The twisted waist bones clicked commonly for the following reasons: First, lumbar muscle strain: years of lumbar muscle strain can make the lumbar muscles stiff, and the pressure on the lumbar joints can increase. Patients in the process of twisting the waist joint surface is severely worn, will lead to joint clicking sound, and can induce lumbar pain. Massage therapy and traction therapy can gradually relax the muscles of the lumbar region and improve the abnormal ringing sound when the lumbar spine moves. Second, lumbar small joint disorder: the small joints of the lumbar spine degenerate, the joint alignment relationship loses normal, then when the lumbar spine twisting action, it will induce the clicking sound of the joints, and lead to lumbar spine activity limitation and pain symptoms of the lumbar spine. X-rays can be taken to confirm the small joint disorder of the lumbar spine, and timely repositioning by manipulation or traction can bring significant relief to clinical symptoms. Patients should strengthen the exercise of the lumbar back muscles to improve the stability of the lumbar spine.