Many people are troubled by lumbar disc bulge and herniation, cupping, acupuncture, massage and other treatments tried and tested, is the symptoms repeatedly do not get better. These phenomena are indicative of the irregularities in the treatment of some physicians and the misunderstanding of the disease, the following I do a detailed account of the conservative treatment of lumbar disc bulge and herniation and the process. 1, Diagnosis: In addition to a detailed history and physical examination, the diagnosis needs to be confirmed by relevant imaging data. CT and MRI have a good indication of the extent of lumbar disc bulge or herniation, the shape of spinal stenosis and the degree of nerve compression, which are the most commonly used auxiliary examinations, and can also be used to rule out some other causes of the same symptoms (inflammation, tumors, small joint disorders, etc.). To rule out, this step is the prerequisite for all treatment and is the top priority! 2.Principles: The general treatment principles, that is, the general direction of the overall treatment should be decided by the doctor and the patient together. Medical development to date, mature treatment techniques have indications to speak of, strict compliance while taking into account the patient’s own situation and treatment expectations can often develop a more clear treatment plan. For example, if a patient clearly needs surgery to remove a herniated disc (long-term conservative treatment is ineffective, seriously affects quality of life, or has progressive neurological impairment), but the patient is unwilling to undergo surgery due to fear or is too old to tolerate anesthesia and surgery, the physician has to settle for a second treatment plan. By the same token, patients with mild lumbar disc bulge or herniation, who are expected to improve with conservative treatment can be spared surgery and get satisfactory relief from their symptoms as long as they follow the steps in a strict and standardized manner. 3, steps: The first step requires bed rest, some doctors say “absolute” bed rest, which shows the importance of this step. Here are three details need to pay attention to: (1) the bed should be a hard bed or hard mattress, do not still lie on a soft bed or water bed. (2) posture is best to lie flat, lying tired can lie down for a while, bowing side effect is slightly worse. (3) If there is bedside traction equipment at home can be applied, but should be in the hospital first after consulting the doctor according to medical advice for traction. The second step needs to adjust the habits and find out the usual causes of lumbar disc herniation for correction. The common ones are sitting and standing posture, work nature, travel habits, sports and recreation, etc. Here we need to point out that: (1) many people have the habit of working or studying, if you can not properly combine work and rest (work for a while to get up to rest for a while), then we should pay attention to the sitting posture. Do not hunch over and bow, so that the normal physiological curvature of the lumbar spine is contrary to the computer screen should be the center point and the eyes at the same level (now with a laptop computer comrades many people can not do this). (2) the seat should be placed in the lumbar right in the middle of a cushion, preferably with a little hardness of the kind, travel driving is also the reason. The third step requires exercise of the low back muscles, which can share some of the strength for everyone’s fragile lumbar intervertebral discs. A common method is to lie on the bed or mat to do swallow flying action, some physicians also recommend breaststroke, in fact, are a way to exercise the lumbar back muscle. With rigid lumbar effect is less effective, because it is relieved with the help of tools is not their own initiative to enhance. But this method should not be done when the back pain is intense, which will only aggravate the symptoms, to be repeatedly practiced in the relief period, adhere to more than six months to a year to have a significant effect (halfway patients should pay attention to the minions). The fourth step needs to understand other treatment modalities, and the others mentioned here do not include surgical removal of the disc and minimally invasive interventions for nerve roots and discs. I want to talk about some of the most common treatments for patients with lumbar disc bulge or herniation: for example, acupuncture, physiotherapy, hot compresses, plasters, etc. are only effective for the local symptoms of the waist, the symptoms of the legs will not be relieved, and the relief is often not the pain caused by the lumbar disc herniation itself but the pain caused by lumbar myofasciitis (i.e. lumbar strain, as the saying goes, flashing the waist); traction can effectively relieve the symptoms of the legs However, the effect is short-lived and the herniated lumbar disc can only be suppressed for a short period of time; massage and orthopedic methods are not recommended because they may cause potential danger.