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A discussion is attempted on the approach adopted by Dept of PMR in Bankura Sammilani Medical College to define common cases of Impingement Syndromes and Adhesive Capsulitis by Dynamic Sonological scan. The foundation of the approach is based on classic NEERS and CODMANS works. The review just acts as an aid on how to use unique attributes of sonography in diagnosing two very common conditions in day-to-day shoulder practice. We found use of such approach very helpful in taking cautious and more informed decisions regarding management strategy.