Online Physiotherapy for Reducing Menstrual Pain in Working Women

INTERVENTION: Intervention1: Telehealth based multimodal physiotherapy.: Participants will receive telehealth based supervised physiotherapy sessions 4 times per week for 8 weeks. Each session will last 45 to 60 minutes. The program will include isometric exercises, stretching, core strengthening, aerobic exercises, and relaxation techniques. Exercise intensity will be moderate and progressed according to participant tolerance. Sessions will be conducted through live video under physiotherapist supervision. Control Intervention1: Education advice program: Participants will receive educational advice through telehealth sessions twice during the 8 week period. The advice will include lifestyle modification, dietary guidance, menstrual health education and self care strategies such as heat therapy and symptom tracking. No structured exercise program will be provided. CONDITION: Health Condition 1: N944‐ Primary dysmenorrhea PRIMARY OUTCOME: Reduction in menstrual pain intensity measured using Numerical Pain Rating ScaleTimepoint: Baseline, 4 weeks, and 8 weeks SECONDARY OUTCOME: mprovement in menstrual symptom severity and functional capacity measured using Menstrual Symptom Severity Inde Xfor Primary Dysmenorrhea (MSSI‐PD)Timepoint: Baseline, after 4 weeks, and after 8 weeks INCLUSION CRITERIA: Working women aged 20 35 with a confirmed diagnosis of Primary dysmenorrhea and regular cycles (21 35 days). Experience severe menstrual pain defined as a score of more than or equal to 6 on the Numerical Pain Rating Scale (NPRS) for at least two consecutive cycles. Currently employed with a full‐time job of 8 hours or more. Access to a camera‐enabled device with stable internet and willingness to attend 4 live supervised telehealth sessions per week for 8 weeks.