A 28-year-old man presented to one of the authors (J.D.B.) in a nonclinical setting. He reported that he had an 18-month history of decreased ROM and 8/10 pain in his right shoulder. The symptoms started after he was holding onto a taut rope that was pulled, forcing his arm into hyperextension. Pain had been constant since the injury, and ROM had worsened over time. He reported difficulty playing with his children, working as a correctional officer, and pulling his shirt over his head. The patient underwent magnetic resonance imaging after the injury, but results were negative for rotator cuff tear. The patient self-treated with nonsteroidal anti-inflammatory drugs and at-home exercises with no benefit. To indicate the location of his pain, he pointed with his index finger at the base of the skull on the right and drew a line down his neck and over the right shoulder to the acromioclavicular joint. He stopped at the supraclavicular region and pushed his fingers into the soft tissue; he then grabbed his shoulder over the deltoid with one hand and stated, “This is where it hurts.” The patient reported mild weakness in the right shoulder but denied “catching” of the shoulder, numbness, tingling, fever, and unexplained weight loss. His medical history was significant for a childhood concussion and seizures from ages 11 to 16 years. He reported no other history of trauma or pertinent operations.