Back spasm

Back Spasm

How can you care for a back spasm?

Heat, ice, and medicines

  • Try heat or ice, whichever feels better. Apply it for 10 to 20 minutes at a time, several times a day. Put a thin cloth between the heat or ice and your skin. You might also try switching between heat and ice.
  • For most back pain you can take over-the-counter pain medicine. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen seem to work best. But if you can't take NSAIDs, you can try acetaminophen. Be safe with medicines. Read and follow all instructions on the label.

Body positions and posture

  • Sit or lie in positions that are most comfortable for you and that reduce pain. Try one of these positions when you lie down:
    • Lie on your back with your knees bent and supported by large pillows.
    • Lie on the floor with your legs on the seat of a sofa or chair.
    • Lie on your side with your knees and hips bent and a pillow between your legs.
    • Lie on your stomach if it does not make pain worse.
  • Avoid bed rest after the first day of back pain. Bed rest can help relieve pain at first, but it delays healing. Continued rest without activity is usually not good for your back.
  • If you must sit for long periods of time, take breaks from sitting. Change positions every 30 minutes. Get up and walk around, or lie in a comfortable position.

Activity

  • Take short walks several times a day. You can start with 5 to 10 minutes, 3 or 4 times a day, and work up to longer walks. Walk on level surfaces and avoid hills and stairs until your back starts to feel better.
  • After your back spasm starts to feel better, try to stretch your muscles every day, especially before and after exercise and at bedtime. Regular stretching can help relax your muscles.
  • To prevent future back pain, do exercises to stretch and strengthen your back and stomach. Learn to use good posture, safe lifting techniques, and other ways to move to help you avoid back pain.

Back spasm: When to call

Call 911 anytime you think you may need emergency care. For example, call if:

  • You are unable to move an arm or a leg at all.

Call your doctor now or seek immediate medical care if:

  • You have new or worse symptoms in your legs, belly, or buttocks. Symptoms may include:
    • Numbness or tingling.
    • Weakness.
    • Pain.
  • You lose bladder or bowel control.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • You have a fever, lose weight, or don't feel well.
  • You do not get better as expected.

©2011-2025 Healthwise, Incorporated

The content above contains general health information provided by Healthwise, Incorporated, and reviewed by its medical experts. This content should not replace the advice of your healthcare provider. Not all treatments or services described are offered as services by us. For recommended treatments, please consult your healthcare provider.

Walk-in services

Find a walk-in clinic

Same-day primary care services

Learn more

Onsite diagnostic tests

Find same-day care

Hyperbaric oxygen therapy (HBOT)

Find a wound care doctor