The causes of the right buttock with thigh pain mainly include the following aspects: the first cause is considered to be caused by the compression of the lumbar disc herniation. Mostly due to long-term heavy lifting, or heavy physical labor and history of lumbar trauma, resulting in lumbar degeneration, lumbar disc herniation, compression of the nucleus pulposus, which causes pain in the right buttock and thigh. For the pain caused by lumbar disc herniation, it is mostly necessary to visit the orthopedic department of the hospital and have a lumbar spine CT examination to clarify. If the degree of pressure is severe, surgery should be considered. The second cause is due to inflammation of the sacroiliac joint or soft tissue strain. Mostly due to long-term weight bearing, resulting in long-term tension in the sacroiliac joint, which in turn causes joint strain, as well as local muscle strain and other causes of pain. The third cause, also need to consider the femoral head necrosis and other diseases, may also cause pain. It is necessary to go to the orthopedic department of the hospital and take an X-ray examination to clarify.