Inclusion Criteria:  Patients' age ranges from 30 to 50 years old. Patients are males and females. BMI of all subjects were <30 Kg/m2. Patients will be diagnosed as supraspinatus tendinitis. All patients are medically stable. All patients should be conscious and ambulant. Patients don't have any nervous system problems Patients don't have shoulder disorder other than tendenities Patients that didn't undergo any surgery in shoulder joint  Exclusion Criteria:  • Patients who received intra articular injection from duration less than 3 months.  Patients with supraspinatus tendonitis secondary to trauma. Patients with metal implants. Patient who had malignancy in the affected area. Patient with acute infection in the treated area. Diabetic patients Bone infection Shoulder instability Epilepsy Coagulation diseases Rheumatological diseases (rheumatoid arthritis and gouty arthritis)