Effect of Ear Acupuncture on patients with Low back pain

INTERVENTION: Intervention1: Auricular Therapy: Auricular Therapy Intervention procedure:‐ Details of treatment parameters summarized: ‐ 1. Auricular Therapy: Pre‐sterilized, single‐use acupuncture needles will be used under aseptic conditions, and after treating the patient with needles in one ear during a session, then pellets will be affixed on the opposite ear to reinforce the treatment. 2. Details of needling : 2a) Names of points used: Auricular acupuncture to Shenmen, Nerve subcortex, Sympathetic, Kidney, Lumbar, and Sacral vertebrae etc. 2b) Needles will be retained for 30 minutes and 2‐3 mm depth will be used for insertion. Patient Education will be administered. The therapy will be given twice a week for a duration of 6 weeks. Therapy will consist of 45 minutes duration per session. Control Intervention1: Usual Care which comprises of Therapeutic Exercises regimen, Moist Hot packs (Hydrocollator packs), and Patient Education: Usual Care comprises of Therapeutic Exercises regimen, Moist Hot packs (Hydrocollator packs), and Patient Education will be administered. Patients in this group will join an Exercise program three times a week for a duration of 6 weeks. Therapeutic exercise program will consist of 60 minutes duration per session. CONDITION: Health Condition 1: M545‐ Low back pain PRIMARY OUTCOME: Numeric Pain Rating scale (NPRS)Timepoint: NPRS scores will be collected at the baseline, at the End of the 2nd,4th, and 6th Week. SECONDARY OUTCOME: RMDQ, DASS‐21 Questionnaire and PROMIS Fatigue questionnaireTimepoint: Baseline Measurement, End of 4th Week and End of 6th Week INCLUSION CRITERIA: 1)Participants who had a primary complaint of Nonspecific low back pain of at least 6 weeks duration and were referred to Physiotherapy O.P.D. 2) Both male and female patients in the age group of 20 years to 60 years. 3)The patients who will score 4 ‐7 points on an 11‐point Numeric Pain Rating scale. 4)Subjects who give their consent to this study procedure and are willing to refrain from non‐study procedure therapies for the management of low back pain throughout study participation.