Lumbar vertebra 4 and 5 bulging, if no symptoms, can pay attention to adjust the lifestyle, no treatment, if the symptoms are obvious, the patient can take general measures to adjust, if necessary, need to take medication, physical therapy, surgical treatment. 1. General measures: for patients with lumbar spine expansion of the 4th and 5th section, patients need to rest in bed when the symptoms are not serious, patients can wear a waist cuff when they get out of bed. 2. Medication: For the pain caused by the 4th and 5th lumbar bulge, non-steroidal anti-inflammatory drugs such as Celecoxib and Etoricoxib can be used under the guidance of doctors. 3. Physical therapy: patients with lumbar spinal column 4 and 5 bulge can also take pelvic traction or physical therapy and other ways to relieve. 4. Surgical treatment: If the symptoms of lumbar spinal bulge at the 4th and 5th vertebrae are severe and non-surgical treatments are ineffective, surgical treatments such as total laminectomy with nucleus pulposus removal, hemilaminectomy with nucleus pulposus removal, and minimally invasive intervertebral disc removal are needed. When the 4th and 5th lumbar bulge occurs, it is necessary to consult a doctor in time, and the doctor will choose the appropriate measures to treat the patient’s condition, do not blindly use medication.