The pain in the tendons near the lumbar vertebrae may be caused by physiological reasons such as cold and long-term strain, or it may be caused by pathological factors such as lumbar spondylosis and spinal deformity. 1. Physiological reasons: cold stimulation of the lumbar region can cause local muscle spasm, resulting in pain; long-term strain or sedentary patients, so that the lumbar fascia fatigue injury, acidic metabolite accumulation, stimulation of nerve root pain symptoms. After improving the environment or posture, appropriate rest can gradually relieve. 2. Lumbar spine lesions: degenerative lesions of the lumbar spine lead to lumbar disc herniation and spinal stenosis, causing lumbar spine osteophytes, narrowing of the intervertebral space, compression of the spinal nerves or spinal nerves, resulting in lumbar innervation area pain. 3. Spinal deformity: patients with spinal deformity can lead to bilateral asymmetry of paraspinal muscle strength and excessive pulling of the myofascia, which may also cause pain symptoms. The tendon pain near the lumbar spine may have other causes, and it is recommended that the patient seek medical attention in time to make a clear diagnosis and then carry out standardized treatment.