Objective: The purpose of this study is to report chronic sciatica paitient with HIVD of L-spine who improveded by orthotics Methods: once we treated the patient with acupuncture, nagatives, chu-na after that added with orthotics, We compared each effect. The effect was evaluated by progress of symtoms and Visual Anlogue Scale Results & Conclusion :After treatment of orthotics sciatica was reduced in the score of VAS from 7to3.