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low back strain can be the result of a single injury that pulls or twists a muscle or tendon or it can occur due to increased stress on the muscles of the lumbar spine over stretched muscle fibers may be torn and a local inflammation occurs poor posture or repetitive and prolonged overuse of tendons and muscles can also result in a strain lumber sprains can be caused by false sudden twists or hard blows to the spine when spinal ligaments are stretched beyond their normal limits