A pulled muscle in the back can be a painful and uncomfortable experience. Here are some steps you can take to treat a pulled muscle in the back:

1. Apply cold: Cold helps reduce inflammation, which is the primary source of pain in the first few days. Apply a cold pack for 15-20 minutes as soon as the injury occurs. Take a break of at least 20 minutes between each cold application.

2. Rest: Avoid physical activity that may worsen the injury. Limit rest to one or two days, as underusing muscles causes deconditioning and stiffness over time.

3. Compression: Use a compression bandage to help reduce swelling.

4. Over-the-counter pain relief: Anti-inflammatory medicines (NSAIDs) such as ibuprofen, aspirin, and naproxen reduce inflammation, which often contributes to pain. Over-the-counter analgesics such as acetaminophen and aspirin can also help relieve pain.

5. Heat therapy: After 2-3 days of icing, you can switch to heat therapy. Place a heat pack or electric heating pad against your back. The warmth will increase blood flow to the injured area and may soothe your strained muscles and connective tissues.

6. Stretching: Gentle stretching can help relieve muscle tension and improve flexibility.

7. Strengthening exercises: Once the pain has subsided, your doctor may recommend exercises to strengthen your back muscles and prevent future injuries.

8. Massage therapy: Massage increases circulation and relaxes muscles, improving range-of-motion and decreasing pain. Neuromuscular massage is considered especially helpful for low back muscle pain.

Its important to talk to a medical professional before treating an injury because symptoms of other injuries, such as disc problems or a broken bone, may resemble strains and sprains. If the pain is unbearable or affects movement, it is essential to see a doctor.