Lumbar disc herniation is a very common clinical condition, and one for which clinical treatment is currently extremely confusing. Spinal surgery, orthopedics, physical therapy, pain, Chinese orthopedic injuries, rehabilitation, massage, acupuncture, charlatans, etc. may encounter this type of disease, and the diagnostic confusion is extremely serious. Another issue of great controversy is the question of indications for surgery. The SPORT study group in the United States after more than 700 cases of research shows that radicular pain (i.e., patients with leg pain), and positive signs of nerve root compression (legs can not be too high) or neurological dysfunction (leg numbness, weakness and bowel and bladder abnormalities, etc.), the lumbar spine by CT or magnetic resonance examination of the protruding discs confirmed to be consistent with the clinical symptoms, the symptoms lasted more than 6 weeks (including recurrent, sporadic, intermittent, and intermittent onset), and the symptoms are not consistent with the clinical symptoms. patients with intermittent onset of symptoms for more than 6 weeks). Surgical treatment was chosen to achieve better clinical outcomes. It is worth noting that previous studies have concluded that surgical treatment is less effective in patients with low education, depression and anxiety, and long duration of symptoms, and that surgical treatment should be chosen with caution. From the conclusion of this study, both surgical and non-surgical outcomes were poorer in these patients, but relatively speaking, surgical was more effective than non-surgical. In addition, although patients with lumbar disc herniation have more obvious surgical results, non-surgical treatment is not useless, and many patients with indications for surgery can also obtain satisfactory clinical results through non-surgical treatment. I think: lumbar disc herniation patients can be roughly divided into four categories, the first type of good transition, that is, after conservative treatment to improve and long-term maintenance of the onset of the person; the second type of stable, after conservative treatment effect is not obvious, but the condition did not continue to aggravate the normal life and work of the impact is not great; the third type of recurrent, that is, the symptoms of a short period of time to improve the recurrence of onset of the person, the onset of the condition of each time there is a different degree of aggravation, and a certain impact on the normal life and work of the person. To normal life and work have a certain impact; the fourth type of deterioration, that is, the condition regardless of treatment continues to aggravate, affecting normal life and workers. The treatment of the first type of patients is of course welcome, as long as the usual attention, including do not sit for a long time, force to lift heavy objects, sudden bending and active and reasonable scientific lumbar and dorsal muscle function exercise, do not need to continue treatment. The second and third categories of patients mainly depends on the degree of pain and the degree of impact on normal life and work, if they are larger, and have the determination to lift the pain, it is recommended to actively surgical treatment. The fourth category of patients recommended surgical treatment, do not have to talk about him.