Gluteal epithelial neuritis and lumbar intervertebral disc herniation are two different diseases, both of which can cause hip pain with posterior thigh pulling pain, and need to differentiate between the two in terms of etiology. Gluteal epithelial neuritis is mostly caused by lumbosacral sprain or cold and other factors, resulting in local soft tissue injury, leading to the surrounding myofascial and other structures of congestion, edema, compression of peripheral nutrient blood vessels, resulting in insufficient blood supply or direct compression of the nerve and the emergence of the symptom, most often manifested in the gluteal epithelial innervated region of the upper buttock pain, numbness, often accompanied by lower limb tugging pain, not more than the level of the knee. Lumbar intervertebral disc herniation is caused by degeneration of lumbar intervertebral disc, partial or total rupture of the annulus fibrosus, and protrusion of the nucleus pulposus to irritate or compress the nerve root and cauda equina, which mainly manifests as lumbar pain, numbness of the lower limbs, sciatica, etc., and the pain can be radiated to the calf and dorsum of the foot. Hip epiphyseal neuritis and lumbar intervertebral disc herniation are two different diseases, but the clinical manifestations are similar, and need to be carefully identified by the doctor in order to avoid the worsening of the condition caused by improper treatment.