Shoulder pain can be caused by a whole host of reasons. That is why it is important to receive a comprehensive exam before starting any treatment protocol. Many injuries are caused by a bio-mechanical dysfunction that pre-disposes that person to injury. With an acute injury or trauma it is important to distinguish which structure has been damaged, and to what extent it has been damaged. With a rotator cuff or labrum tear there is usually a need for advanced imaging such as MRI to assess the extent of and location of the tear. But many people suffer from shoulder pain that seems to come out of nowhere. When pain gradually occurs and slowly gets worse it is almost always caused by either a postural or bio-mechanical faulty movement pattern. This occurs when the arm (head of the humerus) doesn’t sit properly in the shoulder socket (gleno-humeral joint). This is generally caused by muscular imbalances that have developed and been reinforced neurologically over time. It is important to get a full Chiropractic assessment to establish what the primary cause of your shoulder pain is, and how most effectively to be treated.