Stiffness or decrease in range of motion, pain in the back that worsens with movement, pain that often peaks immediately, most often from stretched ligaments and muscle spasms. Patients quite often express an inability to get out of bed or out of the position they’re in due to the pain. However the restrictions usually let up a bit, but not without pain.
A sprain is a stretch or tear in the ligament resulting from a sudden movement that causes the back to move into an extreme position. For example, in the rapid deceleration of a car crash, shoveling snow that’s heavier than expected, even sitting for too long (computer work or driving) can cause a stretch in the ligaments. Not all sprains are traumatic, but all sprains do involve strains of surrounding muscles (from injury or by splinting muscle spasms) and tremendous pain.
The lumbar sprain seems to feel as if the pain is also at times difficult to localize. It seems to be present in the back, but at other times seems to pierce thru the body…into the ribcage or into the buttocks. Sprains of this type also make the patient aware of postures that are incorrect as well as how poor their lifting/bending techniques were prior to the sprain. Often times the most comfortable position is with the best upright posture.