Lumbar muscle strain is a common cause of chronic low back pain, often without a history of significant trauma. The pain is not severe, but it is prolonged and affects life. It can be caused by poor posture in normal life and work, or by repeated sprains. This type of disease is the most frequently seen in outpatient clinics. The pain is mostly in the lower back, lumbosacral section, and some have hip pain. The pain is often sore and swollen, and gets better with rest and worse with exertion. The pain is recurrent, some for a few months, some for years or even decades. The lumbar spine X-ray mostly shows “osteophytes”, poor curvature of the lumbar spine or left-right asymmetry, and the CT examination mostly shows bulging or herniated discs. For various reasons, patients may have been referred to multiple medical units or undergo various treatments, prescriptions and even surgery, including minimally invasive surgery, because they have “osteophytes” or “lumbar disc herniation”. Does this type of chronic back pain or lumbar strain injury or fasciitis require surgery? The answer is no. Different patients can choose different options: 1. For example, sleeping on a “hard bed” – brown mattress bed can be, reduce the time of squatting to wash clothes, work, reduce the time of reclining on the sofa to watch TV, etc. 2, regular low back muscle training, such as participation in physical exercise, slow walking, swimming, etc.. Professional low back muscle exercise including arch bridge exercise, small flying swallow, etc. Low back muscle exercise: 2-3 groups per day, each group of 5-30, each adhere to 3-5 seconds. Exercise to do gradually, according to the ability, long-term persistence. 3, moderate to severe pain, need to assist the drug treatment, commonly used non-steroidal anti-inflammatory drugs, muscle relaxation drugs, effective “blood” effect of Chinese medicine. Some patients can be assisted with physical therapy and massage. There are many diseases that cause chronic low back pain, such as infection, fracture, tumor, discogenic low back pain and so on, in addition to lumbar muscle strain, which still need to be treated by a specialist and should not be neglected.