There are a variety of non-surgical treatments for low back pain, ranging from simple bed rest to the use of expensive traction equipment, all of which have reported exciting cure rates and unfortunately most of which have not been scientifically demonstrated. (Campbell) The goal is to accelerate the resolution of inflammatory edema in the herniated portion of the disc and the irritated nerve root, thereby reducing or relieving the irritation or compression of the nerve root. Non-surgical treatment is mainly applicable to: ① young, first attack, short duration of the disease; ② rest after the symptoms can be relieved by themselves; ③ X-ray examination without spinal stenosis. 1. Bed rest ①The simplest treatment for acute low back pain is rest. Bed rest for 2 days is better than long-term bed rest. Bending the knees and hips side position and a pillow between the legs, can significantly relieve the pressure on the intervertebral discs and nerve roots. (Campbell) ② absolute bed rest, emphasizing urination and defecation should not get out of bed or sit up, after 3 weeks of bed with a waist cuff to get up and move around, 3 months without bending over to hold the action. 2, drug therapy: ① can choose muscle relaxation, analgesic, sedative drugs, can also be applied to relieve tendons and activate the blood of Chinese herbal preparations. (Practical Orthopedics) ② for the treatment of lumbar-leg syndrome drugs are varied, their efficacy is also different. In the treatment of outpatients, the current tendency is not to use strong anesthetics and muscle relaxants, especially in patients with chronic low back pain, because medication often causes addiction and aggravates depression. Short-term oral hormones can be helpful as can oral anti-inflammatory drugs. Non-steroidal drugs are recommended to reduce pain and inflammatory response (e.g., diclofenac sodium extended-release capsules, celecoxib capsules), muscle relaxants (e.g., epirubicin hydrochloride tablets), and others, such as compound capsaicin cream and fuselin. 3, traction: ① pelvic traction, traction weight according to individual differences between 7 to 15kg, elevated bed feet to do reverse traction, a total of 2 weeks. Spondylolisthesis, active hepatitis, pregnant women, hypertension and heart disease patients are prohibited. ② intermittent traction, 2 times a day, 1 to 2 hours each time. 4, physical therapy should be applied with caution, the content of the exercise should be suitable for the patient’s symptoms, rather than forcing the patient to carry out a series of unchanging activities. Any exercises that can aggravate pain should be terminated. Lower extremity exercises can increase muscle strength and relieve back tension, but they may also aggravate the arthritic symptoms of the lower extremities, and the real benefit of these treatments lies in improving the patient’s posture and the body’s mechanical function, rather than increasing muscle strength. 5, massage and massage specific methods, domestic practitioners in this area, the level of uneven, so the efficacy of large differences. It should be noted that the violence of massage often more harm than good. 6, hormone epidural injection The hormone epidural injection of lumbar spine obviously has a certain clinical trend. ① When the patient has nerve root injury with disc herniation or lateral spinal canal bony stenosis, a successful treatment of transforaminal injection can relieve the symptoms of radiating pain in the lower extremities, even if it is temporary; however, this kind of patient has good results in treating the nerve root pain by surgery. ② Surgery is less effective in patients in whom puncture therapy is ineffective and in those who have had radicular pain for at least 12 months. ③ Patients with acute low back pain (less than 3 months old) respond well to epidural corticosteroid injections. Unless there is a definite re-injury resulting in acute disc or nerve root injury, post-surgical patients respond poorly to epidural hormone injection therapy. ④ Transforaminal approach: 2 ml of betamethasone sodium phosphate (6 mg/ml) is injected slowly. ⑤ Transforaminal approach: 1 ml of 0.75% lidocaine and 1 ml of betamethasone sodium phosphate (6 mg/ml), totaling 2 ml of fluid injected slowly. Hormone epidural injection ⑥ Injection via caudal approach: 3 ml of 1% lidocaine, 3 ml of betamethasone sodium phosphate (6 mg/ml) and 4 ml of sterile saline, a total of 10 ml of fluid injected slowly. (vii) Long-acting corticosteroid preparations plus 2% lidocaine are often used for epidural injection, once every 7 to 10 days, 3 times for a course of treatment. After an interval of 2 to 4 weeks, another course of treatment can be used, if it is not effective, then there is no need to use this method. If there is no basis, should not arbitrarily add other drugs co-injection, in order to avoid adverse reactions.