This pilot study will examine whether osteopathic manipulative treatment (OMT) can improve both physical and psychological aspects of chronic low back pain by focusing on the interconnected myofascial system of the back, legs, and feet. Twenty adults with chronic low back pain will receive four OMT sessions over 5-7 weeks. Before and after treatment, the investigators will measure muscle stiffness with ultrasound, plantar pressure during walking with a pressure plate, and patient-reported outcomes on pain, disability, sleep quality, stress, anxiety, depression, pain catastrophizing, and pain self-efficacy using surveys. By linking these objective and subjective measures, the study aims to provide early evidence of how OMT may influence musculoskeletal function, daily activity, and overall well-being, helping to guide future larger studies on treatment strategies for low back pain
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Stiffness of Low Back and Lower Extremity Muscles Assessed by Ultrasound Shear Wave Elastography
Timeframe: From baseline measures on Day 1 until the last OMT treatment, up to 6 weeks.
Body sway normalized path length, area, and velocity.
Timeframe: From baseline measures on Day 1 until the last OMT treatment, up to 6 weeks.