Lumbar spine 4.5 bulge can be treated with conservative treatment, medication and surgery according to the doctor’s prescription. 1. Conservative treatment: The pain of 4.5 lumbar bulge can be relieved after bed rest, but do not choose too soft mattress. At the same time, you can also choose traction therapy, which can increase the lumbar intervertebral disc space, which is conducive to the recovery of the bulging part. You can also go to the hospital for massage therapy, which can relieve the tension and spasm of the muscles in the lumbar back and release the adhesion of the nerve roots. 2. Drug treatment: Lumbar spine 4.5 bulging can be taken according to the doctor’s instructions, such as aspirin enteric-coated tablets and other non-steroidal anti-inflammatory drugs, but also can take ethylpiperidone hydrochloride tablets, such as muscle relaxation drugs, as well as methylcobalamin tablets, such as neurotrophic drugs. 3. Surgery: If conservative treatment and medication are ineffective, surgery can be considered. If there is no spinal stenosis, surgery can be performed using intervertebral foraminoscopy. If there is obvious osteophytes, spinal stenosis or even slippage, open surgery can be considered. It is recommended to consult the doctor in time after the lumbar spine 4.5 section bulge, choose the appropriate treatment plan according to the doctor’s advice, and avoid self-medication.