COMPARATIVE EFFECTS OF DRY NEEDLING AND NEURAL MOBILIZATION ON PAIN, STRENGTH AND RANGE OF MOTION IN PATIENTS WITH GOLFER'S ELBOW

This randomized clinical trial aims to compare the effectiveness of Dry Needling and Neural Mobilization in patients diagnosed with Golfer's Elbow (Medial Epicondylitis). The study will evaluate the effects of both interventions on pain intensity, grip strength, and range of motion. Participants will be randomly allocated to either the Dry Needling group or the Neural Mobilization group and treated over a specified intervention period. Outcome measures will be assessed at baseline and after treatment to determine which intervention provides greater improvement in pain reduction, muscle strength, and functional mobility. The results may contribute to evidence-based rehabilitation strategies for managing Golfer's Elbow

Inclusion Criteria: * • Both male and female patients were included. * Diagnosis of Medial Epicondylitis by spiral test clinically confirmed by orthopaedic. pain is limited on medial epicondyle * Pain reproduced with resisted wrist flexion and/or forearm pronation. * Aged between 18-40 years * Acute to Subacute stage (≥ 6 weeks and ≤ 12 months * NPRS score ≥ 4/10 at baseline Exclusion Criteria: * • History of Other elbow pathologies e.g (Lateral epicondylitis , Olecranon bursitis ,Ligament injuries) * Radial or ulnar neuropathies not associated with medial epicondylitis. * Systemic or inflammatory conditions affecting tendons, such as rheumatoid arthritis * Diabetes with neuropathy (unless controlled and neuropathy absent) * Previous surgical procedures around the elbow or wrist within the past 6 months * Corticosteroid injection, PRP or shockwave therapy within the last 3 months