The fourth and fifth lumbar spine bulge needs to take treatment measures according to the condition, generally based on bed rest, wearing a waist cuff, physiotherapy, medication and other conservative treatments. The fourth and fifth lumbar bulging refers to the lumbar 4, 5 disc bulging, if there is no obvious symptoms, can be appropriate to strengthen the lumbar daily protection to avoid aggravation. If there are symptoms in the lumbar region and lower limbs, conservative treatments such as bed rest, wearing a waist cuff, physical therapy such as hot compresses, and oral anti-inflammatory and pain relieving drugs such as celecoxib are usually the mainstay of treatment. Surgery is not usually considered unless there is a clear indication for surgery. The treatment of lumbar vertebral bulging needs to be different according to different conditions, it is recommended to go to the hospital to improve the relevant examination, according to the doctor’s recommendations for treatment.