A Study Comparing Virtual Reality Therapy and Conventional Non-Drug Treatment for Pain Relief, Improved Daily Functioning, and Quality of Life in Patients with Chronic Low Back Pain

INTERVENTION: Intervention1: Virtual Reality Based Non Pharmacological Management: Participants will receive Virtual Reality based therapy using the RelVersive platform. The intervention includes pain education, virtual physiotherapy exercises, breathing and meditation, cognitive behavioural therapy, and relaxation modules. Sessions will be conducted for 30 45 minutes, three times per week for 8 weeks Control Intervention1: Conventionally Delivered Non Pharmacological Management: Participants will receive standard non‐pharmacological management including back care education, exercise therapy, relaxation and breathing exercises, postural training, ergonomics, activity modification, lifestyle advice, and patient education for 30 45 minutes, three times per week for 8 weeks. CONDITION: PRIMARY OUTCOME: Pain intensity measured using the Numeric Pain Rating Scale (NPRS)Timepoint: Baseline, 15 days, 1 month, and 3 months post intervention SECONDARY OUTCOME: Fear avoidance beliefs measured using FABQTimepoint: Baseline and 3 months post intervention Functional ability measured using Modified Oswestry Disability Inde X(MODI)Timepoint: Baseline and 3 months post intervention Quality of life measured using EQ 5D questionnaireTimepoint: Baseline and 3 months post intervention Sleep quality measured using PSQITimepoint: Baseline and 3 months post intervention INCLUSION CRITERIA: Patients aged 18 60 years with chronic low back pain for more than 3 months, able to understand English or Hindi, and willing to provide written informed consent.