Lumbar pain is the most prominent manifestation of lumbar disc herniation, and many patients reflect the “buttock pain”, why is also diagnosed as lumbar disc herniation? Lumbar cinnamon intervertebral disc herniation patients why often have hip pain? Colleagues of two patients, Zheng has a lumbar 4-5 disc herniation, and Xiao Ma is lumbar 5-sacral 1 disc herniation, why do two people walk with buttock pain? In fact, the herniated disc will compress and damage the corresponding spinal nerve, and when the nerve is stimulated, it will cause spasm and ischemia of the corresponding innervated muscles, resulting in pain and other discomforts, which are more obvious when walking. Because lumbar 4-5 disc herniation generally damage is lumbar 5 nerve, lumbar 5 nerve innervates the gluteus medius (a muscle in the middle of the buttocks); lumbar 5-sacral 1 disc herniation generally damage is sacral 1 nerve, sacral 1 nerve innervates the gluteus maximus muscle (also in the buttocks), so the herniation of these two different parts of the disc can cause pain in the buttocks. Is there a difference between a herniated disc and a bulging disc? Lumbar disc herniation can be categorized into four types: bulging, herniated, prolapsed and free. The bulging type is that the annulus fibrosus is cracked internally but the outer layer is intact, uniformly exceeding the edge of the vertebral body in all directions, generally not compressing the nerve root, and is characterized by recurrent lumbar pain without obvious leg pain symptoms, which can be relieved by conservative methods such as traction and bed rest. In the prolapse type, the annulus fibrosus is completely ruptured and the protruding nucleus pulposus is completely dislodged into the spinal canal, but it is still continuous with the corresponding intervertebral disc, then it will compress the corresponding nerve root, and one or both sides of the leg pain and numbness symptoms will be obvious. The prolapsed type is difficult to heal on its own, and conservative treatment is relatively ineffective, requiring minimally invasive treatment or surgery in most cases.