Acute lumbar sprain pain when pressed, should go to the hospital for examination, clear whether there are ligament strain and fracture, mainly conservative treatment and surgical treatment. 1. Simple sprains: If there is no ligament strain or fracture in a simple sprain, cold compresses can be applied within 72 hours of the injury, and hot compresses can be applied after 72 hours of the injury, and severe pain can be relieved by oral ibuprofen and acetaminophen, and patients with muscle spasms can be treated with ethylpiperidone and tizanidine. 2. Ligament strain and fracture: If there is ligament strain, the first and second degree of strain can be treated conservatively, and the third degree of strain needs surgical treatment. If accompanied by a fracture, the fracture without displacement can be fixed by plaster or support, and the displacement is obvious need to be surgically fixed. The same disease, the patient’s physical condition is different, different stages of the disease, the treatment method is different, should be standardized treatment under the guidance of the doctor.