The choice of treatment for lumbar disc herniation depends mainly on the different pathological stages and clinical manifestations of the disease. Surgical and non-surgical treatments have their own indications, and most lumbar disc herniations can be cured by non-surgical treatments. For the orthopedic surgeon, it is important to take a detailed history, examine the body carefully, and become familiar with the relevant special tests, such as electromyography, X-ray signs, spinal canalography, CT and MR, etc. Only in this way can we have a more comprehensive understanding of the process and adopt an appropriate treatment method. Depending on the pathophysiological and anatomical course of the lumbar spine lesions, the impact of the symptoms on the body and their regression will be different, and this will determine the choice of treatment. However, in principle, all groups of cases should start with non-surgical treatment, which not only saves the patient from the pain of surgery, but also allows observation of the course of the disease, so as to obtain the basis for revision of the diagnosis and treatment plan. (A) Selection of non-surgical cases 1. In principle, non-surgical treatment should be used first for first-time patients, except when there are obvious symptoms of cauda equina damage. 2. The duration of the disease may be longer for those with milder symptoms, but the nucleus pulposus is mostly protruding, not prolapsing, so it is easy to cure. 3. For those with unclear diagnosis, it is often difficult to make a clear diagnosis at an early stage because of the confusion of various diseases, and most of them need to be clearly diagnosed through non-surgical treatment, observation and corresponding examination measures. 4.The systemic or local conditions are not suitable for surgery, mainly refers to the elderly, frail elderly patients, or other local lesions. 5.Others include those who have contraindications to surgery or anesthesia, or those who refuse surgery. (2) Purpose and specific measures The main purpose of non-surgical treatment is the following five points, and according to their requirements and choose the appropriate method. Rest] is the basic condition for recovery from any injury, especially for the diseased vertebral segment. According to the condition of the following measures can be taken. 1, absolute rest on a plank bed is applicable to the more serious condition. 2.Bed rest with traction is also suitable for heavy, especially for those with herniated nucleus pulposus or acute attack of nucleus pulposus prolapse. 3.Lumbar braking is used for light or recovery period, among which plaster waist circumference is the best, followed by leather waist circumference or canvas waist circumference. The plastic lumbar girth should be used sparingly because of poor permeability, and the simple lumbar girth has the least effect. In addition to rest, the main methods are: 1. Traction with pelvic belt is the best with 24h full day continuous traction, the efficiency can be more than 60%, especially for those who are prominent. Generally last for 3 weeks, after 3 weeks to replace the plaster lumbar circumference. 2, mechanical traction that is, intermittent traction with various traction devices, including mechanical or electric traction bed. For acute protrusion, the efficiency is slightly lower than the former. 3.Manipulation pushing and moving The operator puts the patient’s lumbar spine under traction (pulling) with his bare hands and applies manipulation pushing and moving to make the herniated nucleus pulposus return. The efficiency varies depending on the operator. The edema at the root cuff is not only one of the main causes of severe root pain, but also prone to secondary arachnoid adhesions, therefore, efforts should be made to make it subside as soon as possible. 1, steroid injection therapy in addition to the commonly used intravenous drip, can also take epidural injection or sacral injection. 2.Diuretics can be taken orally with diuretics in general. 3.Local massage can be used to eliminate root edema through local muscle antispasmodic and promote blood circulation. 4.Physiotherapy or external application of drugs is similar to the former. This is one of the clinical topics of interest to some clinicians in recent years. Although it has curative effect, it has mixed reviews. In the author’s opinion, it should not be used in all cases where surgery is possible in the future. The complications of myeloablative chemotherapy are 2% to 3%. The common complications are: (1) allergic reactions temporary rash, which occurs several days after chemotherapy and requires no special treatment; temporary purpura with or without hypotension, which is seen minutes after chemotherapy and can rapidly subside with intravenous hormone administration; anaphylactic reactions, which occur within minutes after chemotherapy with generalized urticaria, severe hypotension, bronchospasm, and application of emergency intravenous hormone administration. North American Medical Center has reported 2 cases of allergic death. (2) Discitis can be septic discitis or aseptic discitis. The former is effective with antibiotics, while the latter has an unclear cause and presents with low back pain and a significant reduction in disc height. (3) Burning neuralgia puncture needle injury to the nerve root and nerve sheath membrane, and penetration of proteases into the nerve fibers through the injury site. (4) Secondary foraminal or spinal stenosis after chemotherapy, the intervertebral space is significantly narrowed in 50% of cases, resulting in smaller foramina and compression of nerve roots. Due to the reduction of the vertebral space, epidural connective tissue formation can cause local spinal stenosis, which is called spinal stenosis after chemical lysis of the nucleus pulposus. It is manifested in the early relief of symptoms after chemotherapy, but the original symptoms appear again later. In view of this situation, most hospitals in China do not carry out chemolysis of the nucleus pulposus. 【Promote the recovery of lumbar muscle strength】 Patients should be encouraged to actively perform functional exercises for the lumbar back muscles in non-acute cases to strengthen the sacrospinous muscle and facilitate the recovery of lumbar function.