Thirty patients with lower-back myofascial pain syndrome were randomized to receive Strain-Counterstrain (SCS) plus standardized exercise (n=15) or standardized exercise alone (n=15). The primary outcome was pain intensity (VAS). Secondary outcomes included lumbar ROM (flexion, extension, right/left side bending) and functional disability (Oswestry Disability Index). Outcomes were assessed at baseline and after four weeks. Overall, the results of the study revealed significantly greater improvements with SCS+exercise across all outcomes (multivariate p<0.001), with pain decreasing by 26.7% vs 5.2% and ODI by 25.2% vs 2.3% (both p<0.001). In short, SCS added to exercise yielded clinically and statistically superior reductions in pain/disability and gains in lumbar mobility over four weeks.