Clinical Research Directory

Inclusion Criteria: * Age from 35-50years (Rafiq et al. 2022). * BMI from 18 to 29.9 kg /m2 (Morsi et al., 2022. * Current continuous or intermittent pain that has persisted for more than 3 months (Persson et al., 1997, Purves et al., 1998). * Paresthesia or numbness along the course of the nerve (Young et al., 2009). * Positive response for the 4 Wainner RS et al., test's item cluster: 1. Ipsilateral cervical Spurling. 2. Upper Limb Tension Tests (ULTTs). 3. Neck Distraction. 4. Spurling tests range (ROM) less than 60° (Wainner et al., 2003). * Unilateral affection in the upper limb. Exclusion Criteria: * History of surgical procedures for pathologies giving rise to neck pain or CTS (Wainner et al., 2003). * Clinical signs or symptoms of medical "red flags" or serious pathology (infection, cancer, and cardiac involvement) (George et al., 2015). * Any systematic disease such as rheumatism and tuberculosis, cervical myelopathy, or multiple sclerosis (Joghataei et al., 2004). * Systemic disease is known to cause generalized peripheral neuropathy as diabetes millitus (Wainner et al., 2003). * Upper Motor neuron disease such as stroke and amyotrophic lateral sclerosis (ALS) (Joghataei et al., 2004). * Complete loss of sensation along the involved nerve root (Moustafa \& Diab, 2014). * Primary report of bilateral radiating arm pain (Wainner et al., 2003) * Pregnant woman (Moustafa \& Diab, 2014).