Effectiveness of DN With or Without Mulligan Two Leg Rotation Technique on Pain ROM and Joint Dysfunction in KO

Inclusion Criteria: * Adult patients with age 18-65 diagnosed with chronic coccydynia for at least 3 months were recruited. * Participants who will be willing \& able to adhere to the study protocol. * Including participants who will be attending follow-up appointments \& completing outcome measures. * Participants who will be able to understand \& provide written informed consent. * Participants with a complete screening of other medical conditions and previous medical records. Exclusion Criteria: * Participants with previous surgery on the coccyx or lumbosacral spine, pregnancy or breastfeeding, history of bleeding disorders or anticoagulant use, active infection, or significant medical condition that could pose a safety risk during the procedures (GIB or CESI) was omitted. * Patients above the age of 65 were eliminated to reduce confounding by age-related health concerns and to provide a more homogenous study population for more accurate treatment outcomes. * Participants with neurological conditions affecting pain perception or sensation were excluded. * Participants with known allergies to medications used in the study (local anesthetic, steroid for injections) were not part of the study. * Participation in another interventional clinical trial within the past 3 months was not included. * Participants who were unable to safely undergo fluoroscopy were also excluded.