(Disclaimer: This article is for general use only. The following information has been processed to protect patient privacy) Abstract: Lumbar disc herniation is one of the common lumbar disorders, especially among middle-aged and elderly women. The patient in this case, a 79-year-old woman, was admitted to the hospital with radiating pain in her lower back and left lower extremity as the main symptom, and was diagnosed with “lumbar disc herniation” according to her condition and auxiliary examination. After drug treatment and physical therapy, the patient’s lumbar symptoms improved and her condition was stabilized, and she was discharged. [Basic information] Female, 79 years old [Disease type] Lumbar disc herniation [Hospital] The First Hospital of China Medical University [Consultation date] May 2021 [Treatment plan] Drug therapy (furosemide injection, glucosamine sulfate capsule, prednisolone acetate injection, lidocaine hydrochloride injection, dexamethasone acetate tablet, prednisone acetate tablet) + physiotherapy (local hot compress, Chinese massage) Treatment period] 20 days of inpatient treatment, 6 months of outpatient follow-up [Treatment effect] Symptoms improved and the condition was stable. The pain was radiating, spreading to the left arm and the back of the left thigh, aggravated by activities and relieved by bed rest. On examination: the patient had limited movement of the left lower limb, edema, decreased muscle strength of the left lower limb, decreased sensation, decreased reflex of the left Achilles tendon, positive straight leg raising test on the left side, and positive strengthening test. The patient was given an MRI examination, and the results showed that the L2/3 and L3/4 discs were bulging and the corresponding level of spinal stenosis, and the L4/5 discs were bulging and mildly herniated and the corresponding level of spinal stenosis was mild. The initial diagnosis was “lumbar disc herniation”, and he was admitted to hospital for treatment. Treatment Combined with MRI examination and the patient’s own condition, the patient was given conservative treatment due to his age. Furosemide injection was given intravenously to control local edema, and glucosamine sulfate capsules were given orally to promote the synthesis of glycosaminoglycan, a component of the cartilage matrix of the intervertebral disc, and repair cartilage tissue. Prednisolone acetate injection combined with lidocaine hydrochloride injection was given to the patient for epidural injection, together with oral dexamethasone acetate tablets and prednisone acetate tablets to combat inflammation. At the same time, physiotherapy, local hot compresses and TCM massage were performed. After communicating with the patient and family, the family agreed to actively cooperate with the treatment after inquiring about the effects of the drugs. The patient’s lumbar pain was reduced after 3 days of treatment, and after 7 days of treatment, the symptoms of pain and edema in both legs were significantly reduced, and he could walk on the ground. 15 days later, the pain in the lumbar region and both lower limbs disappeared, but there was still slight pain in the lumbar region, and he could not stand and walk for a long time. 20 days later, the patient reported good mobility of the lumbar region, and he moved freely within a short period of time, and on examination, the patient moved freely in the left lower limbs, the symptoms of edema disappeared, and the lumbar region The patient’s symptoms improved and her condition was stable, so she was discharged from the hospital. After the patient’s symptoms were relieved, her mental state also improved, and she came to the office to express her gratitude when she was discharged from the hospital. The lumbar and back muscles should be properly exercised to increase the intrinsic stability of the spine. In acute attacks, bed rest should be strictly applied, with neither urination nor defecation getting out of bed or sitting up, in order to have better results. Try to avoid bending and holding objects for 3 months after discharge. In addition, even when the weather warms up, attention should be paid to keeping the lumbar area warm to avoid getting cold. V. Personal insight Lumbar disc herniation can recur, and patients should avoid blind medication during acute attacks of lumbar disc herniation, such as the patient in this case, who developed lower back pain and radiating pain in the left lower extremity 1 week ago, aggravated by activity and relieved by bed rest, did not consult a doctor in time, but chose to treat himself with medication, which is not only ineffective, but may also lead to aggravation of symptoms. In addition, during the acute attack period, patients also did not strictly lie in bed, which aggravated their symptoms. Therefore, if acute symptoms occur, one should seek medical attention in a timely manner and treat them under the guidance of a doctor, while paying attention to strict bed rest.