Clinical Research Directory

Inclusion Criteria: 1. Fifty patients with chronic supraspinatus tendinitis on the dominant side. 2. Patients with age range from 18 to 65 years old from both genders. 3. Patients reporting positive empty can test. 4. patients reporting pain with resisted isometric abduction. 5. Patients experiencing shoulder pain for at least 4 weeks. 6. patients reporting pain with active shoulder elevation in the scapular plane. Exclusion Criteria: 1. Patients with shoulder surgery or trauma in the past 6 months will be excluded. 2. Patients with full-thickness rotator cuff tears, fractures, or severe osteoarthritis will be excluded. 3. Patients with systemic diseases affecting tendon healing (e.g., uncontrolled diabetes, rheumatoid arthritis) will be excluded. 4. Patients who were pregnant or breastfeeding will be excluded. 5. Patients currently receiving other shoulder therapies that could affect outcomes will be excluded. 6. Patients with frozen shoulder will be excluded. 7. Patients with glenohumeral or acromioclavicular arthritis will be excluded. 8. Patients with an implanted pacemaker will be excluded.