90 patients suffering from shoulder impingement for more than 4 weeks were randomized to receive either combined individualized exercise with manual physiotherapy or exercise alone to determine if the addition of manual physiotherapy provided an additive benefit. Participants received the allocated intervention for 12 weeks. Results after the completion of the study observed no significant difference between treatment protocols for pain, disability, patient satisfaction and patients\' global impression of change in their condition. However, manual physiotherapy improved mean pain scores over the first 5 weeks compared to the exercise intervention alone, but this difference diminished over time.