Effects of MET With and Without Lumbopelvic Manipulation

Inclusion Criteria: * • Participants' age range 25\_40 years. * Females * Have subacute (4-12 weeks) pain close to PSIS * Have ≥3/4 positive test PSIS height, standing flexion, prone knee flexion, supine to long sitting * Two out of four positive tests of pain provocation Distraction, compression, thigh thrust, and sacral thrust test) * Patients have moderate pain on the NPRS Exclusion Criteria: * Participants with True leg length Differences * Systemic illnesses, such as ankylosing spondylitis or RA, or pregnancy * Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication * No history of fracture