Chronic lumbar muscle strain is a common clinical disease. The main symptom is lumbar pain, which is aggravated by daytime exertion and can be alleviated after rest, and the muscle fibers can be degenerated over time. A small number of tears form scars or fibrous cords or adhesions left long-term chronic low back pain treatment is mainly non-surgical treatment, if various non-surgical treatments are not effective, surgical treatment can be performed. Causes of lumbar muscle strain: (1) acute lumbar sprain and long-term repeated lumbar muscle strain; (2) chronic lumbar muscle strain and the climate and environmental conditions also have a definite relationship between the temperature is too low or humidity is too large can trigger or aggravate the lumbar muscle strain; (3) untimely treatment of improper treatment; (4) long-term repeated excessive lumbar exercise and excessive load such as long periods of sitting and standing or from the bent position to the upright position holding heavy lifting are Can make the lumbar muscle long-term in a state of high tension over time can lead to chronic lumbar muscle strain. The examination of lumbar muscle strain: X-ray examination: there are no abnormalities in a few and can have osteophytes or spinal deformities in elderly or osteoporotic patients can choose ECT examination bone density examination. Diagnostic basis] The low back pressure pain is widespread pressure points mostly in the sacrospinous muscle lumbar transverse process and the posterior edge of the iliac crest; muscle spasm: palpation of lumbar muscle tension spasm or hard nodes and hypertrophy; X-ray examination: a few patients may have congenital malformations and osteophytes in elderly patients remaining no abnormal findings; treatment of lumbar muscle strain: (1) avoid overwork, correction of poor posture; (2) appropriate functional exercise such as lumbar back muscle (3) medication: mainly anti-inflammatory and pain-relieving drugs and traditional Chinese medicine to relax the tendons and activate the blood; (4) closure therapy: procaine plus prednisolone acetate or hydrocortisone acetate can be used to close the painful points with good effect; (5) physiotherapy and massage to relax the tendons and activate the blood; (6) surgery can be performed in cases where various non-surgical treatments are ineffective.