Over the years, several professionals in their mid-forties to fifties came to me with a similar complaint: “My shoulder has been hurting for months.”

Some had received a rotator-cuff diagnosis and used medicine when needed. That was part of appropriate care. Yet movement still felt uncomfortable.

I did not assume their working habits caused the diagnosis. I noticed shared circumstances around the discomfort: long sitting, rounded shoulders, little movement through a comfortable range, high stress, few breaks and gradually reduced strength.

Movement can become more limited when certain ranges are rarely used. That is why, when someone asks, “Which exercise should I do?”, I do not always begin with a single exercise.

My question is: what has this body lost over time—and what does it need now?

Where appropriate and within medical or physiotherapy guidance, the work may involve gradually rebuilding comfortable movement, strength and confidence rather than chasing one corrective exercise.

Persistent, worsening or traumatic shoulder pain, marked weakness or loss of movement needs assessment by a doctor or physiotherapist. Exercise should be adapted or stopped if it aggravates symptoms.