Lumbar middle spine pain is considered to be related to ankylosing spondylitis, supraspinous ligament strain, rheumatoid arthritis, lumbar intervertebral disc herniation, etc., which can be treated with medication, physical therapy or surgery. 1. Ankylosing spondylitis: Oral non-steroidal painkillers, such as celecoxib or nimesulide capsules, wax therapy or thunder fire moxibustion, acupuncture. 2. Supraspinous ligament strain: pay attention to rest, reduce bending, massage, local topical diclofenac diethylamide cream. 3. Rheumatoid arthritis: apply anti-rheumatic drugs such as Leflunomide under the guidance of the doctor, and ultrasonic physiotherapy or infrared physiotherapy is also feasible. 4. Lumbar intervertebral disc herniation: lumbar traction, heat therapy, intermediate frequency pulsed electro-physiotherapy, oral diclofenac sodium enteric tablets, conservative and ineffective to take the intervertebral foramenoscopy surgery to remove the protruding intervertebral discs. Middle lumbar spinal pain has a complex etiology, it is recommended to go to the hospital in time for examination, to clarify the cause of the disease, and treatment under the guidance of the doctor.