Lumbar spine pain a little above the buttocks may be due to muscle aches and pains caused by recent overwork, sedentary or cold, which may be relieved after moderate exercise and rest. However, if the patient’s pain is more serious for a longer period of time or accompanied by other symptoms, it may be due to lumbar spine pain caused by lumbar spine lesions, sacroiliac arthritis and other diseases: 1. Lumbar spine lesions: such as lumbar disc herniation, lumbar spine slippage, lumbar spinal stenosis, the most common is lumbar disc herniation, if the patient’s lumbar disc at the buttocks degenerates, or even squeezes the nerve, it may produce a little bit of lumbar spine pain above the buttocks symptoms. You can use non-steroidal anti-inflammatory drugs into the anti-inflammatory, pain relief, such as ibuprofen, celecoxib, etc. You can also use extracorporeal shock wave, laser therapy, traction therapy, and surgery if necessary. Lumbar spondylolisthesis, lumbar stenosis and lumbar disc herniation symptoms are similar, will also appear a little above the buttocks lumbar pain, but also the lower limbs of radiated pain, etc., is usually non-surgical symptomatic treatment, if repeated attacks or symptoms are more serious, feasible surgical treatment; 2, sacroiliac arthritis: If patients have inflammatory reaction at the sacroiliac joint, may be manifested as pain in the lumbar spine above the buttocks, but also accompanied by unfavorable activity and other symptoms. Pain symptoms can be relieved by means of hot compresses and massage, and if necessary, follow medical advice to choose painkillers such as ibuprofen and aspirin, or antibiotics such as penicillin and erythromycin for treatment. In addition to the above diseases, if the patient has sacroiliac trauma, lumbar back muscle fasciitis, as well as urinary tract infection, gynecological diseases, anorectal diseases, etc., they may cause the patient to have a little pain above the buttocks, which may make the patient mistake it for lumbar spine pain. It is recommended that patients go to the hospital to improve the relevant examination to clarify the cause of the pain and carry out cause-specific treatment. At the same time, daily should maintain correct standing and sitting posture, correct bad posture, overweight patients need to pay attention to weight control.