Published Paper Details:

Background: Low back pain (LBP) is one of the leading causes of disability worldwide and is associated with substantial functional impairment, reduced quality of life, and increased healthcare utilization. Apple cider vinegar (ACV) and table salt have traditionally been used for musculoskeletal discomfort because of their purported anti-inflammatory and soothing properties; however, scientific evidence supporting their effectiveness in the management of low back pain remains limited.Objective: To describe the clinical outcomes following the topical application of an apple cider vinegar and table salt mixture in a patient with chronic nonspecific low back pain.Case Presentation:A 22-year-old female with chronic non-specific mechanical low back pain participated in a seven-day observational case study in which a topical mixture of apple cider vinegar and table salt was applied once daily to the lumbosacral region. Pain intensity was assessed using the Visual Analog Scale (VAS), while subjective changes in lumbar stiffness, mobility, and ability to perform activities of daily living were documented throughout the observation period.Results: The participant demonstrated a gradual reduction in pain intensity during the intervention period, accompanied by decreased lumbar stiffness, improved mobility, and greater ease in performing routine daily activities. The topical application was well tolerated, and no adverse effects were reported. Although symptomatic improvement was observed, pain persisted to a mild degree, and complete resolution was not achieved by the end of the observation period. Conclusion: This case report suggests a possible temporal association between topical application of apple cider vinegar and table salt mixture and symptomatic improvement in chronic nonspecific low back pain. Larger, well-designed randomized controlled trials are required to determine the efficacy and safety of this complementary intervention.