Mr M is a young man suffering from shoulder internal impingement, reporting acute shoulder pain due to repetitive overhead activities from his construction work, gym practice and Thai boxing. He was presented with deep dull ache at the posterosuperior region of his shoulder, particularly positioning his arm in the throwing position. Pain was significantly improved with shockwave therapy, rotator cuff stretches and progressive strengthening exercises. He is now gradually returning to his work, sports and leisure activities with ease. Specific exercises were provided as follows:

Shoulder internal rotation stretches
Pectoralis major stretches
Resisted scapular retraction
Resisted shoulder internal rotation in neutral and in 90 degree shoulder abduction
Serratus anterior strengthening
Scapular stabilization exercises