Comparison of IMES Versus DN on ATrPs of AC
The aim of our study to compare DN and IMES for pressure pain threshold, ROM and the shoulder function in active trigger points with adhesive capsulitis. This study will add to the growing body of knowledge that if these two techniques yield comparable outcomes and if one technique is superior to the other, which should be the alternative of therapy. Moreover, it would add to the society as there are very limited researches done in Pakistan using needling for trigger points in adhesive capsulitis.
- EligibilityCriteria: Inclusion Criteria:  • Age 40 to 60 year of both genders  Diagnosed patients of stage 3 Adhesive capsulitis with type I and II diabetes Involvement of at least 3 shoulder girdle muscles in Active MTrPs (subscapularis, latissimus dorsi, deltoid (anterior, middle, posterior) Active MTrPs in shoulder girdle muscles (subscapularis, supraspinatus, deltoid (anterior, middle, posterior), teres minor, latissimus dorsi) Reproduction of the patient's symptoms at active trigger point, Taut band, Hypersensitive spot, Referred pain pattern, local twitch response Minimum 60 degrees of active/passive shoulder abduction range of movement.  Exclusion Criteria:  Systemic inflammatory joint disease of shoulder joint (RA, OA polymyalgia rheumatic) Cerebral Vascular Accident Fibromyalgia, neurological deficits of upper limb (Nerve root entrapment, Cervical radiculopathy, Thoracic outlet syndrome) History of Fracture, Dislocation, Acute soft tissue injury, Acute bursitis Avascular necrosis of humeral head or visceral referred pain to shoulder Pregnancy, Hypothyroidism, skin infection Patients who are using Antiplatelet Therapy with in past 3 days of study Extreme fear of needles - HealthyVolunteers: No - Gender: All - MinimumAge: 30 Years - MaximumAge: 60 Years - StdAgeList: Adult