Post Burn Cubital Tunnel Syndrome Response to High Intensity Laser Therapy Versus Shock Wave Therapy

Inclusion Criteria * Men and women aged 20-50 years. * Healed unilateral second- or third-degree upper-limb burns involving the elbow with a total body surface area (TBSA) \<20%. * Unilateral post-burn cubital tunnel syndrome confirmed clinically (including Tinel's sign) and electrophysiologically by focal slowing of ulnar nerve conduction across the elbow. * Ability and willingness to provide informed consent and comply with the study protocol. Exclusion Criteria * Severe axonal loss indicating direct ulnar nerve injury. * Generalized neuropathy or abnormal nerve conduction in the contralateral upper limb. * Concurrent median or radial neuropathy or brachial plexus injury. * Previous elbow fracture, ulnar nerve surgery, or extensive reconstructive procedures around the cubital tunnel (simple skin grafting permitted). * Diabetes mellitus, active malignancy, pregnancy, active infection, coagulopathy, or cardiac pacemaker implantation. * Other neurological disorders affecting upper-limb function. * Participation in another rehabilitation or interventional study during the study period. * Inability to adhere to the treatment protocol or scheduled assessments.