Back strains are the worst! They make you feel like you took being pain-free for granted. But there’s some good news: most of the time, a strain will heal up on its own. Luckily, there are a few things you can do to treat the injured area so it’s not as painful or swollen.

Here are 11 different ways to treat a strained back.

1

Apply ice for the first few days after a strain.

  1. If you’ve just strained your back, start with cold. Use an ice pack or place a towel over the strained area to protect your skin. Place the ice pack on top of the towel and leave it in place for 15-20 minutes.[1]
    • Controlling the initial swelling can help with the pain.
    • Ice your back up to 3 times a day: in the morning, in the late afternoon, and about 30 minutes before bedtime.
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2

Switch to applying heat after 3 days.

  1. For an older or recurring injury, go with heat instead of cold. Place a towel over the strained area to keep your skin safe and then place heating pad on top. Leave it in place for about 15 minutes and it’ll provide pain relief and boost flow in the area, which can help with healing.[2]
    • Make sure you don’t fall asleep on the heating pad! It could make things worse or potentially burn your skin.
    • Try applying heat 3 times a day for the best relief.
3

Take non-steroidal anti-inflammatories (NSAIDs).

  1. NSAIDs include over-the-counter pain meds like ibuprofen (Motrin, Advil), naproxen (Aleve), and aspirin. Pick some up from your local pharmacy and take them according to the directions on the packaging to reduce your pain and swelling.[3]
    • Check with your pediatrician before giving pain meds to kids.
    • Make sure you don’t exceed the recommended dose or it could cause other problems.
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4

Rest and give it time.

  1. Most back strains will eventually heal up on their own after a few weeks. Avoid strenuous activities or heavy lifting and give your back the time it needs to heal up.[4]
    • Wait until you’re completely pain-free to get back to your normal activities, especially working out or playing sports. You don’t want to reinjure yourself or make the strain even worse.
5

Avoid laying down for long periods of time.

  1. While it is important that you take it easy, lying down for too long can actually slow down your healing time and can make your symptoms last longer. Try to get up and walk around for at least a few minutes every hour or so. Feel free to do activities that don’t cause you too much pain. Stay as active as you can to help speed up your recovery time.[5]
    • Try getting up at least once every hour. You could also take short walks every now and then to keep from lying down for too long.
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6

Try doing gentle back stretches.

  1. Try a back flexion stretch by lying down on your back, pulling both of your knees to your chest, and flexing your head forward until you feel a nice stretch. Another option is a knee-to-chest stretch, which you can do by lying on your back with your feet flat on the floor. Then, place both of your hands behind 1 knee and gently pull it to your chest until you feel a stretch. Slowly release the stretch and repeat it with the other leg.[6]
    • Hold each stretch for about 10 seconds or so.
    • Your doctor may also recommend specific stretches for you to try.
    • Don’t try to push through any pain or you could make the strain worse. If a stretch starts to hurt, stop right away.
7

Sleep in a fetal position.

  1. Sleeping on your back could put additional stress on your back strain. Lie on your side with your knees curled up towards your chest. Add a pillow between your knees to make yourself more comfortable.[7]
    • If you’re a back-sleeper, you can place a pillow or a rolled-up towel under your knees to reduce the pressure on your back.
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8

Get a back massage.

  1. A trained massage therapist will know how to target strained areas properly. Make an appointment with one in your area and tell them where the strained area is. They’ll work to ease tension, relax your muscles, and improve blood flow in the area. It may also help with pain relief.[8]
    • Don’t try to have an untrained person massage your strained back or it could make your injury worse.
    • Look online for massage therapists in your area or ask your doctor for a recommendation.
9

Visit a chiropractor.

  1. Chiropractors are trained specialists who know how to manually manipulate your spine, which is a fancy way of saying they know how to properly move, massage, and correct your back. Make an appointment to see one and tell them you’ve got a strained back. They’ll focus on the injured area and work to treat it.[9]
    • A chiropractor is also a great choice if you’re looking for a more natural treatment option.
    • They’ll also be able to recommend and teach you stretches and exercises that can help treat your back strain.
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10

See an acupuncturist.

