Gluteus maximus pain is commonly caused by traumatic factors, local strain, and pear-shaped muscle syndrome, as follows: First, traumatic factors: direct impact or muscle strain on the gluteus maximus can lead to swelling and painful symptoms of the gluteus maximus, accompanied by restricted hip joint activities, with heavy painful symptoms when pressing on the local area, and the local skin temperature will rise significantly. Second, local strain: the gluteus maximus muscle in repeated squatting work, will cause muscle strain, the patient will show symptoms of gluteus maximus pain, generally soreness, swelling, pain, massage, massage will make the symptoms relieved. Third, the pear-shaped muscle syndrome: the patient will have spasm tension or scar formation of the gluteus maximus, which leads to painful symptoms of the gluteus maximus, which can also be released to the back of the lower limbs, leading to radioactive pain in the legs. The pain in the gluteus maximus muscle should be treated according to the different etiologies in order to get complete relief of the symptoms.