Lumbar disc herniation is a very common disease and the main clinical cause of acute and chronic back and leg pain in young adults. There are a lot of patients with this disease, and we often encounter patients in the clinic who ask why they are not getting better even though they have seen a lot of hospitals, spent a lot of money and tried a lot of methods. There are dozens of treatment methods for lumbar dystrophy, which method is more suitable for me? The following is a preliminary analysis based on the author’s clinical experience and the specific symptoms of the patient. Acute simple lumbar pain is often the earliest manifestation of lumbar synostosis, and it is difficult to distinguish it from acute lumbar sprain. Bed rest is the main treatment method. The application of anti-inflammatory and analgesic drugs, local hormone injections, low heat high frequency therapy (microwave, short wave, etc.), and low and medium frequency therapy with significant analgesic effect are all effective. It is especially worth mentioning that distant acupuncture points and osteopathic techniques of Chinese medicine often have unexpected effects, and local creams applied externally are also a good choice, but too warm creams should not be used in the acute stage, and a cool and comfortable Babu agent is appropriate. It is worth noting that traction therapy and excessive local massage techniques tend to aggravate the condition, and it is controversial whether it is appropriate to use in this period. Chronic lumbar pain There are many patients with this condition, which is actually not entirely due to disc herniation, but often accompanied by lumbar muscle strain, osteoarthritis, etc. Older patients should also consider osteoporosis. In terms of personal care, the key to this period is to strengthen the training of the lumbar back muscles and the treatment of the kidneys in Chinese medicine. Many physical therapy methods are available (except for those with contraindications), including high frequency, medium frequency, low frequency, traction, laser, medicine fumigation and so on. In terms of Chinese medicine, acupuncture, manipulation, acupuncture knife, Chinese herbal medicine, acupoint injection, Chinese ointment external application, etc. have good effect. It is worth mentioning that for some patients with persistent low back pain, if there are fixed pain points, acupuncture sometimes has a very miraculous effect. Acute lower limb pain and numbness This is also known as acute sciatica, local inflammation, stimulation or compression of the nerve root, resulting in its edema. Bed rest is still the rule, while in Western medical treatment, the general oral anti-inflammatory and analgesic drugs are not effective, while the application of dehydration and anti-inflammatory drugs (hormones) are the key factors for effectiveness. Low- and medium-frequency treatments with significant analgesic effects are all available options for physical therapy. In Chinese medicine, electroacupuncture and osteopathic manipulation as well as herbal tonics are also effective. Chronic lower extremity pain and pulling pain is caused by chronic inflammation of the nerve roots. Moderate rest is still needed, and intra-vertebral steroid injections are an option. There are many methods of physical therapy, high frequency, medium frequency, low frequency, traction, laser, drug fumigation and so on. In terms of Chinese medicine, acupuncture, manipulation, acupuncture knife, Chinese herbal medicine, acupoint injection, Chinese medicine soup, etc. are effective, while electroacupuncture, osteopathic manipulation, acupuncture knife and other effects are a little faster. Chronic lower extremity numbness Numbness is caused by compression of nerve roots, and the relief of this symptom generally takes longer than chronic pain. The choice of neurotropic drugs is the basic treatment, and among the physiotherapy means, traction and other methods that help to change the nerve compression should be preferred. Medium-frequency local stimulation can also be useful in relieving the symptoms of numbness. In terms of Chinese medicine, osteopathic manipulation, acupuncture, Chinese medicine, etc. have very good results, especially osteopathy with acupuncture, sometimes can be seen very quickly, it is worth mentioning that the lower extremities local acupuncture cupping sometimes has a very good effect. Strictly speaking, numbness and wood belong to two symptoms, numbness is like the subjective feeling of insects crawling, wood is the lower extremity sensory impairment, belongs to the objective signs of hypersensitivity. Numbness is relatively light, easier to recover, and some treatments can even be immediate, while wood is more serious than numbness, it takes longer to recover. If a period of conservative treatment by various means does not work, lower extremity sensory impairment and motor dysfunction is progressively aggravated, surgery should be considered. Numbness and incontinence in the saddle area This is the most serious symptom manifested in patients with lumbar synostosis, and is usually due to the direct compression of the cauda equina nerve by a large protrusion. If the symptoms do not improve after a short period of bed rest, surgery should be performed decisively.