Inclusion Criteria:  patients aged 35 to 60 years, patients who suffered pain and stiffness in only one shoulder, for 1 to 6 months patients who had restriction of passive motion.  Exclusion Criteria:  patients with previous trauma, patients with neurological patients with endocrinal diseases patients with shoulder tumor patients with arthritis people who had received intra-articular shoulder injection within the last 6 months. Patients with tendon tear