To determine the effectiveness of spinal manipulation with laser therapy versus dry needling for pain, disability and fear of movement in chronic low backache

Inclusion Criteria:

• Those patients will be included in the study who have chronic low back pain (12 week duration).

both genders aged 18-60 years low back pain

Exclusion Criteria:

• Those patients will be excluded in the study who have needle phobia, any infection, cancer, dermal changings, heart transplant, pregnancy, rheumatic fever(25)fracture, cauda equina syndrome, arrhythmia, sensory deficiency, mental illness, surgery, osteoporosis, low term use of steroid