Lumbar myofasciitis is an aseptic inflammatory reaction of the muscles and fascia of the lumbar region, which can be acute or chronic in onset and can cause acute and chronic pain in the lumbar region. Acute or chronic injury or strain to the muscles, ligaments and joint capsule of the lumbar region is the basic cause of the disease, which may also be related to degenerative degeneration of the intervertebral discs and possibly to intervertebral small joint instability, bone spur formation, osteoarthritis and other factors. When the body is stimulated by external factors such as wind and cold, fatigue, trauma or improper sleep position, it can trigger an acute attack of lumbar myofasciitis, or aggravate the existing lumbar myofasciitis, resulting in acute and chronic pain in the lower back. Low back pain can occur in the morning when you wake up; also because the mattress is not flat or too soft when you sleep, and also because the onset is induced after sleeping on a marching bed or a soft sofa; it may also occur gradually or suddenly after a sprain of the lower back. Some people usually do not exercise the waist, muscle strength is not very strong, in the occasional physical exercise, or in the occasional bending over to hold a child, or when carrying gas cans, or when changing water for the water fountain, or even is concentrating on bending over to work, others a call back to the waist, can be inattentive to twist the waist, causing lumbago. Patients with acute lumbar myofasciitis may experience severe lumbar muscle pain, lumbar stiffness, and significantly restricted movement. The patient is unable to sit or lie down, cannot move or has significantly limited movement of the lower back, or is crooked or walks with his or her hands on the waist. If untreated, there can be a tendency for the symptoms to get worse within the first few days of onset. When examined by a physician, it can be found that the movement of the lumbar region in all directions is significantly restricted, the lumbar region is stiff, and a slight movement causes a significant increase in pain; there is significant spasm of the affected muscles, and there can be widespread pressure pain in the back of the lumbar region. Acute lumbar myofasciitis can have a tendency to remit spontaneously and recurrently, and can be relieved by bed rest and aggravated by exertion and cold. With bed rest, lumbar braking, anti-inflammatory and pain-relieving drugs and physical therapy, most patients can have rapid pain relief, usually with significant symptom relief in two to three days and disappearance of symptoms in one to two weeks without sequelae. However, the disease can recur, causing certain pain to the patient and affecting the patient’s study, work and life. As a result of not getting thorough treatment in the acute stage and turning into chronic; or because the patient is subjected to repeated strain, wind and cold and other adverse stimuli, there can be recurrent symptoms of continuous or intermittent chronic low back muscle pain, soreness and weakness. This is also known clinically as chronic lumbar myofasciitis or chronic lower back strain or chronic lumbar muscle strain. The symptoms of chronic phase are not as severe as those of acute phase, but the long-term recurrent lumbar pain can bring significant adverse effects on the patient’s study, work and life, leading to a decrease in the patient’s work efficiency, and in severe cases the patient has difficulty in holding down a normal job. These symptoms can be aggravated after lumbar injury, exertion and cold. Proper rest, a little tenderness of the lumbar muscles by oneself, or doing hot compresses, or even hammering the lumbar area by oneself or having a bystander hammer the lumbar area, can make the lumbar area feel very comfortable and the symptoms can be relieved to some extent; there are also many people who complain of frequent vague pains in the lumbar back, and the pain can start in the morning after getting up, or even in the morning when they are about to get up due to Low back pain and had to wake up from sleep; after getting up and moving around the pain can be reduced to some extent, after a period of continuous work in one position, there will begin to appear gradually aggravated low back pain, and had to stop working; many people in continuous sitting reading, writing, working in front of the computer or playing games for too long, driving for too long, or sitting for a long time playing mahjong, choosing vegetables in the kitchen, cooking, washing dishes, or playing mahjong. Cooking, washing dishes, or cleaning and other household chores after a period of time, there will be back pain and weakness, and have to stop for a while. The reason for this is that some people are not sleeping in the right bed, and some are suffering from chronic lumbar strain injury due to excessive fatigue of the lumbar muscles as a result of continuous stress on the waist for too long. When a doctor examines a patient with chronic lumbar strain, he or she may find that there is no significant effect on the movement of the lumbar region, or there may be no significant muscle spasm, and there may be widespread pressure pain in the lumbar region, or there may be no pressure pain at all. The treatment for patients in the chronic stage is based on proper rest, oral and topical anti-inflammatory and pain-relieving drugs and muscle relaxing and sedative drugs, the use of blood-activating herbs and appropriate muscle relaxation massage. After the symptoms of lumbar back pain of lumbar muscle strain are relieved, you should actively strengthen the exercise of lumbar back muscles, adjust the rhythm of work and life, strengthen the health care of the lumbar region, prevent the lumbar region from being stimulated by wind and cold, trauma and strain, etc. You should sleep on a hard bed or a hard Simmons mattress, avoid sleeping on a marching bed or a soft sofa, and do some lumbar exercises properly after getting up. Otherwise, the symptoms of chronic lumbar strain may very easily recur. Patients who have repeated episodes of lumbar strain or lumbar myofasciitis are likely to accelerate the degeneration of the lumbar spine, which may easily cause more serious lumbar disc herniation or lumbar spinal stenosis over time. In clinical practice, lumbar strain, lower back strain, and chronic lumbar myofasciitis actually mean the same thing. Most of the time, different orthopedic surgeons may diagnose the same patient as lumbar strain or lumbar myofasciitis, or even lower back strain, according to their different habits, but the treatment they choose is the same, and the estimation of the condition is also the same. So if such patients get different diagnoses from different doctors, there is absolutely no need to make a fuss about it.