Soreness under the spinal extrusion slightly upward from the hip may exist in the case of lumbar muscle strain, ligament injury, lumbar intervertebral disc herniation, etc. It is recommended that further examination be conducted to clarify the cause of the disease. 1. Lumbar muscle strain: Lumbar muscle strain may be induced by sedentary lifestyle and prolonged fatigue, which may cause the whole lumbar muscle to be in a tense, hardened or bulging state, and at the same time, it may cause pain when pressed. 2. Ligament injury: when the supraspinous ligament and interspinous ligament are injured or there is aseptic inflammation, the lumbar vertebrae will be painful when pressed accordingly. 3. Lumbar disc herniation: when the lumbar disc herniation, lumbar spondylolisthesis and other compression of nerves, pressing on the spine will lead to obvious nerve compression, pain, numbness and other manifestations. Therefore, it is recommended that the patients concerned go to the hospital for further CT and other imaging tests to make a clear diagnosis, and then follow the doctor’s instructions for targeted treatment in a timely manner.