Soreness above the buttocks may be sacroiliac arthritis, lumbar muscle strain, lumbar intervertebral disc herniation and ankylosing spondylitis, etc. It is recommended that further examination be carried out to take physical and medication treatment. 1. Sacroiliac arthritis: for sacroiliac arthritis, strengthen the local warmth, with physical therapy instrument or infrared radiation, if necessary, can take ibuprofen and other anti-inflammatory pain medication. 2. Lumbar muscle strain: If the lumbar muscle strain is caused by sedentary, improper posture, etc., you need to pay attention to rest, correct bad habits, you can carry out local massage, acupuncture, etc., topical diclofenac diethylamine emulsion and oral celecoxib and other drugs. 3. Lumbar disc herniation: For the pain caused by lumbar disc herniation, it is recommended to have strict bed rest, microwave treatment, etc., taking drugs such as celecoxib and methylcobalamin tablets, and surgery to remove the protruding nucleus pulposus if necessary. 4. Ankylosing spondylitis: non-steroidal anti-inflammatory drugs such as diclofenac and other drugs such as methotrexate can be taken, and surgery can be performed if necessary. Therefore, it is recommended to go to the hospital for further examination and appropriate treatment under the guidance of the doctor.