Elderly people with lumbar disc herniation compressed nerve leg pain are treated with conservative treatment, and surgery is needed when necessary. 1. Conservative treatment: Most of the patients can relieve their symptoms through conservative ways. Physical therapy such as heat therapy, massage and spectrum therapy device can relieve muscle tension and accelerate local blood circulation; exercise the muscles of lumbar back to stretch the intervertebral space; and take drugs such as ibuprofen and methylcobalamin orally to relieve pain and nourish the nerves. 2. Surgery: For patients who have been treated conservatively for more than 3 months without significant improvement in symptoms, or who have weakness in both lower limbs combined with abnormal bowel function, surgical intervention can be considered if there is no contraindication for surgery. Surgical procedures include minimally invasive surgery and open surgery. Specific surgical methods need to be decided according to the patient’s condition. Elderly lumbar disc herniation compression of nerves leading to leg pain, the patient’s physical condition is different, different stages of the disease, the treatment method is different, should be standardized under the guidance of the doctor.