Neuromuscular massage is considered especially helpful for low back muscle pain. Massage therapy also releases endorphins, which lessen pain signals in the nervous system. Massage therapy increases circulation and relaxes muscles, improving range-of-motion and decreasing pain. For example, using a heating pad on the low back for 10 minutes before getting out of bed in the morning can alleviate stiffness. Applying heat before changing positions or starting an activity can help ease pain related to movement. A layer should be kept between the heat pack and skin to avoid a burn. As a general rule, heat therapy is usually recommended starting about 48 hours after the injury occurs. Heat packs increase circulation, which improves healing and relieves tension in strained muscles.Causes and Diagnosis of Lower Back Strain.Pulled Back Muscle and Lower Back Strain.Typical recommendations include applying a cold or ice pack for 10 - 20 minutes at regular intervals throughout the day, and using a towel or other barrier between the ice and the skin to prevent an ice burn. Ice packs reduce inflammation that can occur shortly after a muscle is injured.See Muscle Relaxants: List of Common Muscle Relaxers These medications have many side effects, and muscle relaxants also carry risk of addiction. Most muscle relaxants do not affect muscles directly, but rather dampen pain receptors in the central nervous system. Muscle relaxants may be prescribed on a short-term basis to reduce muscle spasm.Acetaminophen may also be included as an active ingredient in prescription medications, such as in combination with an opioid.
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