(Disclaimer: This article is for general science purposes only. To protect patient privacy, the relevant information in the following content has been processed.) Abstract: Intervertebral disc herniation is a common orthopedic disease that can cause nerve compression resulting in clinical symptoms such as low back and leg pain and numbness, and in this case, the patient came to the clinic with lumbar pain, lower extremity radiating pain and numbness due to disc herniation. Conservative treatment was recommended, including bed rest and continuous traction of the lumbar spine. After comprehensive treatment, the patient’s lumbar and leg pain and numbness were relieved or even disappeared. Basic information】Male, 50 years old 【Disease type】Intervertebral disc herniation 【Visiting hospital】Harbin First Hospital 【Visiting time】May 2022 【Treatment plan】Bed rest, lumbar continuous traction, massage, hot compress, lumbar back muscle exercise, medication (injectable methylprednisolone sodium succinate, methylcobalamin tablets) 【Treatment cycle】Inpatient treatment for 7 days, 3-month outpatient follow-up 【Treatment effect The patient had a history of lumbar disc herniation for many years, and this visit mainly showed lumbar pain, lower extremity radiating pain and lower extremity numbness, without lower extremity claudication, but with reduced range of motion of the lumbar spine, and pain symptoms worsened when standing, and pain symptoms improved significantly after bed rest. After fully communicating with the patient, the patient agreed to choose conservative treatment to control the symptoms and disease development. Although the MRI showed relatively severe compression of the spinal nerve, the patient’s clinical symptoms were not very serious. The patient’s attack was mainly characterized by clinical symptoms such as pain, limitation of movement and numbness of the limbs, so conservative treatment was adopted, including bed rest, continuous traction of the lumbar spine with massage and hot compress treatment, intravenous use of injectable methylprednisolone sodium succinate to promote The patient was treated with intravenous injection of sodium methylprednisolone succinate to promote neuroinflammation, and oral methylcobalamin tablets to nourish the nerves and promote recovery of nerve function. The patient was discharged after 7 days of inpatient treatment and was instructed to follow up for 3 months on an outpatient basis. After the acute symptoms had subsided, the patient was instructed to perform lumbar and back muscle exercises, such as Xiaoyanfei training for 30 minutes daily, to enhance the stability of the lumbar spine. After comprehensive conservative treatment, the patient’s lumbar pain, lower limb pain and limb numbness improved significantly in about 2 weeks, and the discomfort disappeared when walking normally in about 3 weeks. The outpatient follow-up confirmed that the stability of the lumbar spine had been significantly improved and the strength of the lumbar muscles had been strengthened, and that the patient had corrected the bad habits in daily life, such as sitting and standing, bending and weight-bearing activities, and maintaining a fixed posture, etc. The above clinical symptoms did not recur during the 3-month outpatient follow-up. Although the patient’s symptoms have improved and the development of the disease has been slowed down after treatment, the causative factors still exist, and clinical symptoms such as pain, numbness and limited activity can reappear if overexertion is applied. Therefore, patients should strengthen the protection of the lumbar spine from both life and work to avoid overloading the lumbar intervertebral discs, which can lead to aggravation of disc herniation and impairment of nerve function. If the disease continues to progress, the patient is recommended to undergo lumbar spine surgery. Therefore, if severe lumbar pain, lower limb weakness, or even urinary and fecal dysfunction occurs, the patient should be promptly seen at an orthopedic clinic. V. Personal insight The patient in this case had herniated disc at a mid-stage, and conservative treatment can still be used to relieve symptoms, but recurrence may occur. It is recommended that the patient fully understand the development pattern of disc herniation and pay attention to the maintenance of the lumbar spine. If there is frequent recurrence of discomfort and repeated conservative treatment does not solve the fundamental problem, the patient needs to consider further surgical treatment to completely remove the herniated disc tissue, release the nerve compression and restore the nerve blood supply and nerve function.