Painful lumbar disc herniation is mainly treated by the following methods: 1. Conservative treatment. Absolute bed rest is required to avoid aggravation of the herniated disc by weight-bearing, causing further compression, while continuous traction therapy can be used to reduce the force on the disc and help part of the disc to retract, thus reducing the disease, while for those who cannot tolerate pain, non-steroidal anti-inflammatory drugs such as meloxicam can be taken orally for symptomatic treatment to improve symptoms. 2, surgical treatment. Including intervertebral foramenoscopic minimally invasive surgical treatment and open surgery, for the protrusion is more obvious, causing obvious pain, accompanied by lower limb radioactive numbness, weakness, imaging examination compression nerve root obvious, and the effect of conservative treatment is not satisfactory, you can consider surgery, according to the site and nature of the herniated disc, as well as the surrounding bony compression to determine the mode and method of surgery.