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From Allied Health Education, “Shoulder pain is prevalent in between 2.4% and 26% of the population, resulting in significant financial burden, pain and loss of quality of life. According to the APTA’s Clinical Practice Guidelines, mobilization and exercise are important components of shoulder pain management. Too often clinicians are ready to perform joint manipulation/mobilization with disregard for the soft tissue component of the stiff shoulder. Myofascial restrictions may limit shoulder mobility and function and must be addressed as part of a plan of care. When fascia becomes scarred from inflammation, injury, postural habits or disease, its tension adversely impacts functional mobility and physical activity. Manual therapy may include myofascial work to release abnormal tension and restore mobility and function and identify fascial restrictions using motion testing and palpation. Applying specific manual and movement interventions to address mobility deficits, improve circulation, and decrease pain in people presenting with shoulder pain and mobility deficits can help achieve improved functional outcomes.”