Patient: Description of the condition (onset time, main symptoms, hospital, etc.): I am a 58-year-old female, lumbar pain after sitting for a long time and squatting for a long time and after exertion, sitting for a long time when standing up temporarily unable to straighten the waist need to wait a while, walking fast lumbar tugging pain (legs and lower limbs currently no pain no numbness). The CT report of the lumbar spine is as follows: description of the signs (lumbar curvature, paralleling can be. Vertebral body margin and vertebral small joint osteophytes sclerosis, L3-S1 disc bulge, L3-4 disc bulge and right posterior protrusion, dural sac compression, secondary spinal canal slightly narrowed) Impact diagnosis: lumbar degeneration, L4-S1 disc bulge, L3-4 disc bulge protrusion, secondary spinal canal slightly narrowed. Lumbar spine X-ray bone density test: lumbar spine 1-T value-2.7 lumbar spine 2-T value-3.7 lumbar spine 3-T value-3.4 lumbar spine 4-T value-2.2 glucuronide capsule, salmon calcitonin, Arlen sodium phosphate tablets, osteopontin, calcium tablets The symptoms can be significantly reduced by supplementing milk, sun exposure and reducing exertion. What conservative treatment can I take now? What other medications can I take? What else do I need to pay attention to in my daily life? Jian Shen, Department of Orthopedics, Beijing Hospital, Ministry of Health: From the medical history, the disease duration is long, the symptoms are obvious, the bone density value is low from the examination results, and the lumbar spine degeneration is serious. The exact diagnosis at present should be: lumbar spinal stenosis, lumbar degeneration, lumbar spine osteoarthritis, and severe osteoporosis. However, combined with the patient’s age and symptoms, conservative treatment is also being taken. Treatment plan: 1, more sun exposure, 2, diet with high calcium content food (milk, yogurt, soy milk, lean meat, etc.), 3, pay attention to warmth, avoid sedentary, weight bearing, strain, 4, functional exercise (such as: back flying), appropriate exercise (swimming, gymnastics, etc.), 5, drug therapy: osteotriol + calcium + calcitonin, alendronate sodium (or “MIGUDA “) or raloxifene hydrochloride, Vigorix or Glucophage capsules. If the above recommendations are adhered to, it is believed that the symptoms will gradually improve. In case of sciatic nerve symptoms or intermittent claudication, neurotrophic drugs and drugs to improve microcirculation can be added temporarily.