Inclusion Criteria:  Patients aged > 18 years Unilateral adhesive capsulitis of the shoulder The symptom duration > 3 months Shoulder pain The Limited glenohumeral joint active range of motion of greater than 50% in at least three specific movements among abduction, flexion, internal rotation, and external rotation Having type 2 diabetes for at least 3 years  Exclusion Criteria:  Previous shoulder surgeries Massive, minor, and major rotator cuff tears Pain and muscle strength loss due to neurological causes History or presence of malignancy Osteoporosis