
07/23/2025
When Shoulder Pain Has Nothing to Do with the Shoulder
Shoulder pain is tricky.
People often think they need to stretch it, ice it, or “work it out.” But in my experience, that pain often doesn’t come from the shoulder at all—it comes from two other places in the body.
Just like we talked about with the knee last week, shoulder pain is often caused by torque—a twist in the body caused by two different injuries pulling in opposite directions.
Here’s what I see again and again in my practice:
Shoulder torque often comes from a combination of an old head injury and repetitive strain in the hand or forearm.
How This Pattern Starts
Let’s break it down:
The Head Injury
This could be a concussion, a car accident, a fall, or even whiplash. The injury doesn’t have to be recent. In fact, many of the clients I work with forgot they ever hit their head until we started digging into their history. But the scar tissue in the neck and head can pull downward, subtly changing how the shoulder sits in the joint.
The Hand or Forearm Strain
Unlike the foot, which takes impact and injury, our hands deal with repetition. Typing. Holding a mouse. Texting. Lifting weights.
Over time, this leads to shortening in the lower arm, particularly in individuals who spend their days sitting at a desk. You may not feel pain in the forearm, but the tension is there, pulling up toward the shoulder.
Together, these two forces twist the shoulder joint into a less-than-ideal position. That’s when the rotator cuff gets irritated. That’s when bursitis develops. That’s when you suddenly can’t lift your arm without pain.
Try This Test at Home
Here’s a simple way to feel the torque for yourself:
Let one hand drop to your side with your palm facing behind you.
Relax your shoulder downward.
Now try to lift your arm straight out to the side—as if you were a bird about to take flight.
Feel that?
Your shoulder stops moving at a certain point. It gets stuck. That’s not weakness—it’s restriction. By simply changing how the arm sits in the shoulder joint, you’ve revealed how limited it’s become.
Now imagine staying in that position for hours every day—whether due to poor posture, tension, or scar tissue. Over time, that restriction leads to wear and tear, inflammation, and pain.
Repetitive Use vs. Injury
Unlike a foot that’s slammed by a cleat or rolled during a run, hands don’t typically experience trauma—they experience overuse. Overuse leads to the shortening of tissues in the forearm. Even if there was never a break, over time, the body reacts as if there was—laying down scar tissue to protect the area.
If you’ve ever had a wrist fracture, elbow surgery, or a broken finger, it’s even more important to address this. And if you haven’t? Repetition alone can still do the job.
What Helps
When I work with shoulder pain, I don’t start at the shoulder. I start at the source:
Releasing the lower arm and hand
Assessing for old head or neck injuries
Rebalancing the position of the shoulder within the girdle
This is exactly why I created targeted techniques in the Pain Relief Guru app for the neck, shoulders, and forearms—because healing occurs when you address the entire pattern, not just the noisy joint.
My Personal Story
I’ve been there myself.
For months, I tried everything for my own shoulder pain—massage, heat and cold, and physical therapy. I knew the mechanics, the muscles, the trigger points… and still, the pain persisted.
Eventually, I saw a specialist and discovered I had bursitis—inflammation in the bursa of the shoulder joint. In that case, no amount of massage or stretching would have fully resolved it on its own.
It reminded me of something important:
There is a time and place for home therapy—and there’s also a time to get help.
Sometimes the body needs rest.
Sometimes it needs guidance.
And sometimes, it needs a diagnosis to move forward.
The Takeaway
If you’ve been dealing with shoulder pain, don’t just chase the symptoms.
Ask yourself:
Have I had an old head or neck injury?
Do I work at a desk or do repetitive tasks with my hands?
Am I stretching and strengthening—but not seeing progress?
If so, the issue might not be your shoulder—it might be the torque in your system.
Let’s unwind it together.
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Shoulders carry a lot—physically and emotionally. Let’s give yours a break.
Don't just get a massage; get better!
Christina