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Sacroiliac joint (SIJ) dysfunction is a common cause of low back pain accompanied by sciatica. This report presents a case of acupotomy combined with integrative Korean medicine treatments administered to a patient suffering from persistent low back pain and radiating pain, who was diagnosed with SIJ dysfunction. The patient was treated with acupuncture, cupping, and bee venom pharmacocupuncture in addition to acupotomy. Pain intensity and functional ability were assessed using parameters such as numeric rating scale, Oswestry disability index, and manual muscle test. After a total of 6 treatment sessions including three sessions of acupotomy treatment, pain scores significantly decreased and the patient reported improvements in functional status. These findings suggest that acupotomy treatment can be an effective treatment method for persistent low back pain associated with SIJ dysfunction.

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