The massage techniques for lumbar muscle strain include pressing and kneading, pointing and pressing, popping and plucking, and diagonal wrenching. Lumbar muscle strain is very common, and most of the patients show recurrent lumbosacral soreness and pain without obvious triggers. It will be aggravated by exertion and relieved after rest. The first step in treatment is to loosen and relax the erector spinae muscles on both sides of the lumbar spine by palmar root pressing and kneading, and to find the stiff muscles and pressure points on both sides of the lumbar spine, often the common parts of lumbar muscle strain are concentrated in the transverse processes on both sides of the lumbar vertebrae, and the transverse process of the third lumbar vertebrae is the main location. Secondly, after finding the pressure points, we can loosen the tense muscles of the erector spinae, transverse processes of lumbar vertebrae and lumbosacral region on both sides of the lumbar spine by pressing and flicking. Then after a clear imaging diagnosis and doctor’s examination, if there is a rotational misalignment of the vertebrae it can be corrected by lumbar oblique wrenching to relieve the pressure on the spine. Finally, relaxation through pressing, tapping, rubbing, etc. to achieve the effect of soothing the tendons and activating the blood, loosening the adhesions and relieving pain. It is recommended that the patient go to a regular Chinese medicine hospital, complete the examination, make a clear diagnosis, and then the Chinese medicine doctor will flexibly grasp the depth of massage according to the patient’s age, physique, symptom characteristics and tolerance level to achieve the therapeutic effect.