When Shoulder Pain Isn’t Just Shoulder Pain: What Else Could Be Going On?

Common Causes of Shoulder Pain

Stretching, rolling, or icing it for weeks — and it still hurts — it’s time to ask a better question:

What if it’s not actually a shoulder problem?

At Progressive Mobility in Spartanburg, we see a lot of clients who come in for shoulder pain that turns out to be caused by something else. That doesn’t mean the pain isn’t real. It just means the source of the problem might be in a completely different area.

Let’s break it down.

🎯 Common Causes of Shoulder Pain That Aren’t Shoulder Problems

You’d be surprised how often we see shoulder pain that’s driven by:

🔹 1. Poor Thoracic Spine Mobility

Your upper back (thoracic spine) needs to extend and rotate when you press, pull, or reach overhead. If it doesn’t? Your shoulder takes the hit.

Common signs:

  • Pain during overhead lifts
  • “Pinching” sensation in the front of the shoulder
  • Slouched posture at rest

🔹 2. Neck Restrictions or Nerve Irritation

Cervical spine stiffness or disc issues can create referred pain that shows up in the shoulder, upper trap, or down the arm.

Common signs:

  • Pain that radiates, not just aches
  • Numbness or tingling, weakness on that side
  • Symptoms change with neck position

🔹 3. Scapular (Shoulder Blade) Dysfunction

Your scapula is the base of all shoulder movement. If it’s not moving or stabilizing correctly, your rotator cuff will overwork.

Common signs:

  • Clicking or grinding
  • “Dead arm” feeling during workouts
  • Weakness with pushing or pulling

🔹 4. Core and Rib Cage Instability

Yes, really. Your shoulder function is tied into your breathing mechanics, core control, and rib positioning.

Common signs:

  • Trouble bracing during lifts
  • Low back tightness with upper body work
  • Uneven rib cage or shoulder height

🧪 How We Diagnose the Real Problem

At Progressive Mobility, we don’t just chase symptoms. We use:

  • Hands-on movement testing
  • VALD ForceDecks to see how you’re actually loading during presses or pull movements
  • Dynamo strength testing for imbalances
  • Postural and rib cage analysis (especially important for overhead/rotational athletes and CrossFitters)

We also look at your training, lifestyle, and daily posture to figure out what patterns may be contributing to your symptoms.

🔗 Related: What the Heck is That ForceDecks Platform We Keep Showing on Instagram?

🧠 Why Quick Fixes Don’t Work for Shoulder Pain

Generic PT programs, YouTube rehab videos, and random band exercises often miss the root issue. If you’ve only been given cookie-cutter stretches for “shoulder impingement,” you’re likely missing the whole picture.

And when that happens? The pain always comes back.

✅ What Real Shoulder Rehab Looks Like

A comprehensive shoulder recovery plan should include:

  • Thoracic mobility drills
  • Scapular motor control work
  • Targeted strength training
  • Breathing and rib cage positioning
  • Sport-specific movement retraining

Your shoulder doesn’t live in isolation, and your treatment shouldn’t either.

Common Causes of Shoulder Pain

💥 Ready to Get to the Root of Your Shoulder Pain?

We work with gym-goers, CrossFit athletes, and active adults in Spartanburg who want to train without pain.

Our one-on-one evaluations are designed to identify what’s actually going on — and get you back to doing what you love, faster.

👉Click here to book a FREE CALL to see if we can help with your shoulder pain.