Top 5 Shoulder Impingement Exercises To Help Get Healthy Again

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Shoulder impingement can heal very quickly once he  started doing the right exercises. In this video,   I'm going to show you the top five shoulder  impingement exercises to help get healthy again,   these exercises are simple, straightforward,  and they don't require any equipment except   for a small weight, which you can use a water  bottle to replace the weight. And that would   work for you. And I've got a bonus exercise at  the end, that does require a piece of equipment.  That's why I didn't include it in the top  five. But that bonus exercise can really make   your shoulder impingement exercise routine, very  comprehensive, so that you can make sure to take   care of it once and for all as fast as possible. But adding in that bonus exercise really makes   your shoulder impingement exercise routine  comprehensive, so that you can make sure   you're doing everything possible to allow  your body to heal itself as fast as you can.  Now these exercises are organized in progression  from easiest to most difficult. So the first   couple of exercises I'm going to show you  here are going to be the easiest ones that   you should be doing. If you're particularly  flaring up right now, in other words,   if you're in a lot of pain, and you're having  a lot of trouble with your shoulder right now,   these are the ones that you should start with and  do a lot of them, then as your shoulder pain calms   down, you're going to do slightly harder  exercises, but a little bit less of those.  And then as your shoulder pain goes away, you got  to work on a few things to prevent this shoulder   impingement problem from coming back over and over  again. So for the first exercise, you're going to   do shoulder rotation. And I'll show you exactly  what this looks like. But I always think of this   exercise as the Chinese golden kitty exercise. You know, when you go into certain restaurants,   there's a little statue, a little figurine of  a golden kitty. And these are usually Chinese   food restaurants or other Asian dining. And I  love these little golden kitties, because they   remind me so much of this exercise, you can either  lie down somewhere with a pillow, and instead of   putting it into your head, you're going to  put it under the arm of the affected side.  So it's going to be like this and you're trying  to get your arm to be about 90 degrees relative   to your body, it doesn't have to be exact,  you're just trying to get in the area. And if   it hurts to go up that high, then it's okay  to come down a bit and work at this angle.  Once you're at the right position that's  comfortable for you, then what you're   going to do is let your arm slowly drop in this  direction, and only go as much as comfortable   without it hurting, then go the other way, only  as much as it's comfortable without any pain.  And take your time, you're going to go up and down  with your arm just like the little golden kitten.   And you're going to do this for three to  five minutes. Take your time. The point   here is not to get a lot of repetitions, it's  not going to tire you out very much either. The   point is just to begin to teach your rotator  cuff muscles, how to act like stabilizers.  Again, not to have this exercise be effective  on you, it needs to be done kind of frequently,   you need to be doing it about every one  to two hours. And now I know that's not   practical for some situations, like if you work  at a job where you can't lie down somewhere and   take a few minutes out of your day to do this. Do your best to make this fit in your schedule,   you might do this plenty in the morning before  you go to work. And then again, after you get   off of work, get back to doing it. And during the  day, just do your best. There's other exercises   that I'm going to be covering with you today that  you can do at work, or in the middle of the day.  Take your time. And remember, don't push into any  pain or discomfort. If it does hurt you to go say   this far, then what you're going to be doing is  only going that far in the future, don't push   into the zones that are uncomfortable for you. And what you'll probably find is as you keep   doing this, you know two, three minutes  in, you can go a little bit further and   it doesn't bother you as much because now  your rotator cuff muscles are learning how   to hold the ball against the socket better. So just to recap, for this one, you're going   to do three to five minutes worth about every one  to two hours as long as it doesn't interfere too   much with your day. The goal with this is  to ideally get in about 10 rounds of this,   but you have to spread it out, you can't do them  all together because you need to wake up those   muscles on a continual basis throughout the day. For the second exercise, I call this an angry cat   exercise kind of going along the theme with  cats and kittens. But the reason for the name   is because you're going to be arching your  back like an angry cat does whenever they're   bothered or upset. So you're going to have  to get on your hands and knees for this one.   And then you're going to be either  on your fists or on your flat hands.  It doesn't matter how you want to be just  whatever is comfortable for you. I like   this because my wrists like it better. Then  with your back, you're going to push up this   way as much as you can. Now what that does,  when you push your back away from the surface   that you're on, you're away from your arms. It makes the ball and socket joint align better   in your shoulder, because in that impingement  syndrome in your shoulder, it's not aligned   very well but when you push your shoulder blades  forward the sockets there they're usually facing   out sideways, the socket side of the joints. Now you make them face forward and then when   you put a little bit of body weight through them,  it makes the ball part of that don't wait, go up   into the socket, which is helpful for alleviating  shoulder impingement syndrome, that we're going   to hold there. And then I'll show you  some movements to do with this exercise.  