Following conservative physical therapy, the FTR+VOMT group will receive visceral osteopathic manual therapy techniques including: CV4 Technique, Segmental Release, Hormonal Axis (Pituitary, Thyroid, Diaphragm), Liver and Stomach Mobilization, Pylor Sphincter and Ligament Hepato-gastricus Mobilization, Odi Sphincter Mobilization, Ilio-jejunum Sphincter Mobilization, Ilio-cecal Valve Mobilization, and Bowel and Colon Mobilization. These applications will be performed in 5 sessions, with one day in between. Each session will be 30 minutes long and performed by the same physiotherapist.

Group 2 will receive the same conservative physical therapy treatments as the VOMT group, for the same duration, but will not include manual therapy.

Group 1 will receive conservative physical therapy including TENS current, heat agent, and additionally, VOMT techniques such as CV4 Technique, Segmental Release, Hormonal Axis (Pituitary-Thyroid-Diaphragm), Liver, Stomach, Pyloris Sphincter, Ligamentum Hepato-gastricus, Sphincter Odi, Sphincter Ilio-jejunum, Ilio-cecal Valve, Bowel and Colon Mobilization.

It is a scale developed by the World Health Organization (WHO) and used to assess health-related quality of life. This scale is a comprehensive tool for evaluating individuals' physical, psychological, social, and environmental health status. WHOQOL is used in many areas such as health service planning, health policy development, clinical research, and evaluating the effectiveness of health services.The higher the score, the higher the life satisfaction.

The Physical Health subscale has a minimum score of 7 and a maximum score of 35. The Psychological subscale has a minimum score of 6 and a maximum score of 30. The Social Relationships subscale has a minimum score of 3 and a maximum score of 15. The Environment subscale has a minimum score of 8 and a maximum score of 40.

The VAS (Variable Rate of Pain) is used to subjectively assess pain intensity, typically expressed on a scale of 0 to 10. 0 indicates the absence of pain, while 10 represents the most severe pain. This scale helps patients visually understand and express the intensity of their pain. A higher numerical value indicates a higher level of pain, while a lower numerical value suggests a more positive outcome for the patient.

It is a scale used to assess the severity, impact, and functional capacity of lower back pain. It is based on patient reports and evaluates daily living activities, mobility, and quality of life. The minimum score is 20, and the maximum score is 100. Higher scores are associated with a higher percentage of disability.

It is a commonly used balance test and is used to assess the balance, core stability, and limb function of athletes. This test can help identify the risk of injury in athletes and track rehabilitation progress.