Lower back pain due to intervertebral disc pathology can be broadly categorized into two groups based on their pathogenesis: discogenic and spinal or neurogenic. The point of differentiation is whether the pain is confined to the lower back or involves radiating pain to the lower extremities, with the latter indicating nerve root damage, mostly due to disc herniation. Discogenic pain is defined as degeneration of the annulus fibrosus to form an enthesopathy without superficial rupture, without signs and symptoms of nerve root damage, and is characterized by chronic lumbosacral pain that worsens with sitting. Diagnosis depends on MRI showing degenerative manifestations in the intervertebral disc, and T2-weighted image showing a high signal area in the posterior part of the intervertebral disc, suggesting that there is a fissure in the posterior part of the annulus fibrosus, as the fissure contains the fluid of the intervertebral disc and local inflammatory reaction. Discography induces corresponding pain and shows a disc fissure extending into the outer 1/3 of the annulus fibrosus, usually a marginal tear attached to the nucleus pulposus. At the same time, other adjacent discs may be free of degeneration, and the pain is not reproduced on discography, and the diagnosis of discogenic pain is made by combining clinical symptoms and signs. After the diagnosis of this disease is confirmed, the main application of non-surgical treatment, in recent years, more use of disc thermal therapy and ozone nucleus pulposus dissolution therapy, IDETA puncture catheter can be bent in a circular shape, along the annulus fibrosus tissue to reach the posterior annulus fibrosus rupture, and gradually increase the temperature, so that the collagen fiber contraction, denaturation, polymerization, and destruction of the local nerve endings. These new treatments have developed rapidly recently, but the long-term efficacy remains to be seen.