Vitality is located in the spinal region, the second lumbar vertebrae spinal protrusion in the lower depression, the posterior midline, the site of soreness may be due to fasciitis, lumbar disc herniation, kidney stones and other diseases. 1. Fasciitis: the etiology of most patients is not clear, mostly considered to be related to long-term muscle strain, while cold, trauma, immune factors, etc., can also induce fasciitis. Patients often appear back, neck and shoulder pain, which can also be manifested as pain in the vital area. And some patients can also be accompanied by muscle tension or spasm, muscle weakness. 2. Lumbar intervertebral disc herniation: it is usually caused by degeneration of intervertebral discs and is also related to factors such as prolonged desk work, acute trauma and pregnancy. Patients often have lumbar pain, sciatica and other symptoms, but also the phenomenon of soreness in the vital area. 3. Kidney stones: usually due to metabolic abnormalities, drugs, urinary tract obstruction and other conditions, and also related to diet, climate and other factors. Patients often appear lumbar cramps, hematuria, irritability and other symptoms, and some patients can also appear in the vital part of the soreness. If the patient is combined with urinary tract infection, it can also be manifested as fever, chills and so on. It is recommended that patients with symptoms of pain in the vital area should promptly find out the cause of the disease under the guidance of a doctor and carry out reasonable treatment.