Effects of Mulligan Mobilization With and Without Dry Needling in Runner's Knee

Inclusion Criteria: * Patients of both genders. * Individuals aged 20-45 years with a clinical diagnosis of Runner's Knee. * Participants experiencing retropatellar or anterior knee pain during at least two activities such as ascending and descending stairs, squatting, kneeling, or prolonged sitting, jumping or running. * Pain scoring rate on numeric pain rating scale (NPRS) ≥ 3 during at least two activities. * Duration lasting longer than two months. Exclusion Criteria: * Patients with a history of meniscus tears, bursitis, patellar tendon injury, ligamentous injury, joint degeneration, patellofemoral dislocation and / or recurrent subluxation. * Participants with a history of arthritis. * Individuals with a history of lower extremity surgery. * Patients having knee pain referred from hip, lumbar spine and ankle joints. * Any systemic disease and/or connective tissue disorders, or lumbosacral nerve root compression. * Patients taking any pain medications. * Individuals who previously received acupuncture therapy, injection, or dry needling technique for knee extensor muscle in last six months.