Lumbar muscle strain and lumbar intervertebral disc herniation have different causes, different symptoms, and different prevalent populations, etc., which need to be judged by combining the causes, symptoms, and populations. 1. Different etiology: if excessive weight bearing, lumbar activities in the wrong posture, may cause lumbar spine around the muscles, ligaments and fascia injury, thus causing lumbar muscle strain, lumbar intervertebral disc protrusion is the lumbar intervertebral disc degradation and abnormal bearing, mainly the pressure suddenly rise, resulting in the fibrous annulus is not tough, but also with heredity, pregnancy, lumbosacral congenital anomalies, and so on. 2. Different symptoms: lumbar muscle strain, mainly manifested as recurrent lumbar pain, accompanied by activity disorder, with lumbar disc herniation, most patients manifested as lumbago and sciatica, accompanied by lower limb numbness, weakness and other symptoms. 3. The prevalence of different populations: lumbar muscle strain is generally 30 to 50 years old for the high incidence of people, heavy manual laborers, lumbar disc herniation occurs in young adults, generally in the age of 20 to 40 years old, and occurs in the long-term seated office crowd. If discomfort occurs, you need to go to the hospital in time, with the help of the doctor, according to the specific performance of the patient, targeted treatment.