Lumbar spine 4, 5 disc herniation is mainly the compression of the lumbar 5 nerve root, the specific treatment method should be based on the lumbar spine CT examination results, as well as the relevant clinical symptoms to comprehensive judgment. If the examination results show that it is not serious, the symptoms are not obvious, and the time of appearance is short, conservative treatment can be considered, which can be protected by external fixation of lumbar circumference and topical application of Furtaline cream or blood-activating and pain-relieving cream. In addition, together with acupuncture, massage, physiotherapy, hot compresses, sleep on a hard bed, avoid bending, sitting and standing for a long time, etc. can relieve the corresponding clinical symptoms. If the examination results show that the lumbar disc herniation compresses the nerve especially obviously, appears for a long time and is ineffective after conservative treatment, surgery should be considered, which can be divided into minimally invasive intervertebral foraminal surgery or open major surgery, and the corresponding treatment should be chosen according to the characteristics of the specific lesion shown in the examination results.