Clinical Research Directory

Inclusion Criteria: 1. Current continuous or intermittent pain that has persisted for more than 3 months. 2. Motor, reflex, and/or sensory changes in the upper limb. 3. Both genders aged 30-50 years. 4. Three positive special tests out of five as a predefined diagnostic criterion from the following tests: Upper Limb Neural Tension A (ULNT) test for the median nerve, Spurling's test, compression test, cervical distraction test, less than 60° cervical rotation towards the symptomatic side, and Valsalva maneuver. 5. A motor nerve conduction study, F wave, and H reflex were performed in the involved limb to confirm CR. Exclusion Criteria: 1. History of surgical procedures for cervical or upper extremity. 2. Clinical signs or symptoms of medical red flags (infection, cancer, and cardiac involvement). 3. Patients with neck pain for signs and symptoms of serious pathology, upper cervical ligamentous insufficiency, unexplained cranial nerve dysfunction, and spinal fractures. 4. Any systematic disease such as rheumatism and tuberculosis, cervical myelopathy, or multiple sclerosis. 5. Systemic disease is known to cause generalized peripheral neuropathy, such as diabetes mellitus. 6. Complete loss of sensation along the involved nerve root. 7. Upper limb compression syndrome, such as thoracic outlet syndrome, carpal tunnel syndrome, and pronator syndrome. 8. Pregnant woman. 9. Patients who have received any physical therapy of the cervical region in the past 3 months.