First, absolute bed rest therapy commonly used in the following three, are in a thick padded hardboard bed for treatment, and then absolute bed rest for 3-6 weeks. After the symptoms basically disappear, get up and move around under the protection of plaster girdle. The longest time of fixation of the waist circumference is up to half a year. This method has satisfactory curative effect on the first cases of acute diseases. 1, spine lying rest method: the patient can lie on the back, side, turn over or prone, but to avoid lumbar spine forward flexion action and prohibit sitting up or out of bed. The traditional treatment mechanism is that spinal rest in the lying position can relax the spasm of the lumbar muscles and reduce the pressure of body weight on the intervertebral discs, so that the lesion of the intervertebral space is widened, so that it is easy for the protruding nucleus pulposus to reset by itself. 2, spinal hyperextension rest method: patients lying on their backs, a hard pillow under the waist, to keep the lumbar spine hyperextension position on the absolute rest. The traditional treatment mechanism is that the hyperextension position of the lumbar spine forms the anterior opening of the diseased intervertebral space and the posterior angle, prompting the protruding nucleus pulposus to reset itself. 3, the spine anterior flexion position rest method: this method is quite popular in the United States. The patient lies on his back. The upper body with a backrest frame, the lower limbs and then elevated on the Braun’s frame; if necessary, additional lower limb skin traction braking. The traditional treatment mechanism is that the lumbar spine forward bending position to form the front of the diseased intervertebral space into the angle and the back of the opening, to facilitate the protruding nucleus pulposus reset itself. Second, traction therapy is suitable for chronic lumbar synostosis. The following are commonly used. Horizontal traction method: 1, manual traction: the patient lying on a hard bed, supine or prone can be. The assistant uses both hands to fix the upper part of the patient’s body; the operator holds the calf or ankle. The patient is held in parallel traction for 5 minutes. The traction should be performed once a day, 12 times for a course of treatment, and after the basic disappearance of symptoms, the patient should stay in bed for another 6 weeks. 2, lower limb skin traction: the patient lies on a hard bed. The inner and outer skin of both lower limbs were pasted with adhesive tape and fixed with bandage. Heel direction of the adhesive tape on the inner side of a small square board with holes, traction rope through the small holes and then through the pulley for parallel persistent traction for 3-6 weeks, the weight does not exceed 5 kilograms. 3.Pelvic gravity traction: the patient lies supine on a hard bed. The chest and pelvis are each fixed with a holster. The chest holster is fixed at the head side of the traction bed; the pelvic holster is connected to the traction rope, and the traction is performed by a pulley in the direction of the end of the bed for heavy traction. The weight of the traction is usually 1 50% of the body weight. The traction was performed once a day for 20 minutes each time. 12 sessions were considered a course of treatment. Afterward, continue to be bedridden for 6 weeks. 4, automatic traction bed large weight traction: general anesthesia or epidural anesthesia under the patient supine or prone in automatic traction bed. Thorax and pelvis are fixed with fixed belt and bed surface. When the electric button is turned on, the lumbar spine gap widens as the two sections of the bed are slowly pulled apart. Traction force can reach 150-200 kilograms. However, the traction time is short, mostly completed within half a minute. When the lumbar spine gap widening, some in the prone position in the lumbosacral region in line with the nucleus pulposus protruding on a foot or overlapping palms downward to press a few times; some in the supine position using the traction bed in the middle of the special electric equipment from the bottom upward in the lumbosacral region nucleus pulposus protruding on the top of a few times violently. Later on, bed rest for 6 weeks. Vertical suspension traction method: 1, hanging traction: a double bar as a traction frame, double bar on the horizontal placement of two bars to support the upper limbs. A special chest and waist circumference as traction belt. When traction chest and waist circumference bundled in the chest and waist section, through the pedal ladder on the traction frame. The upper limbs are supported on the horizontal bar of the double bar, and the chest and waist circumference is connected with the horizontal bar of the double bar, and the human body is suspended vertically on the traction frame after removing the pedal ladder. At this time, the waist and lower limbs are suspended, and gravity is used to pull the waist; all the gravity of the human body falls on the traction belt and the horizontal bar, which plays a role in counteracting traction. First static suspension for a few minutes, and then forwards and backwards and sideways swing. The greater the angle of swing, the greater the traction. Each traction 30 minutes to 1 hour, once a day. The traction process can be attached to the rehabilitation techniques, such as lumbar spine and pelvis rotation rocking techniques, lumbar compression of the lower limbs over-extension method and lower limb traction techniques. 