患者である：

a 40 years old male, years of lumbar protrusion, fitness enthusiast, came for evaluation and reconstruction due to a 3-day episode of lumbar pain while working out.

Assessment and examination:

● Lumbar curvature straight
● VAS = 4 points
● Lumbar soft tissue tenderness (+)
● Lumbar anterior flexion and posterior extension side of the activity is slightly limited, accompanied by pain
● Straight leg raising test negative; object raising test positive

画像診断：

● MRI: lumbar 5 sacral 1 protruding
● Lumbar 5 vertebral body haemangioma

治療計画 Comprehensive evaluation and diagnosis and treatment standards for chronic lumbar protrusion and acute lumbar sprain, manual loosening and joint loosening for the lumbar muscles combined with physical high-energy laser treatment, mainly for the lumbar quadratus and erector spinae near the sacrum for 15 minutes, and together with lumbar functional exercises to improve joint mobility.

治療機器：レーザーメディックスMAX
Treatment results: After one treatment, the pain was greatly relieved, the range of motion improved, and the follow-up after one week was basically normal.