Two-leg rotation for sciatica from lumbar disc problems
Effect of Adding Two Leg-rotation to Standard Physical Therapy in the Treatment of Sciatica Secondary to Lumbar Discogenic Lesions.
We will test whether the Mulligan two-leg rotation mobilization can reduce sciatic pain and improve function in adults with lumbar disc–related sciatica.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 70 (estimated) |
| Ages | 18 Years to 50 Years |
| Sex | All |
| Sponsor | University of Hail Academic / other |
| Locations | 1 site (Ha'il, Ha'il Region) |
| Trial ID | NCT07444125 on ClinicalTrials.gov |
What this trial studies
Adults with lumbar discogenic sciatica who meet inclusion criteria will receive standard physiotherapy care, with one group also getting the Mulligan two-leg rotation mobilization while the comparison group receives standard therapy alone. Pain, nerve mobility (straight leg raise), and functional status will be measured using common scales such as VAS/NPRS and validated function questionnaires over the treatment period. The technique is intended to open the intervertebral foramina and reduce nerve-related symptoms through manual mobilization. The trial is conducted at a single center and targets people aged 18–50 without prior lumbar surgery or severe neurologic deficits.
Who should consider this trial
Good fit: Adults aged 18–50 with confirmed lumbar discogenic lesions and sciatica radiating at least to the knee, without prior lumbar surgery or severe neurologic deficits, are the intended participants.
Not a fit: Patients with prior lumbar spine surgery, severe disc lesions causing bladder or bowel incontinence or progressive motor weakness, piriformis syndrome, or sciatica from other non-disc causes may not benefit from this approach.
Why it matters
Potential benefit: If successful, this simple manual technique could reduce sciatic pain, improve nerve mobility, and help people stand and walk more comfortably without more invasive treatments.
How similar studies have performed: Manual mobilization methods including Mulligan techniques have mixed and limited evidence for sciatica, and there is no strong systematic proof specifically for the two-leg rotation maneuver.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Both genders. * Age between 18 and 50 * Have lumbar discogenic lesions. * Having sciatica symptoms extending down to the knee. Exclusion Criteria: * Surgical operation in the lumbar spine * Severe discogenic lesions with bladder or fecal incontinence or progressive muscular weakness. * Piriform syndrome.
Where this trial is running
Ha'il, Ha'il Region
- University of Hail — Ha'il, Ha'il Region, Saudi Arabia (Recruiting)
Study contacts
- Principal investigator: Hisham M Mohamed, PhD — University of Hail, College of Applied Medical Sciences
- Study coordinator: Hisham Mohamed Hussein, PhD
- Email: hm.hussein@uoh.edu.sa
- Phone: +966543704108
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.