2. Inverted traction: the patient lies supine on the automatic inverted traction bed. Both ankles are tied with special traction belt and fixed in the traction frame. Turn on the electric button, so that the bed plane gradually tilted to vertical, so that the body hangs upside down on the traction frame. And hanging traction suitable for the opposite, at this time the upper part of the torso and upper limbs hanging, by gravity to traction waist; body gravity all fall on the traction frame, play the role of anti-traction. First static suspension for several minutes. Similar to the above method, the same later for the front and back swing. Each traction 30 minutes, once a day. Third, rehabilitation therapy is also applicable to chronic lumbar synostosis. Methods are many, commonly used in the following categories. Manipulative rehabilitation: including traditional Chinese medicine “osteopathy”. 1, pulling hard stirrup method: the patient lying on his back on a hard bed, both lower limbs flat extension. The first step will be the affected side of the lower limbs flexion, so that the thighs close to the abdomen, and press the thighs to force the lumbar spine forward. The second step is to hold the upper ankle of the affected limb with both hands, so that the patient will stir the leg to straighten the combination of the operator at the same time with a strong pull, repeated three times. The treatment is applied once a day for a week. Symptoms of reduction, continue to bed rest for 3 weeks. 2, sitting and rotating method: the patient sits on a square stool, feet apart and shoulder width. When administering the treatment, the patient’s feet step on the ground and sit steadily without being allowed to move. The assistant faces the patient, clamps the patient’s thigh with both legs, and presses the root of the thigh with both hands to keep the patient seated. The operator sits at the back of the patient, and when the pressure point is on the right side, the operator’s left thumb forcefully clasps the right side of the spinous process at the pressure point, and the right hand presses the back of the patient’s neck with the palm of the hand through the patient’s right armpit. Then the operator’s left thumb pushes against the spinous process, and the right hand pulls and presses against the patient’s neck, forcing the spine to flex forward more than 90° and turn to the right side to bend to 45°, and then rotate backward. At this time, the operator’s left hand can feel the spine slightly mobile, if accompanied by a “click” sound, said the successful maneuver. Then massage and rationalize the muscles on both sides of the spine. Pressure and pain points on the left side of the person, the opposite operation. Treatment 1 time a day. Effective absolute bed rest for 2 to 3 weeks. 3, three steps of eight methods: that is, in three different positions on the implementation of eight kinds of rehabilitation techniques. Under general anesthesia or epidural anesthesia, in the supine position, the spine is pulled out and extended, the hip is rotated, the foot is suspended and the knee is pressed, the knee is pressed and the waist is held and the spine is pulled out and straightened, and in the side-lying position, the oblique pulling and twisting is performed and the leg is pulled out and the leg is pulled out and pressed and shivered in the prone position, etc. Eight kinds of bone-setting techniques are performed. For those who have effective treatment, bed rest is the same as before. Suspension and restoration of a prone position spine over-extension suspension restoration method: this method is widely used in Germany. Under general anesthesia, the patient lying prone on the operating table, double ankle lined with cotton pads after binding, connecting the suspension rope, through the wall of the lower extremities of the wall skidding diagonal hanging high, to the patient’s abdominal wall away from the table until. The patient was suspended in this hyperextension position for 20 minutes and then the lower extremities were leveled. The lumbar spine was kept turned supine in the hyperextension position and wrapped in a plaster undershirt. The immobilization time was 3 months. For effective cases, you can get up the next day for functional exercise. 4, other non-surgical therapies: such as epidural injection therapy or chemical nucleolytic therapy to treat lumbar synostosis is not the mechanism of the nucleus pulposus reset; there are massage, acupuncture, physical therapy, sealing, Chinese and Western drugs, external, fumigation or injection and other treatment mechanism itself is for the extra-vertebral soft tissue damage to the lumbar and leg pain, but also is not the nucleus pulposus reset. Therefore, they are not repeated in this paper. In summary, the following conclusion can be made: extravertebral soft tissue damage is an independent disease. The incidence of soft tissue damage lumbago is much higher than that of lumbar synostosis. Symptoms and signs of the former are very similar to those of lumbar synostosis, therefore, for a long time, extravertebral soft-tissue damage lumbar and leg pain or lumbar and leg pain combined with intraspinal “symptom-free” protruding nucleus pulposus are unconsciously misdiagnosed as lumbar synostosis, and routinely performed discectomy, which seriously affects the efficacy of the surgery. In fact, non-surgical treatments do not help to reset the nucleus pulposus; it is impossible to cure the real lumbar herniation. Mainly, the operation of non-surgical therapies is also unconsciously involved in the extra-vertebral soft tissue damage to the pathogenesis of low back pain and received a certain therapeutic effect, so objectively cause the efficacy of non-surgical therapies beyond the discectomy of the illusion. This concept of diagnosis and treatment must be corrected in order to improve the quality of diagnosis and treatment of low back pain.