Inclusion Criteria:  Patients clinically diagnosed with unilateral adhesive capsulitis. Patients who had restricted ROM (loss of 25% or greater relative to non- involved shoulder in one or multidirectional). Stage 2 and 3 of frozen shoulder. Diabetic patients diagnosed with frozen shoulder.  Exclusion Criteria:  A history of major shoulder injury or surgery. Other disorders possibly influencing existing shoulder symptoms e.g. cervical neuropathy. Paralysis or neurological changes of the affected upper limb. Fractures or open wounds; Degenerative, inflammatory, or infectious arthritis; History of intra-articular injection pain treatment. History of osteoporosis or malignancies in shoulder region