The patient was 74 years old, male, and was admitted to the hospital with low back pain and radiating pain in the right lower extremity prior to surgery, and was admitted with a diagnosis of lumbar 45 disc herniation and lumbar spinal stenosis. He was diagnosed with lumbar 45 disc herniation and lumbar spinal stenosis. He underwent disc removal, nerve root release, and internal fixation with pedicle nail. After the operation, the patient’s lower limb pain was not significantly relieved, affecting daily life and sleep, and the review of the lumbar spine film suggested that the operation was successful. No significant improvement was seen after six months of follow-up treatment. First consultation: the patient complained of pain in both lower extremities, the right lower extremity was obvious, and there were pressure points in the subgluteal region, and there was no significant improvement after surgery by calcium supplementation and taking anti-inflammatory and analgesic drugs. Physical examination revealed that the patient had painful points below the posterior superior iliac spine, the sciatic tuberosity, between the sciatic tuberosity and the greater trochanter of the femur, and a positive straight leg raising test. The patient was injected into the above three painful points using 1 dose of Depo-Provera and 1 dose of ropivacaine diluted to 50 ml of saline. After the injection, the patient felt numbness in the right lower extremity. In the evening, the patient complained by telephone that the numbness in the right lower extremity was obvious and the pain was significantly reduced. Second consultation: eight days after the first consultation, the patient complained that the pain in the right lower limb had improved significantly, and there was still pressure pain under the buttocks. On examination, there were still pressure points at the sciatic tuberosity, but the remaining two pain points had disappeared. After the first consultation, the prescription remained unchanged. After the injection of painful points at the sciatic nodes, a paravertebral block was performed at the level of lumbar 2 and lumbar 4, and the patient was observed for 0.5 hours after the operation was completed. Third consultation: one week after the second consultation, the patient expressed satisfaction with the treatment process, and still had pressure pain under the buttocks, again with sciatic nodal pain point injection, lumbar 2 and lumbar 4 paravertebral block, observed no discomfort and went home, and was instructed to follow up with increased pain or other discomfort.