Inclusion criteria:
Personal and conscious consent of the individual to participate in the research project
Chronic mechanical low back pain without any specific pathology such as inflammation of the nerve root, spinal stenosis, spondylolysis, spondylolisthesis, vertebral fracture
A history of more than three months of pain
Confirmation of chronic low back pain and clinical examination by a specialist to rule out any pathology
Age range between 30 and 70 years
Exclusion criteria:
Pregnancy or lactation
Surgical history due to low back pain
Non-mechanical back pain (wakes the patient up at night or causes pain and dryness in the morning)
History of trauma, especially in the elderly
Fever, sweating and weight loss without justification in recent months
Long-term treatment with corticosteroeids
Symptoms of cauda aquina syndrome include numbness and weakness in both legs, anal pain, perineal numbness or paresthesia, sphincter paralysis.
Ankylosing spondylitis and inflammatory rheumatoid arthritis
Existence of neuropathy or neurological problems during the examination
Severe untreated scoliosis
Infection at the site or spinal cord
Acute radiculopathy (active herniated disc)
Psychopathic disorders
Uncontrolled diabetes or high blood pressure
Participatory low back pain such as uterine or gastrointestinal involvement such as IBD
Consumption of digoxin, warfarin, heparin
Drug addiction, sedatives, alcohol, etc.
Injecting anesthetics or corticosteroids for up to 4 weeks before starting treatment
Fainting history after FASD or Hijamat(wet cupping)