Shoulder pain can occur for a variety of reasons, but the major forms of shoulder pain are traumatic and chronic. As our society becomes increasingly reliant on technology, our shoulders are rounding, our thoracic spines are flexing, our shoulder blades are tilting forward, and our heads are moving forward. These chronic changes can also predispose us to a later traumatic injury, like a rotator cuff tear because our joints are not sitting in proper alignment. Try this: Hunch your back and try to reach your hand as high into the air overhead as you can and notice the change in how your shoulder joint and shoulder blade are able to move. While hunching in this scenario may feel extreme, it paints a good picture of how a shoulder joint sitting in a less-than-ideal position over time can be negatively impacted.