Lumbar five sac one dural sac compression is the manifestation of lumbar disc herniation, combined with the severity of the condition, you can choose conservative treatment or surgical treatment. 1. Conservative treatment: for patients with lumbar five sacral protruding dural sac compression, if they only have obvious pain in the lumbar and hip area, they can choose conservative treatment. And conservative treatment is to reduce the long time of ambulatory work and study. You can also follow the doctor’s instructions to use aspirin, ibuprofen and other drugs to relieve pain. After the pain disappears, you should do more exercises for the lumbar back muscles, such as practicing swallow fly or swimming, proper exercise can strengthen the stability of the lumbar back muscles, thus preventing lumbar disc herniation. 2. Surgical treatment: For serious symptoms of lumbar pain and frequent recurrence, surgical treatment is required. The main surgical methods are lumbar endoscopic nucleus pulposus removal, lumbar implant fusion, etc., which can alleviate the pain caused by lumbar disc herniation with lumbar five-sacral dural sac compression. It is important to avoid or minimize bending of the lumbar region during the day. In addition, it is necessary to develop a lifestyle of regular exercise, proper sitting and standing posture, which can help to prevent and relieve lumbar disc herniation, and to seek medical treatment for lumbar discomfort to avoid the development of the condition.