The lumbar transverse processes cause gluteal epithelial neuralgia mainly because of acute lumbar sprain and herpes zoster. 1. acute lumbar sprain: acute lumbar sprain is the most likely cause of lumbar transverse processes caused by the symptoms of gluteal epithelial neuralgia, mainly due to the lumbar twisting and pulling and tearing of the neuropathy, which will suddenly cause a pain attack, expressed as a lumbar pain, often accompanied by the same side of the buttock radiation and pulling sensation. 2. Herpes zoster: herpes zoster nerve pain is due to herpes zoster virus on the nerve impact, resulting in nerve demyelination changes in inflammation, causing the lumbar transverse processes leading to gluteal epithelial nerve pain. The lumbar three transverse processes lead to gluteal epithelial nerve pain, it is recommended to consult a doctor in time to avoid delaying the condition.