Why is everything hurting?   “I feel threatened by my shoulder. How can EVERYTHING hurt?” This is an actual quote from a patient with chronic shoulder pain. We see patients who are surprised by how debilitating intense shoulder pain can be.  They struggle to reach for objects overhead, behind them, or to the side.  They struggle with putting on clothes and getting dressed. They struggle with self-care activities like grooming and bathing.  They struggle with seemingly minor household activities: cooking, cleaning, laundry, etc.  They struggle to find a position they can even be comfortable in. Their shoulder pain affects how they sleep.  They start to complain of shoulder pain causing neck pain, upper back pain, or pain down the arm. They cannot work out due to pain. Sometimes, even something like walking causes shoulder pain.  Their activity is drastically constrained. When symptoms are this intense for a prolonged period