It is increasingly recognized that multiple risk factors can contribute to the development of shoulder and elbow pain. Risks are not only limited to adverse anatomical features, degenerative processes and/ or musculoskeletal diseases but include a broader range of environmental and psychosocial factors including sport or work. The cornerstone of treatment for both shoulder and elbow pain, is achieving pain control to allow patients to resume usual activity and participation levels, and to engage in appropriate physical therapy as required. In addition to that, our approach focuses on shared-decision making in order to establish an environment and approach whereby patient’s views about treatment options are valued. In this context patient’s are provided with accurate, unbiased and up-to-date information, including risks and likely outcomes of all treatment options available.