Clinical Research Directory

Inclusion Criteria: * Postmenopausal female patients aged 40 to 60 years. * Shoulder pain at rest and during activities of daily living lasting for more than 3 months. * Clinical diagnosis of Stage I or Stage II frozen shoulder (adhesive capsulitis). * Passive range of motion (ROM) loss of greater than 25% compared to the unaffected shoulder in at least two movement planes (flexion, abduction, internal rotation, or external rotation). * Reduced range of motion of less than 50% compared to the unaffected side in at least one movement direction (flexion, abduction, internal rotation, or external rotation). * Increased restriction of external and internal rotation during glenohumeral abduction from 45 to 90 degrees. Exclusion Criteria: * Passive external rotation range of motion of less than 30 degrees (\<30°). * Presence of glenohumeral arthritis confirmed by radiography. * History or presence of inflammatory joint disease. * History of malignancy or active cancer diagnosis. * Previous treatment for the current shoulder condition (e.g., physiotherapy and rehabilitation, intra-articular injections, or surgical intervention). * Baseline shoulder pain score of less than 3 (\<3) on the Numeric Pain Rating Scale (NPRS).