Transverse third lumbar syndrome is a common chronic low back pain or lumbar hip pain disorder. Due to trauma reaction, hematoma adhesion, scar contracture, fascial thickening, etc., the posterior lateral branch of the lumbar nerve is subjected to ‘compression’ when it passes through the lesion site, so it is also a kind of ‘compression syndrome’. Due to improper treatment of acute injury, or chronic strain injury can cause scar adhesion around the transverse process, fascial thickening and tendon contracture, so that the neurovascular bundles are subject to compression, resulting in lumbar and buttock pain, which is the lumbar three transverse processes syndrome. General information, lumbar transverse processes syndrome is mostly seen in young and middle-aged manual laborers or long-term sitting workers, as well as middle-aged and elderly people with long and thin physique. Through years of observation and research, the author believes that the treatment of this disease fundamentally requires how to solve the problem that the nerves are no longer compressed, and believes that the most effective method is to first use small needle surgery to release the adhesions around the lesion to relieve the compression of the peripheral nerves, and then supplemented with massage, baking, cupping, and functional exercise and other therapeutic methods. A total of 218 such patients have been treated since 2001, including 149 males and 69 females. The minimum age was 21 years old, the maximum age was 68 years old, and the average age was 45 years old. After this method of treatment, the effect is remarkable, is reported as follows: Treatment (a) small knife treatment The patient takes the prone position, in the affected side of the lumbar three transverse eminence of the tip of 1% gentian violet for marking, and then in the local routine disinfection. The operator wears sterilized gloves and spreads a sterile cavity towel. According to the requirement of four-step needle method of needle and knife, the knife line and the longitudinal axis of the body parallel to the stabbing, when the knife contact with the bone surface, probe to the transverse tip of the medial longitudinal cutting, and then from the inside to the outside of the transverse shovel peeling, and then along the upper and lower edges of the transverse tip were made a slight diagonal cut and peeling operation, feel the muscle ligaments and the tip of the bone between the feeling of loosening out of the needle. After the operation, the needle opening was covered with a band-aid. (B) massage therapy (2-3 days after the operation) 1, the patient lying down, two lower limbs straight, the operator stood on the affected side, the palms of the hands or the big fish from the 10th thoracic vertebrae from the plane, from top to bottom repeatedly pushed, kneaded, pressed, pressed the affected side of the spinal column of the sacrospinal muscle, until the back of the sacrum or the buttocks near the greater trochanter, and the thumbs of the two hands were repeatedly kneaded and pressed the Commission in the middle of the acupuncture point, Chengshan acupuncture point. Then use the same technique to treat the healthy side, with the affected side as the main one. 2, the thumb in the third lumbar transverse process in the vertical direction of the strip of hard lump flicking, from shallow to deep, from light to heavy, and then with the thumb or elbow tip in the place of repeated kneading, flicking. 3, along the affected side of the sacrospinal muscle from the top down pinch, and then use the deep and gentle rolling method, up and down back and forth treatment, and then along the direction of the sacrospinal muscle rubbing, and then with the lumbar back stretch passive activities, 1 time a day, continuous treatment 7-10 days. Note: The main purpose of massage therapy is to prevent new adhesions from forming after surgery and to further loosen the adhesions of local tissues. (Because in the blind state, each operator can not be perfect) (3) Roasting, fire cupping and functional exercises (these three are auxiliary treatments, the specific operation is omitted) Treatment effect All cases were followed up, the shortest 6 months, the longest 3 years. Cured: symptoms completely disappeared, no lumbago and hip pain, total 198 cases; basically cured: still have lumbar discomfort when sitting and standing for a long time or heavy labor, total 20 cases. There were no complications and side effects in this group. Cure rate: 90.8%; effective rate: 100%. Typical case Cao Moumou, male, 47 years old, construction worker, suffered from lumbar pain for 5 years, aggravated for 3 months, after many treatments, the effect is not satisfactory, and came to the clinic in name. Physical examination: obvious pressure pain in the tip of the right third transverse process of the lumbar region, local muscle stiffness and striated changes, deep pressure pain is intolerable, and there is radiating pain in the buttocks. The rest of the condition was normal. Diagnosis: third lumbar transverse process syndrome. Treatment: Firstly, the patient was treated with small-needle knife surgery, and then on the third day, the patient started to be treated with tuina as well as other auxiliary therapeutic means, once a day, and the patient was cured after 8 consecutive days of treatment. Experience The lumbar spine has physiological anterior protrusion, and the third lumbar vertebra is located in the middle of its vertex, which is the activity center of 5 vertebrae, and makes the lumbar spine the pivot of anterior flexion, posterior extension, and left-right rotation activities. Its transverse process is longer than other lumbar vertebrae, the transverse process is subject to the greatest tension stress, and the ligaments, muscles and fascia attached to it are also subject to great tension, so the soft tissues here are most vulnerable to injury. Due to improper treatment of acute injury or chronic strain injury caused by scar adhesion around the transverse process, fascial thickening, ligament contracture and other pathological changes, so that the neurovascular bundles through the myofascia to the ‘card pressure’ and symptoms. The lumbar spinal nerve out of the neural foramen is divided into two branches before and after the front limb is thicker, constituting the lumbosacral plexus; the back branch is thinner, divided into the medial branch and lateral branch, the medial branch is distributed in the muscle, and the lateral branch is called the cutaneous nerve. Due to post-traumatic soft tissue tearing, bleeding, muscle tension spasm stimulation or compression, affecting the blood supply and nutrition of the nerve, can make the nerve edema and thickening, and the third lumbar vertebrae around the transverse process and the buttocks, thighs, posterior side of the buttocks on the cutaneous nerve pain. Therefore, the key to the treatment of this disease lies in the use of tuina manipulation and other auxiliary therapies after the needle knife surgery to sweep the treatment in order to eradicate the after-effects.