The treatment of lumbar disc 4-5 herniation includes conservative treatment, surgical treatment and so on. 1. Conservative treatment: if the imaging suggests that the lumbar disc is herniated in 4-5 sections, but there is no symptom, no special treatment can be done, and the main focus is on prevention, such as avoiding long-term stooping and bending of the waist, standing and sitting for a long time, etc.; if the symptom is mild, symptomatic treatment can be chosen, such as physical therapy, rehabilitation training, traction, etc., and drugs such as ibuprofen, methylcobalamin, etc., can also be taken orally. 2. Surgery: If the symptoms are severe, with weakness of both lower limbs, abnormal function of both bowels, or ineffective after conservative treatment, which seriously affects the normal work and life of the patient, surgical intervention can be considered. Currently, intervertebral foramenoscopic surgery is the mainstay, but open posterior surgery can also be chosen, and the specific surgical method needs to be evaluated by the doctor according to the patient’s condition and then decided. The above medications should be used under the guidance of a doctor, avoid self-medication.