Inclusion Criteria:  Nonspecific low back pain > 3 months  8 and 45 years of age  IPMR and civil musculoskeletal outpatient department patients  Without referred leg pain  Exclusion Criteria:  Any trauma, spinal infection or tumor, spinal fracture, previous spinal surgery, systemic disease, fibromyalgia, cauda equine syndrome, serious chronic disease, specific neurological disease (stroke, MS, and Parkinson's disease)  Uncontrolled diabetes or hypertension  Pregnant females  Spondylolisthesis, spinal stenosis, spondylolysis, ankylosing spondylitis, structural deformity, congenital deformation, disc disease, sacroiliitis, severe structural deformity, scoliosis, active structural deficit, and severe postural abnormality  Acute coronary disease  Asthmatic patients  Any contraindication prescribed for myofascial treatment