Shoulder Pain Exercises: Safe Exercises, Advice and When to Seek Help
Shoulder pain can affect reaching, lifting, dressing, sleeping and other everyday activities. In many cases, staying active and gradually restoring movement and strength can form an important part of recovery.
However, shoulder pain has many possible causes, including rotator cuff-related problems, frozen shoulder, instability and osteoarthritis. The most appropriate exercises depend on the underlying problem, your symptoms and your current movement and strength.
The advice below provides general information and should not replace an individual assessment from a physiotherapist or other healthcare professional.
Should You Exercise With Shoulder Pain?
In many cases, gentle movement and appropriately progressed exercise are encouraged rather than completely resting the shoulder.
CSP guidance advises people with shoulder pain to continue using the shoulder where possible while adapting activities to make them more comfortable.
You may need to reduce or temporarily modify activities that significantly aggravate your symptoms, particularly strenuous or repetitive movements.
Exercise should be gradual and controlled. Do not force your shoulder through a painful range or attempt to "push through" severe pain.
If an exercise consistently makes your symptoms worse, stop that exercise and seek professional advice.
1. Pendulum Exercise
Pendulum movements are a gentle way to encourage shoulder mobility.Lean forward while supporting yourself with your unaffected arm on a table or chair.Allow the affected arm to hang loosely.Gently move the arm forward and backward.Then make small circles in both directions.Keep the movement relaxed rather than forcing the shoulder.Try 30โ60 seconds in each direction, depending on your comfort.
2. Shoulder Blade Squeezes
This exercise targets the muscles around the shoulder blades and can help encourage good shoulder positioning.Sit or stand upright with your arms relaxed.Gently draw your shoulder blades back and slightly downward.Hold for about 3โ5 seconds.Relax completely.Repeat 8โ12 times.Avoid shrugging your shoulders toward your ears.
3. Wall Slides
Wall slides can gently improve overhead shoulder movement.Stand facing a wall.Place your hands or forearms against the wall.Slowly slide your hands upward as far as feels comfortable.Keep the movement controlled.Slowly return to the starting position.Start with 5โ10 repetitions. Gradually increase your range as your shoulder becomes more comfortable.
4. External Rotation
External rotation helps strengthen the rotator-cuff muscles that contribute to shoulder stability.Keep your elbow tucked against your side and bent to approximately 90 degrees.Hold a light resistance band attached securely to your side.Slowly move your hand away from your body while keeping your elbow close to your waist.Return slowly to the starting position.Begin with 8โ12 repetitions using light resistance. The movement should be controlled rather than forceful.
5. Doorway Chest Stretch
Tightness in the chest can sometimes contribute to restricted shoulder movement.Stand in a doorway and place your forearms against the doorframe.Step gently forward until you feel a comfortable stretch across your chest.Keep the stretch gentle and avoid forcing your shoulders.Hold for around 15โ30 seconds.Repeat 2โ3 times.
How much exercise Should You do ?
There is no single exercise programme that is appropriate for every type of shoulder pain.Rather than prescribing the same number of repetitions to everyone, exercise should be individualised and progressed according to symptoms, movement, strength and function.Start with an amount you can perform comfortably and consistently. As your shoulder improves, exercises can usually be progressed gradually by increasing repetitions, resistance, range of movement or functional activity.
A physiotherapist can help determine the appropriate starting point and progression for your particular shoulder problem.
Our physiotherapy service provides assessment and treatment for a range of musculoskeletal problems, including shoulder pain.
When Should You Get Professional Advice?
You should consider an assessment if your shoulder pain is not improving with appropriate self-management and exercise.
CSP advises seeking assessment when symptoms are not improving, because successful treatment depends on identifying the underlying cause and selecting an appropriate treatment programme.
You should seek medical advice sooner if you have:Severe or prolonged shoulder pain.Significant difficulty moving your arm.
New or increasing weakness
.Pain that is progressively getting worse.
A shoulder that has changed shape following an injury.
Significant swelling or a lump around the shoulder.
A hot, swollen shoulder accompanied by fever or feeling unwell.
Significant pain following a fall or other injury.
CSP identifies a sudden change in shoulder shape following injury and difficulty raising the arm after an injury as reasons for more urgent medical assessment.
CSP's current self-management advice also highlights worsening symptoms, unexplained weight loss, fever or night sweats, severe night pain, and other systemic or neurological symptoms as reasons to seek medical advice.
If your shoulder pain is particularly troublesome at night or regularly wakes you from sleep, you may also find our guide to shoulder pain at night helpful.
It explains some of the common reasons shoulder pain can become worse at night and provides guidance on when it may be appropriate to seek professional advice.
Final Thoughts
For many people with shoulder pain, staying appropriately active and progressively exercising the shoulder can be an important part of recovery. Gentle mobility exercises can help maintain movement, while appropriately selected strengthening exercises can improve shoulder function.
However, more exercise is not always better.
The most effective programme depends on the cause of your shoulder pain and should be progressed according to your individual response.
If your shoulder pain is persistent, affecting sleep or limiting movement, see our shoulder pain physiotherapy in Didsbury page to learn how an assessment can help identify the underlying cause.
Important Disclaimer
This article provides general educational information and is not a diagnosis or personalised treatment plan. Exercise recommendations should be adapted to the individual. If you have a medical condition, recent injury, significant weakness, severe pain or other concerning symptoms, seek advice from an appropriately qualified healthcare professional before starting or changing an exercise programme.