A, rheumatism, osteophytes, sciatica – the former life of “lumbar protrusion”? I don’t know if there is still such a picture in the memory of 30 years old and above: the exterior walls of housing, green trees, bus stops, and even the ground of the streets, are full of various small advertisements, or documents for, or medical advertisements, etc., which were once denounced as “urban moss”. And in the medical small ads, “special treatment rheumatism, osteophytes, sciatica, ……” refers to the basic problem of back and leg pain. The diagnosis of “lumbar protrusion” emerged from the widespread use of CT and MRI in clinical practice, which is only nearly 20 years ago. Before that, many patients with low back and leg pain who went to the hospital for “low back pain” were generally told that they had “rheumatism or osteophytes” and that “leg pain” was generally diagnosed as “sciatica”. This point is believed to be more deeply experienced by patients with low back and leg pain over 50 years old. Second, the present life of “lumbar disc herniation”! As mentioned above, the widespread use of CT and MRI in orthopedics has provided the easiest and most intuitive way to detect “lumbar herniation”. On the one hand, their intuitive nature makes it easy for patients to accept the rationality of the diagnosis. On the other hand, lumbar protrusion can be a mild case of lumbar pain, or a severe case of urinary or fecal incontinence and “paralysis” of both lower limbs. The fact that it can be light or heavy provides enough room for a small number of doctors who are not well educated or have poor medical ethics to move in and out of treatment options. “It is also important to note that the “lumbar protrusion” has become the consensus choice between the doctor and the patient. It is important to note that from “rheumatism, osteophytes, sciatica” to “lumbar protrusion”, there is no doubt that there is a great progress in medicine, and the treatment of patients with back and leg pain due to “lumbar protrusion” has become more standardized. The treatment of patients with back and leg pain due to “lumbar protrusion” has become more standardized and targeted, which has benefited countless patients. But at the same time, the limitations of medical understanding are such that we cannot stay at the level of “lumbar protrusion” forever. Improving awareness, refining diagnosis, and choosing more targeted treatment methods so that patients can be treated more appropriately should be the common ultimate goal of doctors in orthopedics, massage, acupuncture, rehabilitation, and other related departments, as well as patients. In this process, patients should also raise awareness as much as possible to avoid “being lumbar” to avoid unnecessary injuries.