Patients will receive manual treatment complies with Fascial Distortion Model method.

Patients will receive manual treatment complies with Mulligan Concept method.

Patients will receive traditional physiotherapy.

Patients will receive manual treatment according to FDM procedures:

1. Triggerbands - therapist put a pressure by the thumb along the presented pathway.
2. Continuum Distortions - therapist put a pressure by the thumb at the exact place of feeling of pain.
3. Folding Distortions - therapist conduct traction or compression of the affected joint.
4. Herniated Triggerpoint - therapist put a pressure by the thumb at the place where HTP occurs.
5. Cylinder Distortions - therapist compress and stretch by the hands affected area.
6. Tectonic Fixation - Therapist compress and stretch affected area by the hands or tools like vacuum bubble.

The Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure is a 30-item, self-report questionnaire designed to measure physical function and symptoms in patients with any or several musculoskeletal disorders of the upper limb. It helps describe the disability experienced by people with upper-limb disorders and also to monitor changes in symptoms and function over time .The DASH is scored in 30 items from 1 to 5. Higher score means greater level of disability.

The Constant-Murley score (CMS) is a 100-points scale composed of a number of individual parameters. These parameters define the level of pain and the ability to carry out the normal daily activities of the patient.[1] The Constant-Murley score was introduced to determine the functionality after the treatment of a shoulder injury. The test is divided into four subscales: pain (15 points), activities of daily living (20 points), strength (25 points) and range of motion: forward elevation, external rotation, abduction and internal rotation of the shoulder (40 points). The higher score, the higher the quality of the function.

The SF-36 is a 36 item questionnaire that measures eight multi-item dimensions of health: physical functioning (10 items) social functioning (2 items) role limitations due to physical problems (4 items), role limitations due to emotional problems (3 items), mental health (5 items), energy/vitality (4 items), pain (2 items), and general health perception (5 items).

Visual analogue scales (score 0-10) are psychometric measuring instruments designed to document the characteristics of disease-related symptom severity in individual patients and use this to achieve a rapid classification of symptom severity and disease control.

The higher score, indicate greater level of pain.