we understand that Structural anomalies are very clear in imaging tests like MRI and X-RAYS but often are not real cause of pain. Most of the time altered function of neuron-muscular system is real culprit, therefore functional assessment of part and general assessment of posture is right choice. So many times radiological findings do not correlate with clinical finding. Pain always has multifactorial origin ie. Physical-stress, strain,injury, postural , chemical – hormonal, nutritional, vitamin deficiency , psychological, even social or spiritual.