The pain you describe might be a technique issue. You don't want to hit something with your elbow above or at around 90° angle to your trunk. However, you can change the angle of the trunk to the ground without changing the relative angle of the shoulder joint. Resulting in better shoulder health and a more effective hooking technique. You are very probably not putting enough emphasis on dropping the weight on you rear leg (to aforementioned effect) as you punch and overemphasizing the movement of the arm, which is merely there as a conductor.


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