The aim of this study was to investigate whether the eight therapy session with foot reflexology can reduce pain intensity when applied as an addition to the standards care of low back pain according to the Malaysian low back pain management guidelines.

Low back pain is a common health complaint in most societies. Many treatments for low back pain aim to reduce suffering quicken recovery and minimize recurrence or development of chronic disability. However, low back pain continues as a societal enigma. The aim of this study was to investigate whether the eight therapy session with foot reflexology can reduce pain intensity when applied as an addition to standards care of low back pain according to the Malaysian low back pain management guidelines. Analysis of health-related quality of life will also be carried out.

Inclusion Criteria:

• Have been medically diagnosed with a non-specific low back pain.
• Have not received treatment for low back pain within the previous 2 weeks.
• Are at least 18 years old.
• Have both feet and all toes intact and free from wounds.
• Have not undergone any other complementary and alternative therapies during the study.

Exclusion Criteria:

• Have severe coexistent disease and serious pathology or systemic illness.
• Have a specific diagnosed cause of back pain (infection, tumour, osteoporosis, fracture, an inflammatory condition or cauda equine syndrome).
• Have plantar fasciitis.
• Lack the ability to read and write Malaysia language.
• Had plans to move out of the area.