Lumbar disc herniation is a common and frequent disease that seriously affects people’s ability to work and live. It mainly occurs in young and middle-aged people between 20 and 50 years old, and is a degenerative disease. Its pathogenesis is based on the persistent degeneration of the lumbar intervertebral disc, and trauma is the causative factor for its development. Lumbar disc herniation also occurs in people under 20 years of age, which is called adolescent lumbar disc herniation, and its incidence is about 1% to 6% of adults. The clinical manifestations are irritation of the sciatic nerve trunk, radiating pain along the sciatic nerve in the buttocks, and motor, sensory or reflex disorders in the innervated area. The onset of the disease may be gradual or acute, with a history of trauma, exertion, exposure to cold or dampness. The onset of the disease may be slow, with a history of trauma, exertion, cold or dampness. The onset is mostly unilateral, with an initial dull, aching or heavy sensation in the buttocks, or sometimes a severe sharp pain. The pain radiates to the posterior thigh and lateral calf, but rarely reaches the heel and the bottom of the foot, and there is no clear radical boundary. The pain can be aggravated by walking, or intermittent claudication can occur. 2, gluteus strain Acute gluteus injury can cause muscle spasm, but the pressure point is in the lateral posterior superior iliac spine, local seal can immediately eliminate the symptoms. 3, interspinous ligament strain is one of the common causes of low back pain, generally manifested as soreness and weakness in the lower back when bending, difficulty in straightening and local pain after bending. 4.Sacroiliac joint strain Clinical manifestations are continuous local pain, afraid to bear weight, aggravated by activities, and difficulty in turning over. 5.Superior gluteal nerve entrapment syndrome The stimulation or entrapment of the superior gluteal nerve at the deep fascial foramen can produce a series of symptoms. The clinical manifestations are low back pain and gluteal pain, which may spread to the thigh and rouge fossa, but rarely involves the calf; there are obvious pressure points under the edge of the iliac crest above the posterior superior iliac spine, and sometimes striated nodes or small lipomas can be found; it may be accompanied by gluteal muscle spasm. Local closure can eliminate the pain immediately. 6, the third lumbar transverse process syndrome The third lumbar spine is located in the middle of the lumbar spine, its transverse process is the longest, posterior extension curvature is large, many lumbar back and abdominal muscles and fascia attached to it, forming the lumbar spine activity hub and stress center. Therefore, it is susceptible to musculofascial strain injury. The posterior aspect of the tip of the third lumbar transverse process is close to the posterior branch of the second lumbar nerve root, and when the waist is bent forward and to the opposite side, it is easily stretched and worn, resulting in pain and numbness in its innervated area; it can also involve the anterior branch and cause radiated pain, spreading to the hip and anterior thigh, and in a few cases radiating to the perineum. The onset of the third lumbar transverse process syndrome may be slow or acute, and there may be a history of trauma.