  1. Acupuncture involves inserting very thin needles into specific points of your body. While research isn’t fully conclusive, there’s some evidence that it could be a viable treatment for back pain. If your back pain isn’t showing signs of improvement, acupuncture may work for you. Look for acupuncturists in your area and make an appointment to see them.[10]
    • You should be able to find local acupuncturists online, but your doctor may also be able to refer you to one.
11

See your doctor if the pain is persistent.

  1. If after a week, you haven’t noticed any improvement in your back pain, make an appointment to see your doctor. They’ll be able to examine you and run tests to figure out what the problem is. They may also prescribe medication for pain and inflammation or they may send you to a specialist who can more effectively treat your back.[11]
    • See your doctor right away if you’re unable to stand or walk, you have numbness in your leg, you have a high fever, or if you have severe pain in your abdomen.
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Expert Q&A

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  • Question
    What is the fastest way to fix a back strain?
    Scott Anderson, MA, ATC, SFMA, DNSP
    Scott Anderson, MA, ATC, SFMA, DNSP
    Sports Medicine & Injury Prevention Specialist
    Scott Anderson is the Chief Clinical Officer at SyncThink, an award winning startup founded out of Stanford University. Scott previously served as the Director of Sports Medicine/Athletic Training for Stanford University for over ten years from 2007 to 2017. Scott has over 18 years of clinical and management experience, and is a recognized international speaker on topics of clinical specialization, which include developmental kinesiology, neuroscience/concussion, and movement dysfunction. He is a certified Dynamic Neuromuscular Stabilization Practitioner (DNSP), Sports Safety Specialist and is certified to conduct Selective Functional Movement Assessments (SFMA), and Functional Movement Screenings (FMS). He earned a BS in Athletic Training from Washington State University in 2000 and an MA in Athletic Administration from Saint Mary's College in 2002.
    Scott Anderson, MA, ATC, SFMA, DNSP
    Sports Medicine & Injury Prevention Specialist
    Expert Answer
    Any time you strain your back, you should focus first on controlling your symptoms and managing your pain with things like ice and over-the-counter anti-inflammatories. That way, you'll be less likely to change your normal movement patterns due to the injury, which could lead to long-term problems.
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Tips

  • You could also try gentle yoga to stretch and exercise your back, which may help with a strain.[12]


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Warnings

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About this article

Scott Anderson, MA, ATC, SFMA, DNSP
Co-authored by:
Sports Medicine & Injury Prevention Specialist
This article was co-authored by Scott Anderson, MA, ATC, SFMA, DNSP. Scott Anderson is the Chief Clinical Officer at SyncThink, an award winning startup founded out of Stanford University. Scott previously served as the Director of Sports Medicine/Athletic Training for Stanford University for over ten years from 2007 to 2017. Scott has over 18 years of clinical and management experience, and is a recognized international speaker on topics of clinical specialization, which include developmental kinesiology, neuroscience/concussion, and movement dysfunction. He is a certified Dynamic Neuromuscular Stabilization Practitioner (DNSP), Sports Safety Specialist and is certified to conduct Selective Functional Movement Assessments (SFMA), and Functional Movement Screenings (FMS). He earned a BS in Athletic Training from Washington State University in 2000 and an MA in Athletic Administration from Saint Mary's College in 2002. This article has been viewed 459,981 times.
22 votes - 91%
Co-authors: 28
Updated: October 7, 2025
Views: 459,981
Article SummaryX

To treat a back strain, try to rest for 2 to 3 days so your back has time to heal. During this time, get up and slowly walk around every hour or so to encourage blood circulation, which will help the muscle heal quicker. Additionally, apply an ice pack or something frozen to the strain to prevent inflammation. If the strain persists, heat a microwavable bag of grain and place it over the area to encourage blood flow and promote healing. After a few days, perform some light stretches, like trying to touch your toes while sitting down, to strengthen the muscles. For tips from our Medical co-author on when to make an appointment with a chiropractor, read on!

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Thanks to all authors for creating a page that has been read 459,981 times.

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