You can’t treat what you can’t see. A thorough assessment will determine what the source of the pain is as well as its cause. For example, a torn rotator cuff with poor neuromuscular control due to an irritable c-spine putting pressure on the brachial plexus and reduced thoracic mobility compromising scapulo-thoracic coupling. Poor stress management that is driving the thoracic mobility issue. Treatment may be simple, or could involve a team approach to leverage the scope of our team’s ability as well as a broader network of specialists, sport med physicians, podiatrists etc.