What is a “Back Spasm”? - 6/17/2025

A back spasm can occur when the muscles supporting the spinal column, particularly those in the lower back, become overworked. If the muscles suddenly contract near the nerve roots around the spinal cord, this condition can be extremely painful.

Muscles that are overstretched or overworked can become tender and inflamed. The pain may first become noticeable when you twist, reach overhead, or push or pull something, particularly if you are moving something heavy. Sudden movements, in particular, are likely to trigger back spasms. Playing golf, for example, in which the back twists quickly as the golfer swings, can cause the back to spasm. Weightlifting, baseball, soccer, and football are other sports that carry a higher risk of back spasm. Even something as seemingly safe as gardening can cause back spasms, as it often involves bending and twisting. If the activity is not stopped immediately, the spasms are likely to get worse.

Among other things that can increase your risk of suffering a back spasm are:

·         Weak stomach muscles

·         Tight hamstrings

·         A tipped pelvis

·         Lordosis (an exceptional curvature of the lumbar spine)

·         A back condition such as spondylolysis, arthritis, or spinal stenosis

Typical back spasm treatments usually involve resting the back first, followed by strengthening the muscles that support the spine as it heals. Bed rest is not usually recommended for the long term, as it can actually hinder the healing of the back. You should try to keep active, but be sure not to put any strain on the back muscles. While resting, experts recommend lying on your back on the floor with a pillow under your knees, or with your knees bent and your legs resting on a chair. Acetaminophen or anti-inflammatory pain relievers, such as ibuprofen, are often recommended in the first few days. However, they should not be taken on an extended basis due to the damage they can do to your stomach and liver. You can also apply ice for 20 to 30 minutes at a time to help soothe sore back muscles and reduce any associated inflammation.

When your back has sufficiently healed, you can slowly begin to introduce more movement.

A visit to your chiropractor is always a good idea, as she can remove any spinal subluxations that may be causing muscle imbalances and can suggest exercises you can do to strengthen the core muscles in the trunk (not only the back, but the abdomen as well) that are so vital in supporting the spinal column as it moves in different directions.

Stretching the hamstrings and psoas muscles can also help reduce the tightness that often develops from spending long hours in a sitting position, which can contribute to the likelihood of muscle spasms.