Lumbar disc herniation is not the same as lumbar bone growth. Lumbar disc herniation is due to degenerative changes in the lumbar intervertebral disc, partial or total rupture of the annulus fibrosus, the nucleus pulposus protrudes to irritate or oppress the nerve root, the cauda equina and the syndrome caused by. The main manifestations are lumbar pain, sciatica, lower limb numbness and other symptoms. Long-term exertion, bad posture such as long-term stooping labor, long-term sitting work and other bad lifestyle can induce this disease. Lumbar bone hyperplasia refers to long-term repeated muscle strain caused by local wear and tear, destruction leading to changes in the articular cartilage, increased bone density or osteoporosis at the edge of the vertebrae, the edge of the joints or the articular surfaces. Histologic examination without any pathological changes, also known as osteoarthritis, proliferative arthritis. The main manifestations are inconvenience in straightening the waist and inflexibility in lifting the legs. Lumbar disc herniation and lumbar bone hyperplasia can be differentiated and diagnosed by imaging. Lumbar disc herniation will appear as a low-density image of a disc arcing downward, sometimes manifesting as a bubble sign. Lumbar bone hyperplasia imaging shows the appearance of bone spurs and bone flora around the vertebrae, narrow joint space, and vertebral deformation. These are two diseases that need to be clearly diagnosed before standardized treatment.