Shoulder pain is a very common condition. Due to the complexity of the joint there are varying causes of shoulder pain, it is therefore very important to have accurate diagnosis and treatment. With a number of joints articulating in and around the shoulder, all arm movements are reliant between the rhythmical interactions between all of these joints. Structures that contribute to the smooth movement of the shoulder include the shoulder blades (scapular), spine, clavicle, and the shoulder joint itself. Improper movement at the shoulder can put increased strain in the neck, back and shoulder. The majority of shoulder injuries are acute in nature or due to unnecessary strain over time. The position and stability of the shoulder blades against the Thoracic wall (rib cage) play a very important role in the correct functioning of the shoulder. Without this stabilisation we often see “rounded shoulders” which can be an indicator that there is poor functioning of the shoulder joint. This may overload the joint and cramp structures that run between the clavicle and the ball joint of the shoulder. Over time this can lead to inflammation and degenerative changes in tendons and joints.