Pain in the buttocks can be seen in the following cases: First, in patients with perianal diseases and acute thrombosed external hemorrhoids or perianal abscesses, the typical symptoms are perianal pain, pain in the buttocks and also fever, and even blood in the stool. The most effective treatment is surgery, which is mostly secondary to infection of the anal glands or habitual constipation, and it is also important to pay attention to the dietary structure and perianal hygiene to prevent the occurrence of these diseases. Second, some patients are caused by lumbar disc herniation, especially middle-aged and elderly patients, associated with prolonged weight-bearing chronic strain, which can manifest as local pain, numbness of the lower limbs, and even limited movement, and CT examination can further confirm the diagnosis. Physiotherapy methods such as local massage, acupuncture or hot compresses can be chosen to relieve the patient’s discomfort.