If two buttocks are sore, the causes include lumbar spine diseases, myofasciitis, degenerative diseases, etc., as follows: a. Lumbar spine diseases: patients with lumbar spinal stenosis, lumbar spondylolisthesis, and central lumbar disc herniation are prone to two buttocks with sore symptoms after the spinal cord is compressed in the lumbar spinal canal. Myofasciitis: Patients with bilateral gluteal myofasciitis are also prone to have soreness and pain symptoms in both buttocks. Third, degenerative diseases: middle-aged and elderly people with bilateral hip degenerative osteoarthritis are also prone to have soreness in the two buttocks. Therefore, after the patient has two buttocks with soreness, he must consult a doctor to see what causes are triggered, and treat the cause to promote pain symptom reduction and recovery, and when the pain is obvious, he can temporarily apply hot compresses, acupuncture, moxibustion and other therapies, together with non-steroidal anti-inflammatory drugs to relieve pain.