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Low Back Pain

Lower Back Strain From Lifting: What to Do in the First 72 Hours

July 10, 2026

Short answer: most lower back strains are muscle and joint irritation, not damage, and they settle fastest with gentle movement in the first few days rather than bed rest. Keep walking, avoid the loads that spike pain, and reintroduce hinging and squatting with lighter weight as tolerance returns. Numbness, progressive leg weakness, or loss of bowel or bladder control needs immediate medical care.

This article is part of our full guide to sports injury recovery in Arvada.

First 72 Hours

  • Walk short distances often instead of lying down all day
  • Move within a mild pain range and stop short of sharp pain
  • Use heat for guarding and stiffness; ice early if it helps pain control
  • Keep lifting light and close to your body, and hinge at the hips
  • Sleep in whatever position is least painful, with support under your knees or between them

When to Get It Looked At

Get evaluated if pain is not improving after a few days, if it travels below the knee, if it recurs every few months, or if you cannot get comfortable in any position. Get urgent medical care for progressive weakness, saddle numbness, or bladder or bowel changes.

Why It Happened

Rarely just the weight. Common drivers are limited hip or thoracic mobility, a bracing pattern that lets the low back do the work, fatigue late in a session, and a volume jump. That is why care assesses hips, pelvis, and mid back, not only the sore spot.

Getting Back Under the Bar

Return to hinging and squatting patterns at a light load once daily movement is comfortable, then rebuild in steady increments over two to six weeks. Rushing straight back to a previous top set is the most reliable way to repeat the strain.

Related Reading

See why your low back hurts after working out, herniated disc care, and why your back keeps going out.

Book a Low Back Evaluation in Arvada

Schedule an evaluation and get a clear plan for the next few weeks. Call (720) 257-9562 or book online. https://momentouschiropractic.janeapp.com/

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