Spinal stenosis compressing the sciatic nerve can be treated with rest, physical therapy, medication, and surgery. 1. Rest: spinal stenosis compression of the sciatic nerve can be treated conservatively if the nerve compression is mild and the symptoms of pain and numbness in the lower back and legs are mild. For example, pay attention to rest, wear lumbar immobilization belt to reduce the pressure of the lumbar spine. 2. Physiotherapy: the lower limbs of the spine compression of the sciatic nerve, can be lumbar hot compresses, massage, baking electricity and other physiotherapy to improve local function to promote the absorption of inflammatory substances. 3. Drug therapy: oral anti-inflammatory and analgesic drugs to combat inflammation and relieve pain, such as nimesulide, diclofenac sodium, oral neurotrophic drugs such as methylcobalamin, adenosylcobalamin and so on. 4. Surgery: If spinal stenosis causes obvious compression on the spinal nerve roots, the pain and numbness are more serious, and the conservative treatment is ineffective, surgery can be chosen for treatment, such as spinal decompression and implantation and fusion internal fixation surgery. If the symptoms of spinal stenosis appear, it is recommended that the patient go to the hospital for medical examination. Improve the examination, clarify the cause of the disease, and receive regular treatment.