Wet Cupping (AlHijamah); Double Versus Single Cupping Technique

Inclusion Criteria: * Male and Female * Age equal or more than 18 years up to 60 years * Chronic low back pain (at least the duration ≥ 3 months) * Not on anti-inflammatory or pain killers for the last 15 days. Exclusion Criteria: * Patients received wet-cupping therapy before in the last three months * Patients who have low back pain due to specific and known etiological causes (infection, tumor, osteoporosis, ankylosing spondylitis, fracture, inflammatory process, radicular syndrome, and cauda equinal syndrome) * Patients who are inappropriate to the wet cupping treatment (AIDS, Hepatitis, Tuberculosis, Syphilis. The referring physicians will be advised to exclude those patients) * Patients currently receiving any anticoagulant, antiplatelet medications * Anemia, thrombocytopenia, Coagulopathy or Hemorrhagic disease like hemophilia * Had undergone a surgery, or had bleeding injury, or had blood donation * Uncontrolled hypertension, Ischemic heart disease, previous transient ischemic attack or stroke * Diabetes, known renal and / or hepatic diseases * Patients who are in pregnancy or have plan to conception * Previously or currently drug addicts * Any other severe disease or disabling medical condition