Elderly lumbar sprain without swelling but very painful may be muscle strain, lumbar vertebrae small joint disorder, fracture, according to the cause of the disease to take medication, physical therapy, surgical treatment. Elderly people who have sprained their backs and are in pain may have strained their muscles and need to rest in bed and reduce their activities. Application of non-steroidal painkillers such as ibuprofen extended-release capsules, while ultrasound physical therapy can be taken. Lumbar spine small joint disorders can be performed orthopedic massage, the symptoms can be significantly relieved. Lumbar sprain caused by the elderly lumbar spine fracture is not uncommon, according to the specific conditions to take bed conservative treatment, or surgical treatment. Elderly lumbar sprain without swelling but very painful, need to go to the hospital in time to complete the examination, clear injury after treatment.