Background: Prolapsed Lumbar Intervertebral Disc (PLID) is a common cause of low back pain and disability, often requiring prolonged conservative management or surgical intervention. Acupuncture-based multimodal therapy is emerging as a promising non-surgical approach, though documented rapid recovery cases remain limited.

Case presentation: A 43-year-old male driver from Mirpur, Dhaka, presented with chronic low back pain radiating to the right lower limb for four months. He had a history of type 2 diabetes mellitus for eight years. Magnetic Resonance Imaging confirmed a prolapsed lumbar intervertebral disc at L4-L5 and L5-S1 levels. He was treated at Suoxi Hospital with an integrative approach combining acupuncture at the lumbar region, Chinese deep muscle stimulator therapy, and manual physiotherapy, including mobilization, manipulation, and isometric exercises.

Outcome: A dramatic symptomatic recovery was observed. By the 14th day of treatment, the patient reported a significant reduction in low back pain and resolution of radicular symptoms. He resumed his daily activities and occupational duties without discomfort. No adverse events were noted during the treatment period.