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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.
Depending on the grade, pulled muscles can take one to eight weeks to heal. For the first 72 hours, apply ice, use elevation and, in consultation with a doctor, take anti-inflammatory medication. After 72 hours, use hot packs to bring blood into the muscle and provide nourishment, which accelerates healing.