Additional Effects of Niel-asher Technique on Patients With Adhesive Capsulitis

Inclusion Criteria: * Age 40-60 years * Both Genders: Male and Female * Patient falls under diagnostic criteria for adhesive capsulitis which is Painful and limited active and passive glenohumeral ROM in capsular pattern (external rotation\> abduction\> internal rotation) * Patient diagnosed with adhesive capsulitis by orthopedic or general physician * Patient with phase two and three of adhesive capsulitis based on duration of symptoms * Patients of adhesive capsulitis with presence of trigger points in rotator cuff muscles and deltoid muscle (trigger points present in at least 1 or 2 of these muscles) based on simon and travell's criteria of trigger points diagnosis. Exclusion Criteria: * Spinal Injuries and any other co- morbidity * Any surgery, infection, trauma, pregnancy, fracture and fall * Patient with intra articular steroidal therapy with in last 6 months * Patient unwilling to comply follow up schedule * Patient involvement in another intervention study * Malignancy * Patient with thyroid disorders and RA and Glenohumeral OA * History of previous surgery or manipulation under anesthesia of affected shoulder * Patient with duration of symptoms of less than three months