Painful symptoms in the anterior tibial muscles require different solutions for different causes of pain. If the pain is caused by acute or chronic injury, or acute or chronic inflammation caused by local overexertion, it can be treated with topical ointments that activate blood circulation and relieve pain, such as blood circulation and pain ointment, musk and tiger bone ointment, dog skin ointment, soothing tendons and blood circulation ointment, etc. Many topical ointments can be used to relieve local pain, and can be combined with oral Chinese medicines that relieve tendons and activate blood circulation, such as panax ginseng injury medicine, white medicine capsule, Blood-strengthening capsules and so on. If the pain is very serious, it can be combined with ibuprofen or diclofenac taken orally, which can significantly relieve the pain. If the pain is caused by lumbar spine diseases, such as lumbar disc herniation, the pain of the tibialis anterior muscle should be treated with appropriate traction treatment of the lumbar spine, together with massage and acupuncture treatment and medication to relieve the pain of the tibialis anterior muscle.