ABSTRACT
Background: Menstrual distress is characterized by crampy pelvic pain beginning before or at onset of menstruation, abdominal pain, bloating, headache, backache, irritability, depression, anxiety, mood changes, fatigue and sleep disturbances. Primary dysmenorrhea is defined as recurrent, painful menses in women in the absence of an identifiable pelvic pathology. Secondary dysmenorrheais menstrual pain associated with underlying pelvic pathology. The aim of the study was to find the efficacy of lumbar spine manipulation on menstrual distress. Methods: The study was a cross-sectional study. Menstrual Distress Questionnaire (MDQ) and Numerical Pain Rating Scale (NRS) were used as an outcome measure. The lumbar spine manipulation technique was given to the participants. Results: The post lumbar manipulation technique showed the significant improvement in menstrual distress symptoms along with significant improvement in backache, headache, abdominal discomfort and work absenteeism. Conclusion: The lumbar spine manipulation is effective in relieving menstrual distress symptoms.