The Immediate Effect Of Shockwave Therapy On the Quadratus Lumborum (QL) Muscle Trigger Points vs Regular Back Exercises in Chronic Nonspecific Low Back Pain

The Immediate Effect Of Shockwave Therapy On the Quadratus Lumborum (QL) Muscle Trigger Points vs Regular Back Exercises in Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial

the study aims to compare the effect of regular back exercises with shockwave therapy by treating male patients with non-specific low back pain between the age of (20-40). Who will be devided into 3 groups, and will be treated by shockwave therapy , exercises or both combined. After signing a consent form, patients will be assigned to the groups blindly, so the patients will not know if they are in the experimental or control group.

Hypothesis:

The hypothesis of this study states that:

o Research hypothesis: there will be a significant difference between the radial ESWT and back exercises in reducing LBP

Inclusion Criteria:

• Only male patients will be included.
• Age 20-40 years old.
• Non-specific LBP for at least 3 months.
• At least one local tenderness or active trigger point in the anatomical region of the QL muscle.
• Pain intensity on numerical pain scale should be more than 4

Exclusion Criteria:

• LBP due to a pathology or trauma.
• Below 20 years of age.
• Previous lumbar surgeries.
• Malignancy.
• Patients under medications or painkillers.