Have you ever heard the saying, no pain, no gain? This saying can be a good thing or a really bad thing. For example, if a triathlete starts swimming after a long break, it is probably going to be a painful experience. It’s hard to get oxygen, your arms are sore, and you are trying your hardest not to let your legs become a 60 pound anchor. At first you have to push through the pain, and eventually it becomes easier. Pain in this case is a part of becoming better, stronger, and faster. If that same triathlete has shoulder pain on his right side during the recovery portion of his stroke, then that’s a different story. This is bad pain and indicates that the joint is not working correctly. This pain would most likely be caused from adhesion in the rotator cuff muscles. This will cause the joint to move incorrectly and create pain in the shoulder and down the arm. Bad pain is your body’s way of saying STOP. If you try to work though the pain and take anti-inflammatory medicine, it will only get worse. The medicine will allow you to continue to move the joint wrong until something tears. I like the saying, “No GOOD pain, no gain”. If you are unsure if your pain is good or bad, please schedule an exam to find out.