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Physical therapy and exercise. Physical therapy is the cornerstone of back pain treatment. A physical therapist can apply a variety of treatments, such as heat, ultrasound, electrical stimulation and muscle-release techniques, to your back muscles and soft tissues to reduce pain.
Here are some tips to help you avoid low back strain: 1  If you feel any low back pain during physical activity, stop. 2  If you feel low back pain within a day of stepping up your workout, take it easy for a few days. 3  Get your back in shape. Exercise and stretch your back muscles regularly.  Avoid sleeping on your stomach.