Most human pain disorders are caused by soft tissue damage within and outside the lumbar spinal canal. These two types of damage can exist separately or in combination, and clinical distinctions can be made based on history characteristics, physical examination, imaging features, and electromyographic performance. This is critical to the choice of clinical treatment. Common pressure points for soft tissue pain in low back pain 1. supraspinous or interspinous ligament strain: the pressure point is on the surface of the spine or between two adjacent spines 2. third lumbar transverse process syndrome: the pressure point is at the tip of the transverse process 3. gluteal myofasciitis: the pressure point is mostly below the outer iliac crest 4. supraspinous neuritis: the pressure point is in the outer 1/3 of the iliac crest 5. lumbar strain: the pressure point is at the middle and lateral edge of the sacrospinous muscle in the lumbar segment paravertebral 6. lumbosacral ligament strain 7. pressure point between the lumbosacral vertebrae and the posterior superior iliac crest; 8. pressure point at the superior border of the pubic symphysis (rectus abdominis and proneus muscle); 8. pressure point at the iliac crest (lumbar square, external and internal oblique muscles); 9. pressure point at the thoracolumbar vertebral plate and small articular prominence (spinal muscles of the deep lumbar muscles, multifidus muscle, small joint capsule); 10. pressure point at the transverse process of the lumbar vertebrae and the lower border of the 12th rib (lumbar square and lumbar dorsal fascia); 11. pressure point at the posterior superior iliac crest and the lower border of the sacrococcygeus 11, posterior superior iliac crest and subacromial ridge and gluteus maximus pressure points (gluteus maximus) 12, sacroiliac joint pressure points (long and short ligaments, joint capsule) 13, iliac pterygoid and internal superior edge of the foramen magnum, intertrochanteric fossa pressure points (gluteus medius and minimus) 14, posterior superior iliac crest and lateral femoral pressure points (vastus lateralis, skeletal tibial fascia) 15, lateral sciatic tuberosity pressure points (femoral square) 16, superior medial sciatic tuberosity pressure points (sacral tuberosity ligaments) 17, pressure point at the tip of the greater trochanter (pear-shaped muscle) 18, pressure point at the attachment of the lesser trochanteric muscle (iliopsoas muscle) 19, pressure point at the attachment of the superior and inferior pubicis (internal femoral retractor group) 20, pressure point below the inner ankle (posterior tibial tendon and tendon sheath) 21, pressure point below the outer manic (peroneal long and short tendons and tendon sheath) 22, heel spine (metatarsal tendon membrane, metatarsal long ligament) Clear understanding of the distinction between intra-vertebral lesions and extra-vertebral lesions The difference between intraspinal and extraspinal lesions can be fully considered in the clinical treatment, and the cause of low back pain can be accurately determined. If the pain is caused by aseptic inflammation of soft tissues outside the spinal canal, patients can be treated with endothermic acupuncture, silver acupuncture, acupuncture, acupuncture knife on soft tissues, and also B-ultrasound guided lumbar dorsal fascia release with nerve block treatment, after 1-2 courses of treatment, patients’ pain can generally be significantly reduced, and then after lumbar dorsal muscle exercise and daily life maintenance, these patients can achieve satisfactory results With the exercise of the lumbar and back muscles and daily maintenance, these patients can achieve satisfactory results.