How to Treat a Pinched Nerve in Lower Back?

Rest briefly and avoid activities that worsen pain

Use ice for 15–20 minutes at a time during the first 48 hours

Use heat after 48 hours to relax tight muscles

Take over-the-counter pain relievers if safe for you

Try gentle walking and light movement instead of staying in bed

Avoid heavy lifting, twisting, and sudden bending

Maintain good posture when sitting and standing

Sleep on a firm mattress with a pillow under your knees or between your knees

Do gentle stretches only if they do not increase pain

Consider physical therapy for guided exercises and recovery

Use proper lifting techniques

Lose excess weight if recommended by a clinician

Manage underlying causes such as disc problems or arthritis

Seek medical care if pain is severe, lasts more than a few weeks, or keeps returning

Seek urgent care if you have leg weakness, numbness in the groin, loss of bladder or bowel control, or trouble walking

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