Lumbar discogenic pain is more serious than lumbar disc herniation. Lumbar discogenic pain is due to degeneration of the lumbar disc or lumbar pain due to congenital developmental abnormalities, which often manifests only as lumbar pain without nerve root compression and cauda equina nerve compression, resulting in numbness, pain or dysfunction of the lower extremities. In contrast, patients with lumbar disc herniation often have low back pain with nerve root compression and sciatica of the lower extremities. If the cauda equina nerve is compressed, symptoms such as urinary and fecal disorders, incontinence or constipation may occur, and sexual dysfunction may also occur. For lumbar discogenic low back pain, most of them can improve after conservative treatment, and very few of them need surgery, while a part of patients with lumbar disc herniation need surgery, and the chance of surgery is greater than that of lumbar discogenic low back pain.