The patient’s back feels tight and uncomfortable, the common causes are mainly the following: First, lumbar muscle strain is mostly seen in patients who have been engaged in heavy labor for a long time, due to the pulling of the muscles of the lumbar back, which can cause chronic damage to the muscle fibers, and the tightness of the lumbar back and the discomfort of the distending pain. Patients need sufficient rest, lumbar back massage, physiotherapy, gua sha, acupuncture, to improve local blood circulation, which can alleviate the discomfort of lumbar back pain. Second, the lumbar disc herniation patients, due to the dural sac is squeezed, will cause the lumbar back muscle tension, numbness, swelling and pain. The above symptoms can be improved by lower limb traction and massage physiotherapy. For patients with stubborn symptoms, it is necessary to improve the magnetic resonance of the lumbar spine to clarify the situation of lumbar disc compression, and if necessary, perform surgery to lift the disc compression symptoms, so as to completely solve the feeling of tightness and discomfort in the lower back.