Efficacy Of Gross Myofascial Release With Neural Mobilization Versus Neural Mobilization Alone On Pain, Functional Limitations, And Cervical Range Of Motion In Cervical Radiculopathy

Efficacy Of Gross Myofascial Release With Neural Mobilization Versus Neural Mobilization Alone On Pain, Functional Limitations, And Cervical Range Of Motion In Cervical Radiculopathy

This is a randomized control trial aims to evaluate the efficacy of gross myofascial release with neural mobilization versus neural mobilization alone on pain, functional limitations, and cervical range of motion in cervical radiculopathy. Cervical radiculopathy, is characterized by neck pain, pain radiating down the arm, numbness, tingling, weakness of muscles and functionality limitations with compression or irritation of the cervical nerve root due to cervical spondylosis, cervical disc herniations or degeneration of the cervical spine leading to cervical radiculopathy and the diminished quality of life from decreased day-to-day functional capacity and productivity at work. The study will evaluate pain, functional limitations, and cervical range of motion.

Inclusion Criteria:

• Male and female patients aged between 25-55 years
• Presence of chronic neck pain radiating to one upper limb
• Positive Upper Limb Tension Test-I (Median nerve)
• Patients having pain, numbness, tingling, or paresthesia in the cervical nerve root distribution.
• Symptom's duration of at least 4 weeks

Exclusion Criteria:

• Patients with cervical myelopathy
• History of cervical spine fracture, tumor, infection, or malignancy
• Previous cervical spine surgery
• Severe osteoporosis or inflammatory joint disease
• Presence of systemic neurological disorders such as multiple sclerosis or stroke
• Patients with severe cervical instability or vertebral artery insufficiency
• Recent physiotherapy treatment for cervical radiculopathy within the last 3 months