Lumbar pain on the right side of the waist like tightening consider lumbar sprain, lumbar disc herniation, the third lumbar transverse process syndrome, kidney stones and other causes. 1. Lumbar sprain: after spraining the lumbar region, there will be muscle spasm, localized like twisting tendons, lumbar pain is obvious, and lumbar spine activities are limited. 2. Lumbar disc herniation: a herniated disc compressing the nerves can cause radiating pain in the lumbar region, which can also radiate to the buttocks and lower limbs. It is aggravated by coughing, sneezing and other actions that increase abdominal pressure. 3. Third lumbar transverse process syndrome: due to chronic strain injury on the transverse process attached to the ligament, fascia, aseptic inflammation, pain. 4. Kidney stone: the pain is sudden, mainly localized colic caused by ureteral spasm, like twisting tendons. Accompanied by pain in the lower abdomen. Caused by the right side of the waist pain like twisting tendons may also have lumbar spine fracture, lumbar spine bone tumor and herpes zoster and other diseases, women may also have tubal rupture and other diseases, such as the right side of the waist pain like twisting tendons pain persists, it is recommended that timely medical attention.