In today’s society, due to the frequent exposure of the diagnostic term “lumbar disc herniation” in many media such as newspapers, TV, radio and internet, it can be said that this medical term is now deeply rooted in people’s hearts and known to all women and children. So, is every patient with low back pain a “lumbar disc herniation”? This is a question worth thinking about, and how to make a clear differential diagnosis of low back pain and implement effective treatment is the key issue in the diagnosis and treatment of this disease. In addition, it is also essential to carry out correct and reasonable scientific propaganda for this kind of patients. In fact, before the onset of the real “lumbar disc herniation”, there may already exist degenerative changes of the intervertebral disc and the muscles and ligaments around the lumbar spine to varying degrees, so some prodromal symptoms will arise accordingly. These prodromal symptoms may exist for a considerable period of time, may occur suddenly, may recur, or may lead to greater catastrophe and pain. They become a time bomb and are important triggers for the onset of lumbar synostosis. The details are as follows: 1. Acute low back pain caused by minor movements: The minor movements that cause low back pain here, such as bending over to pick up things, “cat’s waist” washing face, brushing teeth and other movements that are not strenuous activities. Low back pain caused by such minor movements can generally be relieved or recovered on its own through 2-3 days of bed rest or treatment with anti-inflammatory and pain-relieving drugs, so patients tend to regard it as “flashing waist”, “twisting waist” or “contused waist “, the alarm signal of the disc herniation that may occur. 2, there are intermittent recurrent episodes of low back pain: in the presence of degenerative changes in the intervertebral disc and intervertebral joint instability or synovial joint hyperextension, etc., patients can have recurrent episodes of low back pain. The interval may last for months or years, and each attack may last for days or weeks, but there may be no obvious pain, numbness or other discomfort during the interval, including what the Wenzhou people call “tendon-hanging” sensation. Such patients often have problems with the small joints and the muscles and ligaments around the spine, and are particularly prone to lumbar disc herniation under the action of some triggering factors. 3. Persistent chronic low back pain: Some patients gradually develop persistent chronic low back pain after repeated several episodes of acute low back pain. The symptoms are aggravated during every coughing, sneezing, defecation and other exertion or after waking up every morning. With a little inattention in the patient’s daily life or work, this accumulation of chronic low back pain may lead to lumbar disc herniation. It is important that every potential patient with lumbar herniation be familiar with these prodromal symptoms. If these prodromal symptoms occur, the cause can be promptly identified and targeted prevention and treatment can be carried out. Then, the chance of lumbar disc herniation may be reduced to a greater extent. In addition, more and more research results show that the rupture of the intervertebral disc annulus fibrosus does not completely rupture at once, but the rupture of the inner layer of the disc annulus fibrosus occurs gradually, which is the intravertebral disc rupture. Therefore, it is highly likely that the prodromal symptoms of lumbar disc herniation described above are also the result of a series of discogenic pain disorders such as intradiscal rupture. The further establishment of these diagnostic terms implies a further increase in the understanding of discogenic pain other than lumbar disc herniation, as well as more targeted treatments to effectively relieve the pain of many patients with low back pain. The invention and development of minimally invasive lumbar spine surgery is based on this, and the application of minimally invasive surgery will serve to truncate or change the trend of disease development.