Group 1 will recieve heat therapy and then Kaltenborn mobilization. Supervise exercise protocol will be given Wrist, forearm and fingers ROM and isometric exercises. Introductory hand grip exercises Hand grip strengthening exercises

Group 2 will receive heat therpy and then Mulligan Mobilization with Movement Supervise exercise protocol will be given Wrist, forearm and fingers ROM and isometric exercises. Introductory hand grip exercises Hand grip strengthening exercises

All participants received a standardized treatment regimen first. This began with the application of a hot pack or infrared therapy for 10 to 15 minutes at the start of each session. then this group will receive Kaltenborn mobilizations with each mobilization technique performed for 10 repetitions, and each repetition maintained for 2 to 3 seconds. Mobilizations included palmar (volar) glide, dorsal glide, radial glide, and ulnar glide. In addition to wrist mobilizations, anterior and posterior glides were applied to the distal radioulnar joint.

Range of Motion at wrist will be measured by goniometer

Measured by PRWE questionnaire. Patient-Rated Wrist Evaluation is a 15-item questionnaire help to assess wrist pain and disability during daily tasks The Pain Subscale consists of 5 items, ranging from 0 to 10. The total score ranges from 0 (no pain) to 50 (maximum pain).

Measured by PRWE questionnaire. Patient-Rated Wrist Evaluation is a 15-item questionnaire help to assess wrist pain and disability during daily tasks. The Function Subscale includes 10 questions divided into two parts-6 questions assess specific activities, and 4 questions assess usual activities. The score for this subscale also ranges from 0 (no difficulty) to 50 (maximum difficulty).

Hand held dynamometer was used to assess patient's grip strength. To assess strength, the person sat on chair with 90-degree hip and knee flexion, shoulder in adduction, and elbow flexed to 90 degrees. The forearm and wrist were in a resting position. The dynamometer is placed in the person's hand, and the therapist or examiner gently supports the base of the device. The person was asked to clench the dynamometer as hard as they can for a few seconds, maintaining a smooth and consistent effort. The dynamometer displayed the force generated by the person's grip, and the reading was recorded. The process was usually repeated multiple times (e.g., three trials) to get an average reading and ensure reliability.