The role for physical therapy in adhesive capsulitis is not settled. Physical therapy is utilized as an initial treatment in adhesive capsulitis or frozen shoulder with the use of range of motion (ROM) exercises and manual therapy techniques of shoulder joint to restore range and function. A low-dose corticosteroid injection and home exercise programs in those with symptoms less than 6 months may be useful. There may be some benefit with manual therapy and stretching as part of a rehabilitation program but due to the time required such use should be carefully considered. Physical therapists may utilize joint mobilizations directly at the glenohumeral joint to decrease pain, increase function, and increase range of motion as another form of treatment. There are some studies that have shown that intensive passive stretching can promote healing. Additional interventions include modalities such as ultrasound, shortwave diathermy, laser therapy and electrical stimulation. Another osteopathic technique used to treat the shoulder is called the Spencer technique. Mobilization techniques and other therapeutic modalities are most commonly used by physical therapist, however there is not strong evidence that these methods can change the course of the disease.