Lumbar triple transverse synovial syndrome is a common clinical condition and belongs to a type of lumbar back muscle strain. It can be manifested as low back pain with weakness of both lower limbs, easy to feel low back pain and discomfort after sitting, standing or lying for a long time, difficulty in straightening the waist, needing to pound the waist constantly, and the pain can be relieved after repeated twisting movements. The pain can be relieved after repeated twisting movements. After strenuous exercise, the low back pain is aggravated again, and the weakness from the outer hip to the top of the knee. The pain can be soreness in the lower back, or severe pain with limited movement, which can affect daily life and work in severe cases. The pain can reach the hip and the front of the thigh. There is no pain in the lower back when tilted back, and bending to the opposite side is limited. The important sign is the outer edge of the transverse process of the third lumbar vertebra, which corresponds to 4 cm next to the spinous process of the third lumbar vertebra, and the tip of the transverse process can be palpated with obvious pressure pain and restrictive muscle tension or muscle spasm, especially in long and thin patients. When pressed, radiating pain reaches the thighs and knees due to stimulation of the second lumbar nerve branch. Among all the crestal transverse processes, the third lumbar transverse process is the longest and is located in the middle part of the lumbar region, surrounded by the intertransverse process, transverse spinous process, sacrospinous process, lumbaris major, lumbar square, lumbar dorsalis fascia and other tissue attachments, which physiologically play a role in strengthening the stability and balance of the lumbar region. Because of its large range of activities, it is also subject to large tension, and pathologically its tip has more opportunities to rub against the surrounding soft tissues and is most vulnerable to injury. After acute injury, local congestion and edema cause low back pain and restricted activity. After rest and general treatment, congestion and edema are absorbed and symptoms can be relieved, but local inflammatory adhesions are not eliminated, and in a single position such as standing, sitting, or lying for a long time, local blood circulation becomes more and more irregular and pain becomes more and more obvious. As the local adhesions are not eliminated, it gradually leads to local muscle tension contracture, and the back pain is aggravated year by year. When local aseptic inflammation invades the gluteal epiglottis nerve on the back of the transverse process, it will cause discomfort symptoms such as soreness and weakness of the lower limbs. The endogenous cause of this disease is the high stress on the transverse process of the third lumbar vertebra due to anatomical and biomechanical factors. When the lumbar spine is flexed, bent sideways and rotated, the soft tissue attached to the tip of the transverse process is prone to pathological changes such as muscle tearing and rupture of small blood vessels, causing tissue edema, compression and stimulation of the lateral branch of the posterior branch of the lumbar nerve, causing spasm of the innervated muscles and the formation of fibrosis and scar-like tissue in the area, resulting in a series of symptoms. The anatomical variation of the transverse process of the third lumbar vertebra, such as excessive length or asymmetry on both sides, is also one of the internal causes, and cold stimulation can also induce the disease. Chinese medicine believes it is caused by congenital endowment deficiency and exposure to cold and strain. 1.History: History of acute injury to the lumbar region or a history of prolonged cumulative strain injury. 2. Symptoms: The patient starts to feel soreness, weakness and pain in the middle part of the lumbar region, unable to bend and sit for a long time, or stand for a long time, which can be relieved after rest. The pain can be relieved after rest. Exertion, cold, humidity and weather changes can aggravate the pain. Some of the pain can spread to the buttocks, inner thighs and even calves. 3.Examination: The most important sign is the pressure pain at the tip of the third transverse process of the lumbar region. Its examination method is to thumb belly perpendicular to the tip of the transverse process push pressure. The positive rate of detection of transverse abdominal fascia injury is high, and the posterior pressure from the tip of the transverse process can check the lesion of the sacral spine muscle on the transverse process, when the sacral spine muscle can be tense. With the patient lying on his side, pressure from the anterolateral side to the transverse process can check for lesions of the lumbar square muscle on the transverse process. The straight leg raise test is usually negative. When the psoas major muscle is involved, there is sometimes spasm within the medial femoral muscle with pressure pain. Tension in the associated muscles can cause hip pain and gluteal muscle tension after stimulation of the posterior branch of the lumbar nerve. When the patient can no longer continue to bend downward, the doctor holds the patient’s abdomen with one hand and presses the patient’s back with the other hand, then the patient is able to bend the waist to normal, then let the patient stand upright and the doctor holds the patient to stretch the back, when the patient can no longer stretch the back, the doctor makes the patient stretch the back, and the technique ends. Lumbar three transverse synovial syndrome easy tendon exercise method 1, lumbar muscle exercise health care method: supine: patients take the supine position, first feet, elbows and head five points, supported on the bed, the waist, back, hips and lower limbs force up slightly away from the bed, maintain fatigue, and then return to a calm supine position rest. Repeat this method for about 10 minutes, and exercise once a day in the morning and evening. Prone: patients take a prone position, the double upper limbs backwards on the back, and then force the head and chest and legs up forcefully away from the bed, so that the body is anti-bow type, adhere to until slightly fatigue. According to this method repeatedly exercise about 10 minutes, once a day in the morning and evening. If you adhere to the exercise for a long time, can prevent and treat the occurrence and development of lumbar muscle strain and low head syndrome. 3, lumbar back percussion massage: patients using a sitting position, first with the left hand holding an empty fist, with the left fist in the left side of the waist from top to bottom. After 10 minutes of gentle percussion, then massage or rub the left palm up and down for about 5 minutes, twice a day. Then reverse the movement method with the right hand and the left hand. They feel a burning sensation in the massage area, the effect is better, and feel comfortable after the exercise. This exercise method can promote lumbar blood circulation, can release the lumbar muscle spasm and fatigue, the prevention and treatment of middle-aged lumbar muscle strain good effect. 4, hot compress or physiotherapy: every night available hot water bag or heat therapy spirit in the painful parts of the hot compress, also available bran 1, 5 kg, fried in an iron pot, and then add vinegar 0, 25 kg speed stirring evenly, put into a homemade cloth bag, and then placed in the lumbar pain parts with a quilt cover warm hot compress. This method can promote blood circulation in the lumbar area, also can dispel wind-dampness, activate blood circulation, and has good effect on treating patients with lumbar muscle strain.