First lumbar vertebra fracture 2 months in bed especially painful may be due to muscle stiffness, injury irritation, nerve compression and other reasons. Treatment mainly includes rehabilitation training, physical therapy and medication. 1. Muscle stiffness: patients who have been bedridden for a long time with lumbar spine fracture will experience muscle stiffness or even atrophy. If it is a post-surgery patient, it is necessary to carry out rehabilitation training on the ground as early as possible, but don’t bear weight; non-operative patients can carry out training of lumbar back muscles in bed; secondly, you can choose hot compresses, massages, physiotherapy and other ways to accelerate blood circulation of the lumbar muscles and relieve muscle tension and stiffness. 2. Injury, nerve compression and stimulation: patients with heavy injury and obvious pain symptoms can take ibuprofen, meloxicam and other pain relievers; patients with more serious muscle stiffness can also take ethopiridone and other muscle relaxants; patients with obvious nerve compression symptoms need to be decongested, such as mannitol, dexamethasone and other static drip. The above drugs need to be used under the guidance of a doctor, avoid self-medication. If the pain symptoms are not relieved, or accompanied by other symptoms, you should go to the hospital in a timely manner, to clarify the cause and give targeted treatment.