Osteomalacia back pain with right buttock pain can be conservative treatment, surgical treatment, but also to strengthen the care. 1. Conservative treatment: Considering that the osteophytes have pressed on the nerves, it can be improved by resting and doing as little as possible to cause pain. In addition, we should pay attention to the warmth of the lower back. You can also choose medication, mainly non-steroidal anti-inflammatory drugs, such as acetaminophen, etoricoxib. 2. Surgery: If the effect of conservative treatment is not good, or the restriction of joint movement is obvious, and the pain is heavy, you can also choose surgery, mainly through the surgical method to remove the hyperplasia of the bone spurs, such as arthroscopic surgery, open surgery and so on. 3. Usually, you should exercise moderately to strengthen the muscle strength around the joints to avoid joint wear and tear, and usually keep good posture to avoid long time running, jumping, squatting and other actions. Osteomalacia should be treated strictly according to the doctor’s prescription, not indiscriminate use of drugs.