I had rotator cuff surgery 8 years ago. The pain was diminished after the surgery healed, but never really went away. I always had a low level ache. I tried 2 physical therapists and 2 yoga instructors without getting any relief. After explaining the issue to Shigeko, she looked at my shoulders and back and immediately saw what exercises I needed to diminish the pain. We spend the next hour working on these exercises to isolate and strengthen my back shoulder and back muscles. After 2 more sessions and doing the exercises daily I was pain free.