Non-surgical treatment 1, rest 2, physical therapy: heat therapy, ultrashort wave, massage 3, non-steroidal anti-inflammatory drugs 4, improve microcirculation drugs nerve drugs For patients with only mild symptoms of degenerative lumbar spinal stenosis, do some lumbar and abdominal exercises, swimming and other exercises, drugs, heat therapy, massage, acupuncture has short-term effect, traction therapy, lumbar support, manipulation does not have long-term effect, because these These methods are unable to re-expand the narrowed spinal canal. It is also impossible to relieve the spinal cord and nerve compression. When the patient’s pain progresses to the point that it continues to interfere with normal life and work, surgery is required to solve the problem at its root. Surgical treatment Indications for surgery: non-surgical treatment is ineffective, severe lower back pain, significant intermittent claudication, severe spinal stenosis on imaging → spinal decompression Options: 1.Simple decompression 2.Decompression implant fusion 3.Decompression implant fusion Internal fixation 4.Non-fusion technique – elastic internal fixation