Hard pulling back pain may be caused by physiological reasons such as muscle spasm, or soft tissue injury, lumbar dorsal fasciitis, lumbar spine disease and other reasons. 1. Physiological reasons: due to the accumulation of local lactic acid or muscle spasm after exercise such as hard pulling, patients may experience the symptoms of hard pulling back pain. 2. Soft tissue injury: due to previous trauma or incorrect posture in the process of hard pulling action caused by soft tissue injury, patients can appear hard pulling back pain symptoms. 3. Lumbar dorsal fasciitis: due to long-term stooping and weight bearing, prolonged desk work and other reasons lead to aseptic inflammation of the lumbar dorsal fascia, in the hard pulling training, there can be pain in the lower back. 4. Lumbar spine disease: due to lumbar disc herniation or lumbar spine slippage and other diseases, the patient in the hard pulling exercise pulling the corresponding tissues, the patient may appear lumbar pain symptoms. Hard pulling back pain may also have other reasons, it is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, give targeted treatment or treatment.