There are several common causes of pain in the buttocks like cramps: first, pear-shaped muscle syndrome, clinical manifestations of pain in the lower and middle part of the buttocks, painful symptoms are aggravated when standing and walking, the waist does not dare to be fully straightened, physical examination reveals pressure pain at the circumflex point, passive inward and inward rotation of the knee joint pain in the buttocks, external rotation, abduction and resistance of the knee joint, pain in the buttocks, treatment includes painful parts of the buttocks fixed-point compression, 2 groups per day, 100-200 times per group, 15 days as a course of treatment, or you can choose local closed injection therapy to relieve pain. Secondly, injury to the gluteus medius muscle, the clinical manifestation is pain in the upper lateral gluteus medius muscle, physical examination reveals positive local nodules, adhesions, striae, and feels stiffness, greater muscle tone, passive flexion of the hip internal rotation pain, while the external rotation resistance test is positive.