Shoulder Surgery or not? How Personal Trainers can properly assess shoulder pain episode artwork

EPISODE · Feb 27, 2026 · 41 MIN

Shoulder Surgery or not? How Personal Trainers can properly assess shoulder pain

from The Show Up Fitness Podcast · host Chris Hitchko, CEO Show Up Fitness

Send us a text if you want to be on the Podcast & explain why!A client came to me after being told she needed shoulder surgery.MRI showed a slight supraspinatus tear. No physical therapy was recommended. No movement assessment was performed. Just “you’ll need surgery.”Instead of jumping to conclusions, we performed a full movement screen looking at the GH joint, scapula, thoracic spine and LPHC. No red flags were present. Several exercises were completely pain free. Others were only uncomfortable based on fear and guarding after being told she was “fragile.”This is where the biopsychosocial model of pain becomes critical for personal trainers.Pain is not always tissue damage. Language matters. Assessments matter. Understanding anatomy and movement matters.After helping her better understand what the MRI actually meant, how her shoulder moves, and which patterns felt safe to load, she avoided surgery and returned to training without pain.Knowing your scope as a personal trainer is important. But so is knowing when to assess, when to refer, and how to confidently work with clients who are in pain without making them feel broken.Textbook certifications like NASM ACE ISSA don’t prepare you for real world scenarios like this.That’s why we created the SUF-CPT and SUF-STM certifications.If you want to: • Assess clients in pain • Program on the fly • Partner with DPTs • Charge $150+ per session • Build confidence with real peopleYou have to SHOW UP.Learn more about our seminars and certifications here: [Insert Website]#PersonalTraining #Biopsychosocial #ShoulderPain #NASM #CPT #MovementAssessment #PainScience #ShowUpFitnessBecome a personal trainer, SUF CPT the fastest growing personal training certification for personal trainersWant to become a SUCCESSFUL personal trainer? SUF-CPT is the FASTEST growing personal training certification in the world!Want to ask us a question?  Email [email protected] with the subject line PODCAST QUESTION to get your question answered live on the show!Website: https://www.showupfitness.com/Become a Successful Personal Trainer Book Vol. 2 (Amazon): https://a.co/d/1aoRnqANASM / ACE / ISSA study guide: https://www.showupfitness.com

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Send us a text if you want to be on the Podcast & explain why! A client came to me after being told she needed shoulder surgery. MRI showed a slight supraspinatus tear. No physical therapy was recommended. No movement assessment was performed. Just “you’ll need surgery.” Instead of jumping to conclusions, we performed a full movement screen looking at the GH joint, scapula, thoracic spine and LPHC. No red flags were present. Several exercises were completely pain free. Others were only un...

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Shoulder Surgery or not? How Personal Trainers can properly assess shoulder pain

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