06/01/2026
This is where I disagree with the current narrative around shoulder pain.
Saying “impingement isn’t real” because surgery doesn’t work misses the actual mechanics. The problem isn’t the bone itself. It’s how the humerus is moving and how the shoulder blade is positioned underneath load.
You can shave bone and still have pain if the shoulder blade isn’t rotating, if the humeral head is riding up, or if posture and mechanics aren’t addressed. That doesn’t mean impingement doesn’t exist. It means the intervention didn’t fix the cause.
Reducing load and avoiding overhead work can calm symptoms, but without proper assessment and clinical reasoning, you’re just guessing. Strength without mechanics is not a solution.
Look at the body. Look at movement. Test, adjust, retest. That’s how you actually resolve shoulder pain.