The most important reason for lumbar rotation with rattling is seen in degenerative changes in the lumbar region, including poor recovery from acute injury, chronic strain, degenerative hyperplasia of the lumbar spine, lumbar instability, slippage of the lumbar vertebral body, etc. These can result in local soft tissue inflammatory reactions, adhesions, hypertrophy, fibrosis, contracture, etc. Bone deformation, instability, osteophytes, vertebral degeneration, lumbar disc herniation and other diseases can also occur. When performing activities, abnormal friction and impingement can occur due to these pathological changes, such as friction and impingement between the hyperplastic bone and friction and impingement between the hardened fibrotic ligamentous soft tissue and the bone, all of which can cause ringing to occur. Rarely, lumbar spine infections, lumbar spine tumors and lumbar spine fractures can produce this kind of ringing due to bone destruction, and patients are advised to go to the hospital for consultation to clarify the diagnosis.