More and more young patients come to me with a diagnosis: “Dr. Yu, what should I do if I have a lumbar disc herniation? Dr. Yu, “I’m in a lot of pain, do you think I need an MRI to see if I have a herniated disc?” And so on and so forth. Most of these young patients are white-collar office workers, aged 25 to 30, who spend up to 8 hours a day sitting in front of a computer and spend their breaks in bed, with very little opportunity for activity. The physical signs on examination do not show signs of lumbar synostosis. Some people are a little older and come to me with MRI films: “Dr. Yu, I have a lumbar disc herniation and my back hurts.” “Is there any discomfort in your legs?” “No, I just can’t even stand up after sitting for a long time. You can see that the MRI report says I have degeneration and herniated discs in my lower back”! The symptoms of low back pain are still mainly examined by clinical symptoms, the causes of low back pain are very complicated, and imaging is only a reference. The majority of patients in the first category are suffering from a decrease in paravertebral muscle function due to prolonged sitting and lack of exercise of the lumbar back muscles, which will accelerate the degeneration of the vertebrae and intervertebral discs in the long run. Even if the MRI report has a herniated disc, a majority of patients do not have lumbar herniation and only have back pain, which is still related to the degeneration of the paravertebral muscles. Therefore, we must avoid these misconceptions, physical therapy to improve the spasm of the lumbar back muscles in the period of the onset of the deformity, as well as adhere to the lumbar back muscle exercise will be able to relieve the symptoms.