When a person experiences joint pain, the problem is usually more complicated then it seems. Most joints exhibit a system of balanced stabilization in order to protect themselves. They have positional sensors that when altered, cause soft tissue adaptations which lead to the development of symptoms. Many times, the symptoms are not in the same place as the cause of the problem. There is a whole kinetic chain of activities that can be caused by one joint not moving properly. For instance, if a person turns an ankle and has pain when weight bearing on that ankle, their body will be in a constant state of adaptation to do everything it can to avoid the pain. Remember that we are wired to adapt and minimize any faulty signals into the body.
If there is lateral ankle instability, the stabilizers of the lateral knee and hip will do everything they can to minimize the stress on the ankle. The pelvis may rotate which causes the lumbar musculature to fire unequally.This muscle imbalance can cause a rotation of the thoracic spine and tightening of the muscles that affect the shoulder and neck.
If the rhomboid muscle in the middle back starts to fire wrong, the scapulae my not move properly, causing the arm to impinge in the shoulder joint.In this case, if a surgeon goes in and does impingement surgery, he is just chasing the symptoms of deeper problems.If there are continued mechanical problems, the surgery may show some temporary relief but can ultimately lead to more degeneration and other problems down the road.
One of the best things you can do for your body is to get a biomechanical checkup!