Effects of MET With and Without Lumbopelvic Manipulation

The study aims to determine whether lumbopelvic manipulation yields superior improvements in pain, pelvic alignment, and functional ability when combined with METs compared to the treatment provided through METs solely.

Inclusion Criteria: * • Participants' age range 25\_40 years. * Females * Have subacute (4-12 weeks) pain close to PSIS * Have ≥3/4 positive test PSIS height, standing flexion, prone knee flexion, supine to long sitting * Two out of four positive tests of pain provocation Distraction, compression, thigh thrust, and sacral thrust test) * Patients have moderate pain on the NPRS Exclusion Criteria: * Participants with True leg length Differences * Systemic illnesses, such as ankylosing spondylitis or RA, or pregnancy * Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication * No history of fracture