Inclusion Criteria:  Being between the ages of 18-65 Non-radicular, axial back pain Lack of response to conservative treatments Detection of Modic type 1 changes in contrast-enhanced Lumbar MRI or intervertebral disc findings that may be associated with discogenic pain (nuclear signal intensity change in the disc [black disc], height loss, or high-intensity zone)  Exclusion Criteria:  Patients younger than 18 and older than 65 Describing pain radiating to the lower extremity (those with radicular pain) Nerve root compression due to disc herniation or other reasons Modic changes in more than one level Positive facet loading test Spinal stenosis or spondylolisthesis Diagnosed with spondylodiscitis Pregnancy Patients with inflammatory rheumatic diseases Patients whose use of non-steroidal anti-inflammatory drugs is contraindicated (renal failure, bleeding disorders, etc.) Patients with exercise intolerance