Objectives : The purpose of this study is to report the improvement in patients with lumbar, cervical or radiating pain to the extremity by means of acupotomy. Methods : We treated 5 patients who have a disease related with lumbar or cervical spine with acupotomy combined with oriental medical treatment. We checked numeric rating scale(NRS), oswestry low back pain disability index(ODI) or neck disability index(NDI), and range of motion(ROM). Results : NRS and ODI/NDI were decreased, and ROM improved at all cases. Conclusions : This study shows acupotomy has a meaningful effect when applied on lumbar and cervical spine.