Clinical Research Directory

Inclusion Criteria: * Their ages range from 35 to 50 years. * Both sex. * Back pain for more than six months; radiating unilaterally down to one lower limb over the dermatomal distributions of L4-L5, L5-S1 nerve roots. * Radiological confirmation of disc herniation or protrusion at L4-5 or L5-S1 levels by MRI. * Symptom duration of at least 4 weeks and not more than 6 months. * Positive Straight Leg Raise test * Body mass index (18.5 - 24.99Kg/m2). Exclusion criteria * Red flags: spinal tumors, cauda equina syndrome, spinal fractures, osteoporosis, infection. * Bilateral symptoms. * Spondylolisthesis, spondylitis, spinal canal stenosis. * Previous lumbopelvic or hip surgery or injection. * Any hip structural abnormality such as malformations, impingements and degeneration. * Postural deviations such as scoliosis, kyphosis and lateral shift. * Fibromyalgia. * Pregnancy and Gynecological problems. * Systemic inflammatory conditions (e.g., rheumatoid arthritis and ankylosing spondylitis) * Uncontrolled chronic conditions (e.g., diabetes mellitus with neuropathy and severe cardiovascular disease)