Combined Effects of Two Manual Therapy Techniques than the Individual Techniques alone in the Management of Lumbar Radiculopathy: A Randomized Controlled Trial

INTERVENTION: PINS PINS plus SMWLM SMWLM CONDITION: ; Musculoskeletal Diseases Musculoskeletal Diseases PRIMARY OUTCOME: PAIN IN THE BACK AND LEG SECONDARY OUTCOME: DISABILITY, SCIATICA FREQUENCY AND PERCEPTION OF RECOVERY INCLUSION CRITERIA: Participants with back and leg pains who were diagnosed with sub‐acute LDHR will be included in the study. Sub‐acute individuals will be selected because of the belief that acute LDHR may resolve spontaneously within few weeks of onset. The criteria for inclusion will be; patients with age range of 25‐55 years having unilateral radiculopathy and pain in distribution of sciatic nerve. Pain will be accepted as evidence of L5 root compression when distributed to anterolateral aspect of calf and to dorsum of foot and as evidence to S1 root compression when distributed to posterior aspect of calf extending to the heel and lateral aspect of the foot. If pain did not extend below the ankle, at least one additional neurological sign will be demanded for the patient to be included. These signs are; painful passive knee flexion, weakness of resisted hip flexion and resisted knee extension and absence or sluggishness of knee jerk reflex for L2/L3 nerve roots, hypoesthesia in t