This study will compare the effect of dry needling and manual pressure in patients having low back pain in terms of pain and disability. There will be two groups ; experimental and control. Half of study group will receive dry needling session along with hot pack. Half of study group will receive manual pressure technique along with hot pack.

The study is Randomized Control Trail , which is being conducted in fauji foundation hospital and Foundation University College Of Rehabilitation (oct 2022-feb 2023) . Sample size of 50 individual was calculated using epitool with 95% confidence interval (CI), and power 80%. sample will be collected through pilot study .

both groups will recieve conventional physiotherapy protocol (hot pack) Assessment will be done on baseline, and 4th week .

Inclusion Criteria:-

• age between 30-60
• pateint with subacute and chronic low back pain at least last 6 months.
• pateint with active MTrps.

Exclusion Criteria:

• patient with fibromyalgia
• pregnant females
• patient with chronic diseases (osteoporosis, lungs disease and diabetes)
• patient with musculoskeletal injuries
• patient that are using any medication to relief pain like analgesic or muscle relaxants
• Any treatment for back pain in same period of research.
• patient having any radiculopathies or discogenic low back pain

participants