Efficacy of myofascial trigger point stretch dry needling in patient with Adhesive Capsulitis - A randomized control trial

This study is a single-blinded, two-arm parallel-group, randomized controlled trial to assess the efficacy of myofascial trigger point stretch dry needling in patients with Adhesive Capsulitis (AC). The duration of the study will be 8 months. It will include 40 patients aged between 40-60 years, both male and female who are not having Diabetes mellitus, subjects who are willing to participate, and clinically diagnosed with AC stage 1 and stage 2. Also, the presence of Pain scores at least 3 out of 10 on the Visual analogue scale. Subjects will be excluded from the study, if they have AC stages 3 and 4, needle phobia, skin condition around the shoulder joint, taking painkillers and anticoagulation therapy before assessment, uncooperative behavior of the subjects, blood coagulation disorder, and diabetes mellitus. The primary outcome measures will be the Visual analogue scale, Goniometry, and pressure pain threshold. The secondary outcomes will be Manual Muscle testing and Shoulder pain and disability index. Preassessment will be done by using primary and secondary outcome measures before starting the treatment protocol and post-assessment will be done after 2 weeks of treatment same as pre-assessment.