The fourth and fifth lumbar disc herniation, you can choose general treatment, drug treatment, physical therapy or surgery to control the condition. 1. General treatment: lumbar disc herniation is related to overstrain, after finding out the disease, you need to pay attention to and rest, and ensure the combination of work and rest, do not stand for a long time and sit for a long time, and reduce the lumbar weight bearing. 2. Medication: For the pain, redness, swelling and other symptoms caused by lumbar disc herniation, non-steroidal anti-inflammatory drugs (NSAIDs) should be taken orally for pain relief and anti-inflammation, such as aspirin and celecoxib, etc. If the muscles are tight, oral medication can be taken. If the muscles are tight, oral muscle relaxants can be taken to relieve the symptoms, such as tizanidine and flupirtine. 3. Physical therapy: can be relieved by traction, massage, hot compresses and other physical therapy. 4. Surgical treatment: mainly for the more serious lumbar disc herniation, can take the spinal endoscopic disc nucleus pulposus removal surgery, or take the simple intervertebral plate open window nucleus pulposus removal surgery. The condition of lumbar disc herniation is more complicated and the treatment time is relatively long. During this period, you should cooperate with your doctor and have regular checkups, and don’t use medication blindly.