A healthy young surfer with axillary shoulder pain

A young recreational sports player presents with a three-week history of vague right shoulder pain
shoulder pain

Josh is a healthy and active 22-year-old male who presents with vague right shoulder pain, which he first noticed on waking from sleep and has persisted for three weeks.

He describes the pain as a dull ache that he cannot pinpoint but feels mostly in the axilla. He rates severity as two out of 10 and reports the pain is worse when he is carrying something heavy.