Shoulder pain can be frustrating at any time of day, but for many people the worst part isn't lifting, reaching or exercising. It's trying to sleep. Night shoulder pain is common, but progressive strengthening can help rebuild the shoulder's capacity for everyday movement, exercise and sleep. You might feel relatively comfortable through the day, only to find that the shoulder starts aching once you lie down. You roll onto one side and it hurts. You roll onto the other side

Of all the regions of the body that Pilates instructors encounter in a studio setting, the shoulder generates some of the most complex client presentations. Clients arrive with complaints ranging from a vague clicking on overhead movements to a frozen shoulder diagnosis, a history of labral surgery, or a persistent ache that surfaces only during weight-bearing on the upper limb. A working understanding of the shoulder complex including scapulohumeral rhythm and rotator cuff f