Methods: In a prospective study, the efficacy of manual therapy and dry needling was examined in 84 patients with chronic low back pain (mean duration of pain 4.4 years). Results: The initial value of pain on the visual analogue scale was about 6.6, the follow up value was reduced to 3.67 (p=0.0033). Conclusions: Manual trigger point therapy of myofascial trigger points in the low back is effective.