Lumbar disc herniation develops on the basis of degenerative changes in the intervertebral disc. Therefore, symptoms due to disc degeneration can be present for a significant period of time prior to the onset of disc herniation. Degenerative changes in the lumbar spine can remain without any obvious symptoms, but can also have the following symptoms, and these prodromal symptoms are not specific, other diseases can also have similar performance. 1, acute lumbar sprain: many people have experienced lumbar sprain, most of which is caused by damage while engaging in sports or heavy physical labor. However, some patients do not exercise a lot, just bending over to take things, or washing, folding, etc. suddenly lumbar sprain, often mistaken by patients as “flashing back”, and do not pay attention to, rest a few days or eat a little medicine, external ointment, etc., the pain can disappear, which is often a signal of lumbar disc herniation. 2, recurrent low back pain: in the case of lumbar disc degeneration and intervertebral joint instability or posterior joint hyperextension, patients can have recurrent low back pain. The interval between each attack varies from several days to several months. In this patient, the posterior joint is already in hyperextension due to the degenerated intervertebral space. Therefore, if you do hyperextension again, it is easy to occur joint capsule injury, and induce lumbar disc herniation. 3, chronic low back pain: Some patients gradually form persistent chronic low back pain after acute low back pain, and the pain increases after coughing, sneezing, defecating or getting up in the morning, and decreases after rest. This condition is mostly lumbar myofibrosis, and lumbar disc herniation may occur when triggering factors are encountered. 4, cervical and lumbar syndrome: lower lumbar spine is most likely to cause symptoms due to disc degeneration. This degenerative change can sometimes be multi-segmental affecting the entire lumbar spine and sometimes the cervical spine, resulting in cervical-lumbar syndrome. When patients come to the clinic with low back pain, the degeneration of the cervical spine is not yet symptomatic or is so mild that it goes unnoticed. Patients with cervicolumbar syndrome describe pain throughout the body, with pain in the neck radiating to the occiput, both shoulders and upper extremities, and sometimes to the chest. Changes in the lumbar spine can cause pain in both lower extremities. This condition may be considered by the physician as neurosis or may cause the physician to handle the patient hastily because he cannot grasp the main points. 5. Scoliosis: Some patients have lumbar pain with scoliosis without symptoms of leg pain, which should also be considered a prodromal symptom of lumbar disc herniation.