Patient: Examination name: lumbar disc MSCT scan SL 3mm / 1.5mm / 3mm CT manifestations: lumbar spine sequence is possible, physiological curvature is straightened; lumbosacral spine is osteoporotic with osteophytic changes; L2/3, L3/4 intervertebral discs are enlarged in contour and uniformly bulged out to the periphery, L3/4 is the main one, bulging out about 0.5CM, the corresponding anterior edge of the dural sac and the nerve roots bilaterally are compressed L4/5, L5/S1 disc contour was enlarged and protruded posteriorly, especially L4/5, protruded about 0.8cm, and the dural sac and nerve roots were obviously compressed posteriorly. Diagnostic conclusions: 1, L2/3, L3/4 disc bulge, (L3/4) 2, L4/5, L5/S1 disc bulge and protrusion, (L3/4) 3, lumbosacral vertebrae osteoporosis and osteomalacia, Sichuan Institute of Traditional Chinese Medicine Department of Orthopedics, Li Xianliang: Hello! Lumbar disc herniation is diagnosed and treated by symptoms. Imaging changes, if there are no symptoms, it is called herniated disc, without treatment; if there are symptoms, it is called herniated disc, which requires treatment. There are many treatment methods, but the fundamental one is to decide on the basis of the symptoms and physical condition of the patient. Generally, traction, physical therapy, medication, and infusion can be used. Surgery, including minimally invasive procedures such as discoscopy, may be considered if the results are unsatisfactory. The specific treatment can be decided by the attending doctor’s advice and the patient’s own condition. I wish you a speedy recovery!