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Abstract
Pain is an effective problem in the patient complain list, which decrease his life quality, occupational level, psychological state mode and activties of daily living. Adequate pain management is essential and to reach the optimum outcome, the patient individual consideration must be regarded, which makes the trends of multidisciplinary, approaches more clinically used. Physical therapy as one of multidisciplinary approaches is used and summarizing its effects and evidence is important in clinical decision. Systematically review the efficacy of transcutnous electrical nerve stimulation (TENS), therapeutic exercises, ultra sound (US), low level laser therapy (LLLT) in pain management. Systematic review of randomized controlled and repeated measurement experimental trails. Searching the united states National library of Medicine (MEDLINE), The physiotherapy evidence database (Pedro), cochrane central register of controlled trials and Google scholar the search were for the studies published form Jan 2000 until Jan 2014. The included studies were considers normal subjects who undergo the experimental pain in age range from 18 - 60 years this rang to avoid the unreliable individuals. Studies quality evaluation are done by using modified Oxford Scale and critical appraisal by comprehensive 10 questionnaire; only studies which are met our criteria have been included in the review