Effect of Primal Reflex Release Technique Combined with Physiotherapy on Pain, Daily Function and Psychological Well-being in People with Chronic Low Back Pain.

INTERVENTION: Intervention1: Primal Refle XRelease Techniques PRRT along with Conventional Physiotherapy.: Participants will receive standardized conventional physiotherapy along with Primal Refle XRelease Technique PRRT. Conventional physiotherapy will include Core Strengthening Exercises, Hamstring and Hip‐flexor stretching which will take around 20 minutes and then Interferential Therapy for 20 minutes. Primal Refle XRelease Techniques will comprise 10 predefined techniques, each applied for approximately 1 minute for a total PRRT duration of 10 minutes per session. The total treatment duration will be approximately 50 minutes per session with 2 sessions per week for 4 weeks 8 sessions total Control Intervention1: Conventional Physiotherapy: Participants will receive standardized conventional physiotherapy consisting of Core Strengthening Exercises, Hamstring and Hip‐flexor stretching which will take around 20 minutes and then Interferential Therapy for 20 minutes. The conventional physiotherapy session will be administered for approximately 40 minutes, with an additional standardized 10 minute time‐matched control procedure. Total treatment duration will be approximately 50 minutes per session, with 2 sessions per week for 4 weeks and 8 sessions total. CONDITION: Health Condition 1: M545‐ Low back pain PRIMARY OUTCOME: Conditioned Pain Modulation CPM Index.Timepoint: Baseline and immediately post intervention at the end of 4 weeks. SECONDARY OUTCOME: Central Sensitization InventoryTimepoint: Baseline and immediately post intervention at the end of 4 weeks. Fear avoidance belief QuestionnaireTimepoint: Baseline and immediately post intervention at the end of 4 weeks. Owestry Disability IndexTimepoint: Baseline and immediately post intervention at the end of 4 weeks. SF‐12 Health Survey Version 2Timepoint: Baseline and immediately post intervention at the end of 4 weeks. Visual Analog Scale 0‐10 pain scoreTimepoint: Baseline and immediately post intervention at the end of 4 weeks. INCLUSION CRITERIA: 1. Chronic low back pain persisting for more than equal to 12 weeks or 3 months. 2. Have a primary complaint of Pain in areas including lower costal margins, Lumbo‐sacral spine, SI Joint, Gluteal region. 3. Non‐specific low back pain, with no clinically identifiable specific underlying pathology. 4. Patients with central sensitization features such as pain hypersensitivity, widespread tenderness, or disproportionate pain response along with non‐specific low back pain. 5. Have Pain intensity of more than 3 on Visual Analog Scale, VAS 0‐10 version scale. 7. Able to understand instructions and willing to participate in the intervention protocol.