As a certified trainer it assumed that we always refer our clients to a physician. I was under the impression that this forum is to assist other trainers with new ideas when we need a little friendly advise as you your self have with suggesting band therapy (which does work well also) If you are asking if I am a Dr. or a PT no I am not. I only speak of prior Hx with training prior reffered ortho pts. in regards of Rotator cuff injuries with 36 out of 36 positive outcomes. Yes I am a certified in corrective exercises.