we get older. Such age-related changes of the spinal i.e the discs, joints and openings for the nerves are often found in people who are SYMPTOM-FREE! Most findings on scan are likely to be present pre-injury unless you had a traumatic injury.
Therefore, results of any scan would not influence the management.
Cause of back spasms
- doing too much too soon
- sustained position for extended period
- unaccustomed/awkward movement
- high stress
- poor sleep
Management
- stay active
- avoid bed rest for extended period
- gentle range of motion exercise for the lower back
- pelvic tilt
- knee drops
- avoid bracing behaviour
- NSAID
- improving sleep and stress
- gentle back massages