Inclusion Criteria:  Shoulder pain for at least 6 weeks in the 30-65 age range Positivity of shoulder impingement tests on examination(Neer test, Hawkins Kennedy test) Findings related to subacromial impingement syndrome in MRI  Exclusion Criteria:  Pregnancy Inflammatory rheumatologic diseases Malignity Having received physical therapy and rehabilitation for the shoulder area in the last 3 months Local injection therapy to the shoulder area in the last 6 months History of trauma, history of surgery, history of fracture in the aching shoulder region in the last 6 months Adhesive capsulitis, calcification findings in the rotator cuff tendons exceeding 2 cm, findings of full-thickness total rotator cuff rupture in magnetic resonance (MR) imaging, presence of osteoarthritis findings and labral pathologies in imaging of the acromioclavicular joint or glenohumeral joint, presence of benign malignant lesions cervical radiculopathy Cervical myofascial pain syndrome cardiac pacemaker bleeding diathesis Body implant with electronic or battery system Acute infections tuberculosis