The study will compare the shoulder and wrist treatment approaches to determine their effect on elbow. Thirty-two medically stable participants with active shoulder and wrist movements will be enrolled into two groups. Both groups will receive structured training for six weeks. Outcomes will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper limb kinetic chain which is affected by lateral epicondylitis

Inclusion Criteria:

• Both genders will be involved with ages 30-50. Patients who have had pain for the last 2 weeks with tenderness. Subjects who will have a positive cozen test. Also include those who have a radiological graph with normal bone and joint alignment of the upper limb.

Include those who will be clinically diagnosed with LE from the orthopedic OPD. A pain score of more than or equal to 4 in NPRS diagnosed as tennis elbow.

Exclusion Criteria:

• Those who will have pain on the lateral aspect of the elbow for 6 months or more than 6 months.

Subjects who will be diagnosed with cervical radiculopathy. Those who will have the injury and disease around the shoulder, elbow and wrist.

Those with a history of elbow surgery, open wound and infectious limb. Those with a history of rheumatoid arthritis and osteoarthritis. Those who have any fracture of the treatment side upper limb. systemic illness like bleeding disorders, anticoagulants, diabetes, and hypertension.