Adding Neural Mobilization to Mulligan Technique for Treatment of Patients With Chronic Tennis Elbow

Inclusion Criteria: * Patient aged 20-60 years old * . Diagnosed with chronic tennis elbow * experienced discomfort in their dominant arm, tenderness over the lateral epicondyle of the elbow joint, and exhibited signs and symptoms of tennis elbow persisting for three months * Increased pain with resistant elbow extension, wrist extension, gripping, and supination * ULTT 2 b (radial nerve) should be positive ) pain referral throughout the dorsal and radial aspect of the forearm and, sometimes, an "electrical shock-like" pain on the radial side of the right wrist ( Exclusion Criteria: * patients who had a history of or were suffering from psychogenic stress * acute strain, fractures of the humerus, radius, and ulna, * History of Rheumatoid diseases * Subjects on steroids or any other medications for pain at present were excluded * severe edema, infection * malignancy * osteoporosis * unstable joints * severe neck or shoulder pain, neurological conditions \\ impacting the upper extremity Cervical radiculopathy * Bilateral Symptoms of Tennis elbow