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You tweaked your shoulder in the gym. And you’re looking for answers. This guide is for you. Chances are, when you Google shoulder injuries, it leads to some mechanical description of the shoulder joint with pictures that points out what is structurally wrong with the joint. The result from that can lead you down a path of more medical utilization in the form of doctor’s visits, medical imaging (X-Rays, MRIs), pain medications, injections, and other modalities such acupuncture, various physical rubs, and joint manipulations. You see. The secret is that the body is adaptable and has an amazing capacity to heal, despite having an imperfect image on the inside. The majority of shoulder injuries that occur at the gym are not serious and can get better with rehab. You can live with a rotator cuff tear and have no pain. In fact, studies have shown that up to 22.1% of the population has some form of rotator cuff tear without pain. The prevalence increases with age. (https://www.ncbi.nlm.nih.gov/pmc/arti...) Admittedly, not all shoulder injuries get better with rehab. Some require further intervention, especially if you have some Red Flag symptoms shown below. But most “tweaks” while lifting in the gym do not warrant jumping straight to surgery. Chances are, your surgeon will recommend conservative care before considering surgery. We first have to clear some medical Red Flags. Red Flags are symptoms that may require more urgent medical intervention (ie. medications, injections or surgeries) (This is not an exhaustive list) Significant loss of strength/dexterity Constant pain at rest Loss of sensation Significant numbness/tingling Recurring dislocations