Lumbar spinal stenosis compressing the cauda equina is generally well-treated and includes both conservative and surgical treatment. Lumbar spinal stenosis is a clinical syndrome in which various factors lead to the narrowing of the spinal canal and the nerve root canal, thus compressing the cauda equina or the nerve root. Primary lumbar spinal stenosis should be treated surgically, while secondary lumbar spinal stenosis is mainly caused by peridural tissue proliferation and hypertrophy, such as disc herniation, and requires conservative or surgical treatment according to the patient’s condition. If the symptoms of lumbar spinal stenosis are mild, conservative treatments such as rest and quiet, acupuncture, massage, and taking Chinese medicines or proprietary Chinese medicines such as Hematopoietic Pills can be used to alleviate the symptoms. If conservative treatment is ineffective or the symptoms are severe, such as increased low back pain and numbness in the lower limbs, surgical treatment can be performed to remove the factors that cause stenosis of the spinal canal and the nerve root canal, so as to lift the compression of the cauda equina, which will improve the symptoms of low back pain and numbness in a timely manner. If you suffer from lumbar spinal stenosis, it is recommended that patients seek medical treatment in time to avoid delays. Pay attention to the use of drugs under the guidance of a doctor, avoid self-medication, regular review after surgery, pay close attention to changes in the condition and recovery.