Clinical Research Directory

Inclusion Criteria: * The patient age will range from 30to 40years old from both sexes (male and female). * All recruited subjects in the 2nd stage of adhesive capsulitis (transitional stage). * The patient will be diagnosed and referred by orthopedist as Adhesive capsulitis. * The diagnosis will be confirmed by shoulder MRI. * The diagnosis will be confirmed by shrug test. * The patient will be referred by anterior shoulder pain or anterolateral shoulder pain. * Inclusion requirement include two or more of the following pain complaints: Grooming ones hair, Scratching your back and getting dressed, Overhead activities or Difficulty in the action of throwing the ball and giving a high -five. * All patients will sign the informed consent before joining the study. Exclusion Criteria: * Previous fracture with or without internal fixation in the shoulder joint * Any previous surgery in the shoulder joint and patient with tendon calcification * Local corticosteroid injection to the affected shoulder within the last three months or recent ones (Michener et al, 2004). * Neuromuscular disease * Rotator cuff tear * History of metastatic cancer or diagnosis of cancer within 12 months * Unstable angina