Lumbar 4 lumbar 5 sacral 1 intervertebral disc herniation is a common lumbar intervertebral disc roll-out of the preferred parts, according to the pathological stage of the disease and clinical symptoms can generally be taken to conservative treatment or surgical treatment, the specific treatment method should be followed by the doctor’s instructions. 1. Conservative treatment: it is suitable for patients with short course of disease, mild symptoms or surgery intolerance, need to rest in bed for 3~4 weeks, wear a waist cuff after going down to the ground, avoid bending, weight bearing and other activities, and can choose lumbar traction, physiotherapy, massage, local closure and other therapeutic methods to alleviate the symptoms of nerve compression. 2. Surgery: If conservative treatment is ineffective or the symptoms continue to worsen, surgical treatment can be considered, such as nucleus pulposus removal, discectomy, etc., to achieve the purpose of relieving the compression of the nerve root. Patients with lumbar disc herniation should actively cooperate with doctors to carry out standardized treatment, and can carry out appropriate lumbar exercises in order to prevent the recurrence of lumbar spine diseases.