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Relief from pain and inflammation from pulled back muscles / ligaments can be obtained by applying ice to the injury (wrap ice in cloth-do not apply ice directly to skin) for 15 to 20 minutes every 4 hours for two or three days. The cold helps reduce pain and inflammation and is also a distraction from the back pain.
Like back strain, back sprains may trigger back muscle spasms. Healing time depends on the severity of the sprain. Most back sprains heal in six to eight weeks but it can take several months for complete recovery from a severe back sprain. Ligaments take longer to heal than muscles. muscle strain (or pulled muscle) is an overstretched or torn muscle. Back strain is the most common cause of back pain, especially lower back pain. Muscle strain is often caused by overuse of a muscle or overloading a muscle. When a muscle is stressed beyond its limits, injury occurs.