Centralized lumbar disc herniation causing back pain can be treated either conservatively or surgically. For patients with initial onset, short duration of disease and mild symptoms, conservative treatment can be adopted first, including rest, lumbar support, pelvic traction, physiotherapy, massage, etc., supplemented with non-steroidal anti-inflammatory drugs such as celecoxib. Some patients may experience relief after conservative treatment. If the conservative treatment is ineffective, the symptoms worsen progressively, the low back pain is severe and intolerable, or there are obvious nerve compression symptoms, surgical treatment should be considered, and according to the condition of the patient, he/she can choose minimally invasive endoscopic intervertebral disc removal surgery or open surgery. Patients suffering from centralized lumbar disc herniation and experiencing low back pain symptoms are advised to go to the hospital as soon as possible, and ask the professional doctor to fully assess the severity of the condition and choose the appropriate treatment, rather than blindly using medication.