Objectives : The purpose of this study is to evaluate the effectiveness acupotomy and spine decompression therapy for HIVD patients. Methods : Clinical study was conducted to 40 patients who were treated in Dept. of Acupuncture and Moxibustion, Wonkwang University Oriental Hospital from September 2011 to January 2012. We divided into two groups. The group A(20 subjects) was treated with acupotomy and spine decompression therapy, and the group B(20 subjects) was treated with acupotomy. To estimate the efficacy of treatments, all the subjects were asked to complete the VAS(Visual analogue scale) and ODI(Oswestry disability index) before and after the treatment. Results : 1. In both two groups, VAS and ODI of patients were decreased significantly in the statistics. 2. In group A, VAS and ODI of patients were decreased more significantly in the statistics than VAS and ODI of patients in group B.