Lumbar fourth osteophyte lateral thigh tendon pain is caused by nerve compression, which can be treated by rest, physical therapy, medication, and surgery. Lumbar fourth osteophyte compression of nerve roots, if there is mild pain and numbness, it is recommended that appropriate bed rest, wear a waist immobilization belt to reduce the pressure on the lumbar spine. At the same time with the lumbar hot compresses, massage, massage, acupuncture and other physical therapy to relieve symptoms. Drugs can be prescribed oral non-steroidal anti-inflammatory analgesic drugs such as nimesulide, diclofenac sodium anti-inflammatory pain and neurotrophic drugs such as methylcobalamin, adenosylcobalamin to alleviate the symptoms of numbness. If the osteophytes are more serious, with obvious compression on the nerve root and spinal cord, and ineffective after conservative treatment, surgery can also be chosen as a treatment option. For example, osteophytes resection spinal canal decompression bone graft fusion internal fixation. If the symptoms of lumbar osteophytes thigh pain, it is recommended that patients go to the hospital to improve the examination and receive regular treatment.