Group A received neural mobilization for radial nerve, mulligan mobilization with movement and conventional therapy

Group B received neural mobilization for radial nerve and conventional therapy

Group C received mulligan mobilization with movement and conventional therapy

Group D received conventional therapy

Group A :Neural Mobilization for radial nerve, Mulligan Mobilization with Movement and Conventional neural mobilization for radial nerve: The physiotherapist holds the patient's arm and wrist while the patient reclined on his side then depress the shoulder, extend the elbow and then internally rotated the patient's arm. The patient's wrist, thumb, and fingers were all flexed, and the patient's ulnar was brought to deviation. While the patient's position was maintained, and the arm was abducted and then contralateral cervical side bending Mulligan mobilization with movement manual lateral glide MWM with gripping: Patient: Supine with upper limb fully supported on a treatment table. Treated body part: Relaxed extension of the elbow, shoulder internal rotation, with pronation of the forearm. Hands loosely around the grip dynamometer handles. Apply 6-10 repetitions in a set, with 3-5 sets in a treatment session, conventional ; Ultrasound therapy , stretching and strengthening for

pain will be assessed by visual analogue scale (VAS) which involves having them mark along a 10 cm-long line with a number ranging from 0 to 10. "0" denotes no discomfort, and "10" denotes the most agonizing pain possible They are generally completed by patients themselves. The patients marks on the line the point that they feel represents their perception of their current state of pain.

Functional Disability will be assessed by Arabic version of DASH Questionnaire DASH Arabic contains 30 items, like the original DASH, each item has five response choices that range from 1, ''without any difficulty or no symptoms exist'' to 5, ''unable to engage in activity or very severe symptoms''. In order for a score to be calculated, a minimum of 27 of the 30 items must be completed. The assigned values for all completed responses are added and averaged to yield a score of 5 or less; this value is then transformed to 100 by subtracting 1 and multiplying by 25, to make it easy to compare with other measures that are scaled from 0 to 100: the higher the score, the greater the disability

Maximum grip strength by Jamer hand dynamometer The gold standard for measuring grip strength is the JAMAR® Hydraulic Hand Dynamometer. Where possible, participants were positioned sitting upright in a chair, with their knees and hips at 90° and with back support. For those unable to mobilize out of bed, the head of the bed was raised as far as possible, ensuring an upright long-sitting position. The shoulder on the dominant side was adducted against the body, the elbow positioned in 90° flexion (unsupported) and the wrist in a neutral position. Participants were then instructed to grip the dynamometer as strongly as they possibly could, using their dominant hand .The measurements of both extremities were repeated 3 times with resting interval of 30 s between each measurement. The average of the three trials was recorded in kilograms (kg).