Complaints: Chronic low back pain and left sciatic down to the foot. 8 years ago, he had 3 epidurals and a surgery but there was still no significant relief. Acupuncture: Left side Yang Horary Points in Metal-Order of LI1, UB66, GB41, SI5, and ST36. Treatment process: He had 61 acupuncture treatments as needed in a span of 5 years. Over time, he had incremental benefits in intensity, frequency, and duration. Even without acupuncture in the past 2 years, he had minimal nerve pain. He recently came back because the left foot was tingling more than usual. Discussion: Although a total resolution of the problem is ideal, a structural problem and scar will lead to residual pains. Maintenance treatments to minimize pain is practical.