Many people have painful protruding shoulders, usually due to soft tissue injury or osteophytes or bone spurs. For example, it can be caused by prolonged stress, or by an injury in the field, and it can also be caused by a dislocation of the acromioclavicular joint, so specific examination is needed to determine the specific treatment. Generally, acupuncture, physical therapy and massage are used to improve the pain. If the pain is only in one point, small acupuncture can be done to relieve the local pressure by means of small acupuncture release, which can cause improvement of the pain. Of course, there may be subcutaneous tissue changes, which can also be further determined by ultrasound or X-ray.