Osteochondrosis of the fourth lumbar bone is not always symptomatic. However, it may irritate nerve roots or cause lumbar spinal stenosis, which can lead to sciatica and intermittent claudication in the lower extremities. The shape and size of the osteophyte is not consistent with the symptoms, often in the physical examination of the film found osteophytes, usually does not cause pain or dysfunction problems, but osteophytes can be the cause of symptoms, in the lumbar spine osteophytes may irritate the nerve root or cause spinal canal stenosis, compression of the cauda equina or the dural sac and produce lower extremity sciatica, intermittent claudication and so on. If the fourth lumbar osteophyte is diagnosed, it is recommended to go to the hospital in time for standardized treatment under the guidance of the doctor.