Inclusion Criteria:  between ages 18-60 years loss of passive motion of the glenohumeral joint greater than 25% or 30 in at least 2 directions (flexion, external rotation, and internal rotation) compared with the contralateral side The pain VAS more than 7 (10 in total)  Exclusion Criteria:  bilateral frozen shoulder rotator cuff tear previous corticosteroid injection at the affected shoulder within 3 months