A lumbar disc herniation may cause spinous process pain. The gradual progression of a lumbar disc herniation can affect the surrounding soft tissues, including the spinous processes and sciatic nerve. When symptoms are severe, they may also radiate to the thighs, calves, and ankles, causing soreness, pain, and numbness. In the case of lumbar disc herniation causing spinous process pain, it is considered to be a complication caused by the herniated nucleus pulposus irritating the nerve root or the cauda equina. Most of the patients will have obvious percussion pain and tenderness, and will travel along the sciatic nerve, and the symptoms will be significantly aggravated during activities. When lumbar disc herniation causes spinous process pain, rest should be paid attention to and strenuous exercise should be prohibited for a short period of time. Severe symptoms need to be treated with medication as soon as possible, such as oral non-steroidal anti-inflammatory drugs (NSAIDs), including celecoxib and ibuprofen, etc., which should be used under the guidance of a medical professional.