Pearly muscle injury does not necessitate rest or exercise, and appropriate exercise can be performed, but care should be taken not to over-exercise, so as not to aggravate the injury to the pyriformis muscle. Pearly muscle injury can cause pyriformis syndrome, a syndrome in which the sciatic nerve is compressed in the region of the pyriformis muscle, which can be caused by hip trauma bleeding, adhesion, scar formation; injection of drugs to make the pyriformis muscle degeneration, fibrous contracture; acetabular fracture displacement, bone scab is too large and other factors, causing radiating pain in the lower limbs. Pearly muscle injury jammed by massage and other manipulative treatment, heat therapy, cold therapy, electrotherapy, ultrasonic shock and other physical therapy, as well as follow the doctor’s instructions to take meloxicam, celecoxib, lidocaine, dexamethasone and other drugs for treatment. Surgery can be performed if necessary. Piriformis muscle injury is recommended to consult a doctor in order to clarify the diagnosis and to carry out targeted treatment. In addition, all of the above drugs should be taken under the guidance of a doctor, not unauthorized use of drugs.