Discogenic lower back pain is an extremely common clinical condition, which refers to lower back pain caused by various lesions within the lumbar disc, such as disc degeneration and endplate injury stimulating pain receptors within the disc, and is not accompanied by neurogenic signs and symptoms, no radiological evidence of nerve root compression or spinal motor segment overactivity, and the main pathological change is intradiscal fracture. The main clinical manifestations of discogenic lower back pain are: (1) Recurrent lower back pain without lower extremity radiating pain and intermittent claudication lasting more than 6 months, without signs of nerve root compression, and no significant relief of lower back pain after regular conservative treatment. (2)Imaging examination did not show signs of lumbar instability such as disc protrusion, lumbar spinal stenosis, lumbar spinal slippage, etc. Only MRI examination showed disc degeneration. (3) CTD examination may induce the same lower back pain as in the past. Positive discography is the gold standard for the diagnosis of discogenic lower back pain. Current treatment is mainly minimally invasive and includes: (1) percutaneous puncture cryoplasty of the nucleus pulposus (2) Percutaneous puncture intervertebral disc radiofrequency therapy. (3) Percutaneous puncture laser vaporization treatment. (4) Ozone nucleolysis (PIMOI). (5) Joimax intervertebral disc endoscopic diagnosis plus various radiofrequency, laser and ablation techniques, etc. The clinical choice is made on a case-by-case basis.