Effect of LASER Therapy Vs LASER Therapy combined with Manual Drainage Techniques for the Management of Sinusitis- An Experimental Study.

Sinusitis is a common condition characterized by inflammation of the paranasal sinuses, resulting in nasal obstruction, pain, headache, and a reduced quality of life. Conventional management often involves antibiotics, decongestants, or steroids, but these can have side effects and may not prevent recurrence. Low-level laser therapy (LLLT) has shown potential to reduce inflammation, improve drainage, and enhance tissue repair. Manual drainage techniques (MDT) help improve lymphatic flow, relieve congestion, and ease sinus pressure.This experimental study will compare the effectiveness of LLLT alone with LLLT combined with manual drainage techniques in patients with sinusitis. A total of 60 participants aged 18–50 years will be recruited and randomly assigned into two groups. Group A will receive LLLT, while Group B will receive LLLT along with manual drainage. Each group will undergo nine sessions over three weeks. The primary outcome will be symptom improvement measured using the Sino-Nasal Outcome Test-22 (SNOT-22).The study aims to determine whether adding manual drainage to laser therapy provides superior relief and functional recovery compared to laser therapy alone. The findings may support evidence-based guidelines for non-invasive physiotherapy management of sinusitis.