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OBJECTIVE To analyze immediate treatment effects of spinal manipulation compared tomulligan sustained natural apophyseal glide mobilization technique in cervical pain. STUDY DESIGN Quasi Experimental Study STUDY SETTINGS & PARTICIPANTS A sample of 150 participants were included in this study and equally divided in two groups. Subjects were randomly assigned to receive either SNAG mobilization (n = 75), or a manipulation (n =75). The SNAG technique was applied at the cervical spinal levels with active flexion in sitting. Manipulation was done by an experienced manual therapist. INTERVENTIONS VAS and Neck disability index (NDI). RESULTS The use of manual therapies decreased the pain intensity in the mulligan and the manipulation group; this difference was statistically significant (p-value

OBJECTIVE To find out adhesive capsulitis patients in diabetes mellitus patients. STUDY DESIGN Cross-sectional study. STUDY SETTINGS & PARTICIPANTS Patients with diabetes mellitus from Ziauddin university hospital Clifton Karachi were included. 325 diabetic patients in which 81 patients were diagnosed with adhesive capsulitis. SAMPLE SIZE A Sample size of 325 patients was selected. SUBJECTS 170 men and 155 women aged between 40 to 79 years were selected. RESULT Frequency of shoulder adhesive capsulitis was 24.9% among diabetic subjects. CONCLUSION Adhesive capsulitis are under recognized in adult diabetic patients occurring in 18% of the cases. Physicians should consider examining the periarticular region of the joints in the hands and shoulders whenever a diabetic patient presents with musculoskeletal symptoms.