Effect of Pain Neuromatrix approach on function in chronic low back pain with central sensitization: A Randomized Controlled Trial

Low back pain is defined as pain and /or discomfort localized below the costal margin and above gluteal fold with possible radiation to posterior thigh not extending below the knee and is defined as chronic low back pain when it persists for 12 weeks or more, Chronicity of low back pain increases causing delayed recovery of pain a high disability or pain levels, low levels of education and higher perceived risk of persistant pain,Growing evidence supports the clinical importance of central sensitization in patients with chronic musculosketal pain often characterized by brain plasticity that leads to hyperexcitiblity of central nervous system. Potential desensitizing treatment for chronic low back pain has not been adequately addressed,evidence that pain Neuromatrix approach may be an effective sole treatment in chronic low back pain, as the approach systematically determine factors associated wit the persistent pain state and work on stratergies to disengage those adjacent maps along with manual therapy intervention in treating central sensitization.