Lumbar rib pain may be caused by lumbar rib muscle strain or muscle strain, tumor, herpes zoster, osteoporosis, etc. It can be treated with medication, physical therapy, or surgery. 1. Lumbar rib muscle strain: if suddenly change from one posture to another posture may cause lumbar rib muscle strain, pain and swelling in the lumbar rib area. Twisting activities are limited, you can apply non-steroidal painkillers such as topical diclofenac diethylamide cream or topical Yunnan Baiyao aerosol. 2. Muscle strain: If you are engaged in a fixed action for a long time, it can cause muscle strain in the lumbar and rib muscles and local pain, you can use Yunnan Baiyao ointment, take Panax notoginseng tablets orally, and take ultrasonic physiotherapy or infrared physiotherapy. 3. Tumor: if there is tumor in the radiograph, surgical resection is needed, and radiotherapy or chemotherapy can be carried out according to the pathological results. 4. Herpes zoster: anti-viral drugs such as acyclovir ointment can be applied. 5. Osteoporosis: Eat more calcium-containing food, such as eggs, milk, oral anti-osteoporosis drugs such as Xianling Bone Plough capsule or kidney bone tablets. There are many causes of lumbar rib pain, if it is difficult to relieve, it is recommended to go to the hospital for further examination to clarify the cause of the disease and then treatment.