 Systematic review in 2012 reviewed nineteen databases in the UK for cost efficacy of various interventions made no significant claims as to which interventions were the most economically advantageous proposing a multi-arm trial comparing high quality conservative management, steroid injection, steroid injection in conjunction with capsular distension, capsular release with MUA16. With growing costs of healthcare and the need to cut down on extraneous interventions, the role of physiotherapy as an adjunctive measure should be thoroughly evaluated. 