Movement impairment syndromes are very common at your shoulder blade and are often directly related to myofascial restriction in the muscles holding your shoulder blade to your ribcage as well as pain in your shoulder. The dysfunctional movement patterns affect the rotator cuff and the alignment of your long arm bone, the humerus, as well as the collarbone (clavicle) as it interfaces with the shoulder blade. Usually, without a lot of myofascial release, shoulder issues rarely resolve. Equally as important in the proper mechanics of your shoulder motion are the problems that can be caused by restrictions within the shoulder joint capsule, the dense, fibrous connective tissue that forms a fluid filled sac surrounding most of your joints. These restrictions respond very well to joint mobilization if they are found to be part of your shoulder problem. Often involved as well are restrictions within the joints of your upper back which also affect your shoulder mechanics by way of affecting your shoulder blade movement. All of your supportive muscles for the shoulder blade originate from your upper spine. This is often overlooked but is a necessary component to relieving your shoulder pain and restoring normal shoulder mechanics.