Participants in this group will receive Active Release Technique (ART), a manual therapy approach focused on relieving soft tissue restrictions. The therapist will apply targeted pressure to areas of adhesion while the patient actively moves the affected tissue through its full range of motion. Each session will include approximately 30 repetitions and will be conducted three times per week for four weeks. This technique aims to restore normal tissue mobility and reduce pain.

Participants in this group will receive Strain-Counterstrain (SCS), a gentle manual therapy technique designed to reduce muscle tension and pain. The therapist will passively position the patient into a position of maximal comfort, targeting specific tender points. This position is held for approximately 90 seconds while maintaining light pressure, allowing the muscle and fascia to relax. Sessions will be conducted three times per week for four weeks, aiming to restore tissue balance and reduce discomfort.

Active Release Technique (ART) is a hands-on manual therapy that targets soft tissue restrictions by combining precise pressure with patient-assisted movement. It helps break down adhesions, improve mobility, and reduce pain by restoring normal tissue function.

The Numeric Pain Rating Scale (NPRS) is a 0 to 10 self-reported scale used to assess pain intensity, where 0 = no pain and 10 = worst possible pain. It is a simple, reliable tool commonly used in clinical trials to measure pain levels before and after interventions.

Functional mobility will be assessed using the Foot Function Index (FFI), a validated self-reported questionnaire designed to measure the impact of foot pathology on pain, disability, and activity limitation in daily life.

a reliable and widely used clinical tool that measures joint angles in degrees. It helps quantify movement limitations and improvements in specific planes, such as flexion, extension, abduction, and rotation.