Effectiveness of Neural Stretching and Distalo-proximal Release Technique for the Management of Chronic Neck Pain with Referred symptoms.

This randomized controlled trial aims to evaluate the effectiveness of Neural Stretching and Distalo-Proximal Release Technique in the management of chronic neck pain with referred symptoms. Participants aged 18–50 years experiencing neck pain radiating to the upper limbs, along with symptoms such as numbness, weakness, and headache, will be included. The study will be conducted at multiple centers where eligible participants will be randomly allocated into two groups. The experimental group will receive neural stretching and distalo-proximal release techniques, while the control group will undergo conventional physiotherapy. Outcomes will be assessed using the Visual Analog Scale (VAS) Neck Disability Index (NDI), Patient-Specific Functional Scale (PSFS) and a digital goniometer. The study will follow CONSORT guidelines, and the intervention will be provided by qualified physiotherapists. The primary outcome is pain measured by VAS, and the secondary outcomes are  ROM using a digital goniometer and functional mobility  improvement measure by NDI neck disability index and patients specific functional scale.