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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.
Quick Answer. Treatment for a pulled latissimus dorsi, a muscle in the back, involves the use of ice to reduce swelling, muscle spasms and pain for the first two to three days after the injury, according to Cleveland Clinic. Once the swelling decreases, heat therapy helps to increase blood flow and speed healing.