hi,
thanks for your very informative reply.your reply is very helpful. yes that patient has a trauma history on the effected shoulder 3 years ago. he came to me with much pain in his shoulder but now he is pain free.today i found some trigger points over scapular region and tried to break them will see the results tomorrow. i hope it will work.
can i ask you for help directly in the future?

best regards
Umer Physio