About this trial
The goal of the study is to determine the effect of radial shock wave Phonophoresis on patients with impingement syndromes. to answer the following questions:
does shock wave Phonophoresis have and effect on pain? does shock wave Phonophoresis have and effect on shoulder function? does shock wave Phonophoresis have and effect on subacromial space? patients will be randomized to two groups: Group (A): patients will receive shock wave Phonophoresis plus conventional physical therapy.
Group (B): Patients will receive shock wave plus conventional Physical therapy.
Eligibility criteria
Qualifiers
Patients age range between 25-40 years ago.
Shoulder pain between 60- 120° with shoulder elevation (positive painful arch test).
Grade 2 impingement syndrome according to neer classification.
Disqualifiers
Shoulder affected bilaterally
Receiving anesthetic or corticosteroid injections within 4 weeks of study enrollment
Surgery or previous fractures of the ipsilateral humeral head of the affected shoulder
Osteoarthritis in the acromioclavicular or glenohumeral joints
Trial design
Treatments tested in this trial
- sodium diclofenac radial shock wave phonophoresis plus conventional physical therapy
- radial shock wave therapy plus conventional physical therapy