Effect of SNAGs and Scapular Mobilizations in Patients With Scapulocostal Syndrome

Inclusion Criteria: * Age- 18 to 40 years. * Male and female both * Nonspecific neck pain with a duration of greater than 3 months * No pain reproduction on isometric muscle testing in shoulder. * Patients who could not achieve 60 degrees of upward rotation when elevating the arms above the head i.e. presence of scapular dyskinesia * pain with a referral pattern while receiving manual pressure of at least 3 points on the medial scapular muscles (levator scapulae, rhomboid major, rhomboid minor, and serratus posterior superior) evaluated through Travels and Simon criteria. * Discomfort, pain, or limitations in neck extension, neck rotation bilaterally, shoulder forward flexion, shoulder abduction attributed to SCS. * Willing to provide informed consent to participate in the study. Exclusion Criteria: * Musculoskeletal pathologies affecting the cervical spine or lower extremities (e.g., herniated disc, cervical radiculopathy, cervical stenosis, shoulder labral tear). * history of degenerative shoulder joint disease * rotator cuff dysfunction * Thoracic outlet syndrome * Brachial neuralgia * shoulder impingement syndrome * adhesive capsulitis * Pregnant individuals due to potential discomfort. * Open wounds, infections, or skin conditions at pain site.