The main treatments for lumbar 4-5 osteophytes are physical therapy, medication and surgery. 1. Physical therapy: If the condition of lumbar osteophytes is mild, you can choose physical therapy to relieve it, such as rest, avoid sitting and standing for a long time, reduce the weight of the waist, you can wear a support such as a waist cuff to limit the lumbar activities, but you should pay attention to not wear it for too long. 2. Medication: If the pain is severe, you can take non-steroidal anti-inflammatory analgesic drugs, which have strong anti-inflammatory and analgesic effects and can relieve pain, such as celecoxib and ibuprofen. 3. Surgical treatment: If the condition of osteophytes is serious, surgical treatment is needed. The use of braces or drugs should be under the guidance of a doctor. Lumbar vertebral osteophytes should go to the hospital in time, and the doctor will choose the appropriate treatment according to the condition.