Menopause is a natural process in women's life with hormonal fluctuations that cause physical and emotional symptoms such as(Hot flashes, insomnia, physical in activity, unstable mood, difficulties in memory and concentration, anxiety, stress, irritability, unstable body mass, sexual dysfunction, feelings of sadness, infertility, and depression).

Balance disturbances are common in the community as a whole and increase in frequency with age. The risk of falling increases from age 45 in women and peaks in the 55-59-year age group. Around the time of the menopause, estrogen production decreases dramatically and bone loss accelerates, which predisposes for fractures if a fall occurs.

Inclusion Criteria:

• Post-menopausal women: Their age will be ranged between 45-59 years old, with low back pain.

Exclusion Criteria:

• Infection disease or fever.
• Foot ulcers.
• Foot infection or undergoing foot surgery.
• Recent fracture in foot and toes with unhealed wounds.
• Thrombotic disease of lower extremities.
• Deep proprioception loss.
• Peripheral neuropathy.
• Gout or advanced arthritis affecting the foot and toes.