The difference between lumbar disc herniation and lumbar muscle strain mainly includes the following aspects: first, clinical symptoms, lumbar disc herniation will mainly have pain in the lumbar region, restricted activity, and radiated pain in the buttocks and lower limbs, and serious dysfunction and weakened muscle strength in the lower limbs, while lumbar muscle strain will mainly manifest as pain and restricted activity in the lumbar region, and no changes in the lower limbs. Second, imaging performance, lumbar disc herniation can be shown through CT or MRI, lumbar disc nucleus pulposus degeneration, nerve compression, while lumbar muscle strain in the imaging examination, there will be no above performance, only muscle edema. The above conditions can distinguish between lumbar disc herniation and lumbar muscle strain. Regardless of the disease, patients should strengthen the training of lumbar muscle strength and intensity to enhance the stability of the lumbar spine, which can significantly improve the clinical symptoms.