This study is a randomised controlled trial and the purpose of this study is to determine the effect of intra muscular electrotherapy combined with manipulative therapy in terms of pain, mobility, range of motion, and disability."

The purpose of this study is to determine the effect of intra muscular electrotherapy combined with manipulative therapy in terms of pain, mobility, range of motion, and disability in patients with sacral torsion." (age : 22-44 years )

1. Numeric pain rating scale
2. Inclinometer Lumbar Flexion
3. Oswestry Disability Questionairre
4. Goniometer SLR ROM Data will be collected before and after the intervention protocol for each participant.

Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Pre and post intervention scores will be recorded.

Inclusion criteria:

• Age group: 22-44 years old
• Both males and females
• Clinically diagnosed sacral torsion
• Patients with pain intensity of at least 5 on NPRS
• Positive backward bent test
• Positive forward bent test
• Uneven Sacral sulcus
• Uneven ILA of sacrum
• Piriformis syndrome

Exclusion criteria :

• Any congenital deformities
• Demonstrated neurological deficit.
• Pregnant females
• History of spinal surgery
• Spondylolisthesis
• Severe lumbar spondylosis
• Spinal stenosis
• Serious spinal conditions like infection, tumors, osteoporosis, spinal fracture
• osteoporosis