In persons diagnosed with low back pain and sciatica, treatment with grade-4 Maitland mobilization and piriformis muscle positional release techniques were related to a successful elevation in sensory nerve conduction velocity (NCV) of the sciatic nerve. The purpose of this randomized controlled trial was to determine the influence of concurrently using two techniques on sciatic nerve sensory NCV in  a cohort of 50 people (mean age 41.86 ± 7.90) suffering from low back pain linked with sciatica.

Volunteers were randomly divided into experimental (group A, n = 25) and control (group B, n = 25) groups at random. Patients were examined twice, once before and once after a six-week period. Group A got a typical physical therapy programme along with positional release and Maitland mobilization techniques. On the other hand, a conventional physical treatment regimen and a sham mobilization strategy were applied to Group B.

In comparison with pre-test in group A, the sciatic nerve sensory NCV raised significantly in the post-test condition. However, there was no significant difference in group B. In individuals with low back discomfort associated with sciatica, simultaneously using positional release and Maitland mobilization techniques on the lower lumbar spine may enhance sciatic nerve function.