Pearly muscle injury is pear-shaped muscle syndrome, pear-shaped muscle syndrome 2 years of effective treatment is based on the condition of the choice of general measures, drug therapy, surgical treatment, traditional Chinese medicine treatment and other ways of treatment. 1. General measures: patients need to avoid sedentary, pay attention to local warmth. At the same time, they need to cooperate with the doctor to use massage, kneading, pressure and other manipulative therapy, can also take heat therapy, cold therapy, electrotherapy and other physical therapy. 2. Drug therapy: patients need to follow the doctor’s instructions to apply celecoxib, ibuprofen, diclofenac and other non-steroidal anti-inflammatory drugs, if the use of such drugs does not improve the symptoms of obvious, then you need to follow the doctor’s instructions to the use of non-opioid central analgesic drugs, such as codeine, codeine, and other dihydrocodeine. Some patients also need to use methylcobalamin, vitamin B6 and other nutritive nerve drugs, as well as ethylprednisolone hydrochloride, succinylcholine and other muscle relaxants as prescribed by the doctor. 3. Surgical treatment: For patients who are not effective in non-surgical treatment, it is necessary to consider surgical exploration, such as pyriformis tendon amputation, sciatic nerve decompression. 4. Traditional Chinese Medicine (TCM) treatment: patients can also be treated with TCM methods such as acupuncture, tuina, small-needle knife treatment, and traditional Chinese medicines, which to a certain extent can also reduce the stimulation of the sciatic nerve. The disease is chronic and progressive, and patients need to strengthen their daily life management and have regular follow-ups. Doctors will formulate an appropriate treatment plan according to the patient’s condition and regular follow-ups.