Hip pain accompanied by thigh pain, lumbar disc herniation is the most likely, lumbar disc herniation is characterized by sciatic nerve travel pain due to the compression of the prominent disc on both sides of the nerve root, typical manifestation of the buttocks and thigh pain at the back, lateral pain, diagnosis through the examination of the lumbar spine CT or MRI to confirm the diagnosis. It should be differentiated from other diseases, such as lumbar spinal stenosis, lumbar spinal instability, lumbar spondylolisthesis, etc. Hip and thigh pain, lumbar spinal tuberculosis and lumbar spinal tumors can also occur hip and thigh pain, the diseases have their different characteristics, which can be differentiated through the examination of CT or MRI.