As people grow older, many people in their middle and old age always experience more or less pain and discomfort in the lumbar region and have limited activities. Osteomalacia, also known as lumbar degenerative osteoarthropathy. It is one of the changes in the aging of the lumbar spine and is one of the major causes of lumbar pain, numbness and other symptoms. Lumbar degenerative osteoarthropathy is a degeneration of the articular cartilage of the lumbar spine and chronic injury to the joint, resulting in degeneration and hyperplasia of the articular cartilage, formation of a bone flab (bone spur), and degenerative hyperplasia of the vertebral body edges resulting in osteoarthropathy. The disease is characterized by hyperplasia of the vertebral body edges and hypertrophy of the small joints, and the main clinical manifestations are pain and numbness in the low back. It is mostly seen in middle-aged and elderly people, especially in men with heavy physical work. 1, what are the main causes of lumbar degenerative osteoarthropathy? (1) Age: It was found that the most significant imaging manifestation of lumbar spine degeneration is hyperplasia at the vertebral body edge, and this manifestation increases with age. (2) Weight: Excessive weight on the lumbar spine can cause premature damage to it. The more weight on the vertebral edges, the higher the rate of degeneration and the more severe it will be. (3) occupation: people engaged in heavy work or long-term sedentary, lumbar long-term excessive strain on the incidence of this disease is higher. 2.How to prevent lumbar degenerative osteoarthropathy? In fact, in daily life, as long as we pay a little attention, we can change many factors that can accelerate the process of lumbar degenerative degeneration, so as to stay away from the pain brought to us by lumbar degenerative osteoarthropathy. Therefore, the prevention of this lumbar degeneration is very necessary! (1) Quit smoking and control alcohol, eat less stimulating greasy food, eat more vitamin-rich crude fiber food. Eat more vitamin-rich crude fiber food: mixed corn, millet, buckwheat, oats, soybeans, celery, leek, garlic seedlings, toon, green pepper, bamboo shoots, mustard, apple, red dates, corn, walnuts, peanuts, fungus, shiitake mushrooms, kelp, nori, seaweed, etc. (2) Prohibit prolonged sitting and standing, long-term bending, weight-bearing, avoiding trauma, and avoiding strenuous exercise. (3) exercise lumbar back muscles and abdominal muscles: do small swallow flying movements, sit-ups, hanging on the bar back and forth leg swing exercises, practice backward walking, and can be combined with radio exercises, taijiquan, etc. 3.How to treat lumbar degenerative osteoarthropathy? (1) Rest: Especially for the acute pain period, bed rest should be taken immediately. Should be coupled with gentle activities, in order to gradually transition to rehabilitation exercises. (2) Physiotherapy: It is the most commonly used treatment method, such as Chinese herbal hot compress, ion introduction, infrared ray, ultra-short wave, ultrasonic wave, pulse wave, etc. (3) Massage: it can release muscle spasm, relieve pain, loosen adhesions and rectify small joint disorders, and is one of the most commonly used methods. (Acupuncture, cupping is also a common method, suitable for those with more limited pain areas). (4) Traction: suitable for those with muscle spasm, accompanied by or suspected of having nerve root symptoms. Continuous traction with light weight is the main method, avoiding violent traction. During the traction period, the patient can get up and move around every day, and when he gets up, he can be protected by a lumbar girth, and gradually transition to the release of the girth fixation and enter rehabilitation exercises. (5) Drug therapy: It is also the most commonly used method and is suitable for those with severe pain or widespread pain, but should avoid relying solely on drugs for pain relief. The selection of drugs should be based on the patient’s disease and physical condition, and the treatment should be based on evidence. (6) Local small acupuncture therapy: It is suitable for those who have limited pain areas, clear pressure points and shallow pain. The common sites are interspinous process, posterior superior iliac spine, transverse process of the third lumbar vertebra, and small joints of the lumbar vertebra. The treatment under local anesthesia has rapid pain relief, real effect and low dosage of drugs. (7) Physical exercise: early spinal hyperplasia is not heavy, physical exercise should be strengthened to increase the strength of the lumbar muscles and the range of motion. With the growth of age and personal physical conditions, choose the appropriate exercise, such as qigong, taijiquan, taiji sword, as well as swimming, fitness dance and other activities. With the improvement of living conditions, exercise equipment gradually into the family, but must be measured, do not be too impatient, causing adverse reactions. (8) Surgery: Most cases can be relieved by systematic conservative treatment. A small number of patients with more severe symptoms of limited pain and numbness, and serious dysfunction due to degeneration and instability, can choose spinal fixation. For those with spinal stenosis, vertebroplasty or decompression of the vertebral plate can be used.