Effectiveness of Combined Neural Mobilization With Manual Myofascial Release for Sciatic Pain Relief

Riphah International University

Status: Not yet enrolling

Conditions: Sciatica

Treatments: Other: Manual Myofascial Release; Other: Combined Neural Mobilization with Manual myofascial Release; Other: Neural Mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT06947785

REC-01004 Anwar Ullah

Details and patient eligibility

About

This study will address to evaluate and compare both Neural mobilization and Manual Myofascial Release of piriformis and Lumbar muscles in sciatic pain with the aim of evaluating and identifying the most effective intervention for managing this specific condition, and provide valuable insights into the effectiveness, mechanisms, and practical considerations associated with these interventions, ultimately contributing to evidence based and patient centered care.

Full description

MFR is a hands-on technique targeting fascial restrictions that may contribute to pain and reduced mobility. Barnes proposed that releasing fascial adhesions can improve circulation, reduce nerve compression, and enhance tissue flexibility. In a study by Ajimsha et al. , MFR was found to significantly reduce pain and improve physical function in patients with nonspecific low back pain. There is a lack of comparative research assessing the relative efficacy of neural mobilization andMFR in sciatic pain management. While both techniques are rooted in distinct mechanisms neural desensitization versus fascial release they may have overlapping benefits in improving mobility and reducing pain. This study addresses this research gap by directly comparing the two approaches in individuals with sciatic pain.

Enrollment: 48 estimated patients

Sex: All

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Clinically diagnosed unilateral sciatic pain for >3 months.
2. Positive Straight Leg Raise (SLR).

Exclusion criteria

• Participants fall in this category would be excluded of the study.

1. Recent spinal surgery or trauma.
2. Neurological deficits or systemic conditions affecting the nervous system.
3. Any other red flags

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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48 participants in 3 patient groups

Combined Neural Mobilization with Manual myofascial Release

Experimental group

Description:

Combined neural mobilization of Sciatic nerve and manual myofascial release of piriformis and back muscles will be given to this group.

Treatment:

Other: Combined Neural Mobilization with Manual myofascial Release

Neural Mobilization

Active Comparator group

Description:

Only neural mobilization of Sciatic nerve will be given to this group.

Treatment:

Other: Neural Mobilization

Manual Myofascial Release

Active Comparator group

Description:

Only manual myofascial release of piriformis and back muscles will be given to this group.

Treatment:

Other: Manual Myofascial Release