If you have pain in the upper part of your buttocks, you should consider whether you have recently suffered from cold or sprains or excessive exercise, causing damage to local soft tissues and inflammation, resulting in pain. Usually, the symptoms can be gradually relieved after a few days by strengthening warmth and adequate rest. In addition, the clinical also common part of the disease factors can also lead to the waist down a little bit above the buttocks that pain situation: 1, lumbar disc herniation: with age, the degeneration of the intervertebral disc caused by lower back and leg pain, tend to be sedentary or bending labor crowd, the patient can appear waist down a little bit above the buttocks that pain situation. Clinical diagnosis is usually made by symptoms and signs and imaging findings. In milder cases, the symptoms can be relieved by themselves after rest. For severe pain, strict bed rest for 3 weeks may be given along with non-steroidal anti-inflammatory drugs, and symptoms may also be relieved by local physiotherapy, acupuncture, and traction therapy. For patients with surgical indications, open surgery, microscopic surgery or minimally invasive surgery can be performed for treatment; 2. Lumbar muscle strain: Patients with lumbar muscle strain can also have pain in the section above the buttocks a little down the waist, which is more likely to occur in middle-aged people and is related to maintaining the same posture for a long time. When there is chronic sterile inflammatory stimulation of the local muscles, the patient will show chronic persistent pain, and the symptoms can be relieved after rest. If patients with lumbar muscle strain want to relieve symptoms, they need to correct bad sitting, sleeping and working habits, avoid sitting and standing for a long time, and at the same time actively carry out rehabilitation exercises to restore the function of the lumbar back muscles, and can also relieve symptoms by means of compresses, acupuncture, physical therapy, massage, etc.; 3, sacroiliac arthritis: sacroiliac arthritis patients can also appear waist down a little bit above the buttocks that pain, generally considered to be due to mechanical stimulation The pain can be related to activities, weather changes, humidity and cold, and other factors. The clinical treatment of arthritis is based on the principles of relieving symptoms, alleviating joint degeneration, and maximizing maintenance and restoration of daily life. Patients need to avoid strenuous exercise and prolonged running, jumping, and stair climbing. Physical therapy can be used to increase local blood circulation and reduce the inflammatory response, such as heat therapy, hydrotherapy, acupuncture, massage, ultrasound, etc. Artificial joint replacement can be performed if necessary. In addition, patients suffering from lumbar spondylolisthesis, arch fissure, pelvic inflammatory disease, urethral inflammation, tumor and other diseases can also stimulate the lumbosacral nerve roots, resulting in pain in the section above the buttocks a little downward from the waist. Therefore, if the pain persists, it is recommended to seek medical attention in time to clarify the diagnosis so as not to delay the treatment.