Multimodal PT With and Without Proprioceptive Training in Lumber FJS

Inclusion Criteria: * Patients with facet joint syndrome diagnosed by standard criteria. This criterion includes: * One point tenderness under X-ray radiography * Kemp sign. * Catching pain. * Pain increases with lumbar extension. * Pain with bilateral SLR. * Or pain diminishes with Medial branch block or Facet joint block. * Provocation Maneuver. Acevedo sign (Facet stress sign) Unilateral facet palpation Percussion spinal test Impaired range of motion Jump test * Revel's criteria 05 out of 07- 1. age greater than 65 years and pain that was not exacerbated by coughing, not worsened by hyperextension, not worsened by forward flexion, not worsened when rising from flexion, not worsened by extension-rotation, and well-relieved by recumbency. Standing flexion, returning from standing flexion, standing extension, the extension rotation test. * On Biodex balance system (BBS), overall stability index between 0.7-2.8. * On Biodex balance system (BBS) Limits of stability Anterior: less than 80, posterior: less than 40 and lateral: less than 160 (80 on each side) 75% LOS (moderate level). * NPRS ratings greater than 4 * Constant or Intermittent pain worsening on repeated movements Exclusion Criteria: * T-score of -2.5 or lower. * BMI is 30.0 or higher. * Patients with Lumbar Postural Syndrome * Patients with Lumbar Instability * Post laminectomy/discectomy * Spondylolisthesis * Osteoporosis/Fractures * Cauda equine syndrome * Recent history of spinal trauma or su…