A Comparison of Tendon Neuroplastic Training and Cyriax Technique to Reduce Pain and Improve Grip Strength and Functional activity in patient with Tennis Elbow

INTERVENTION: Intervention1: Tendon Neuroplastic Training and conventional method: Tendon Neuroplastic Training‐isotonic flexion, wrist extension with dumbell for 4 sets of 8 repetitions Conventional method‐ ultrasound for 5 to 7 mins and cryotherapy for 10 to 20 mins and for 5 session per week for 4 weeks Control Intervention1: Cyria XTechnique and conventional method: Cyria Xtechnique‐Deep transverse friction with the side of the thumb for 10 mins, 5 days per week for 4 weeks conventional method‐ultrasound for 5 to 7 mins and cryotherapy for 10 to 20 mins and for 5 session per week for 4 weeks CONDITION: Health Condition 1: M771‐ Lateral epicondylitis PRIMARY OUTCOME: 1.Pain‐ visual analog scale ; 2.Strength‐ Jamar Hand held Dynamometer ; 3. Disability‐Patient Rated Tennis Elbow EvaluationTimepoint: 1.Baseline 1st day ; 2.At post test 4 week ; SECONDARY OUTCOME: NILTimepoint: NIL INCLUSION CRITERIA: 1 pain on the lateral side of elbow for 1 month or more 2 Pain during gripping activity 3 Both Male and Female gender 4 Age group between 20 to 45 years. 5 Any 2 out of 3 Test positive‐ Cozen test positive, Mills test positive, Maudsley test positive, 6 Patients who were willing to participate in the study