So you're going to get in position  here, hands right into your shoulders,   comfortable with your knees, and hips and legs,  and then push your back up there and hold it   for about 10 seconds to get an idea for how far  up you can go. And you want to practice pushing   your back up as high as you possibly can like  an angry cat as long as it's not hurting you.  If it does hurt, you then find a comfortable  zone that you can move in that direction,   pushing your backup, but without allowing your  shoulder to bother you more. If it doesn't   bother you at all to do this to go up which most  people that have shoulder impingement syndrome,   it doesn't bother them, it'll only bother them if  they have a really aggravated rotator cuff tear.  But if you're just dealing with shoulder  impingement, you should be okay. Hold that   position right there and then sit back like a cat  sitting on his haunches, like you're sitting down   on your legs, but still pushing your arms forward  and into the table, then come back up over. And   then once you get to here, you can relax slowly.  And I want you to repeat that 20 to 30 times.  Now what this does is it's of course,  helping the ball and socket joint alignment,   it's teaching your rotator cuff  muscles to behave normally again.   And then it's also helping you work your shoulder  blades, the muscles around your shoulder blades,   so that they can stabilize properly  the way they should to, you're just   going to go back and forth 20 to 30 times. People often love this exercise. And they'll   do it more than that. And that's totally fine.  It's also not a super tiring exercise. So if you   want to do 50, or 100 reps, as long as it's not  hurting you, that's fine, you can do that, too.  Now, the only thing with this exercise before  you start doing 50 to 100 reps is like the   rotation exercise, you need to be doing this  one about every one to two hours to get the   most benefit out of it because it wakes up all  the shoulder stabilizing muscles, it gets the   ball to sit in the socket as best as possible. So you need to be doing it frequently throughout   the day in order to get the best benefit.  Those two exercises are the ones that you   should be doing if you're dealing with  a very irritated shoulder problem. But   if it's coming down and you can tolerate  a bit more than these next two exercises   are where you should be spending more time. The third exercise I call windshield wipers   and here's why you're going to move in your  arms like windshield wipers. But it's going   to challenge your shoulders a bit more your  rotator cuff. So let me walk you through it you   need to lie down on the floor or on the bed. If  you're on the floor, I recommend you put pillows   under your elbows or something soft something  cushiony because this can irritate the skin   and your elbows if you do it on a hard surface. And even if it is irritating your elbows anyway,   stop doing it to the point that it's irritating  anything, it's you shouldn't be doing anything   that's hurting. So you're going to lie down,  face down. And then you have to do a plank.  Now a plank, people think of getting up on  your toes, like everything from your elbows   to your toes being up kind of similar to  the pushup position, but I just want you   to go to your knees or even your hips is fine. So if you just push up like that, or on your knees   like that, that's adequate to get the effect we  need on the shoulder for the impingement syndrome   that you're going to be fixing. So elbows need  to be right under the shoulder, what you don't   want to do is have your elbows tucked in to  your elbows closer to your chest and stomach.  And it's not under your shoulder because  it's going to put some bad forces on your   shoulder joint. So right under your  shoulders, the best place to be,   then you're going to push your back up just like  on that angry cat exercise that we just did.  And while you're holding up, I'm shaking  already, just holding right here,   you're going to start moving those arms in like  this, they'll cross each other, and then out.   And it doesn't matter if they cross the same  way or different. But go 10 times as 3,4, 5.  And I'm trying to keep my backup in  the air as much as possible eight   910. And then after that you can relax.  Obviously, this is a bit harder than the   last two exercises. But now you're really  strengthening your rotator cuff muscles as   well as the shoulder blade muscles can because  you're having to force your back up in that   position. And it helps with the alignment so much  to improve your shoulder impingement syndrome.  So we do it again here, backup as high as  possible, and start crossing the arms. That's 1234   Keep your backup because you're going to have a  tendency to drop your back like this, but you have   to make sure you continually push that backup. Think that was 789 10 who   that feeling you get when it burns in make that  noise who that's what you're kind of looking   for because then you know you're tired out your  muscles adequately and if you can go a little bit   beyond that, even better, as long Unless you're  not running into any pain, so for this exercise,   it's ideal if you can do 20 to 30 reps at a time. So I just did 20. Right now, the two sets of 10.   So you might do two to three sets in one  time at one time. And then you would need   to do this five to 10 times per day to get  that ball to sit in the socket and get the   muscles around the joint to activate properly  so that they stay centered as best as possible   without aggravating the shoulder joint more. And if you're able to do this exercise well,   and you don't feel like it's aggravating anything,  then you can focus on this one and the next one,   and you don't have to do the first two as  much, because they're probably not going to   be as impactful for you as this windshield wiper  was. And the next exercise the shoulder shrug. So   exercise number four, we're going to be doing a  shrug against a wall, let's go over to the wall.  This shrug exercise is really important, because  in shoulder impingement syndrome, if you think   about the socket side of the joint and the ball,  you're trying to improve the shrugging muscles,   because that moves the socket upwards, so that  when you raise your arm, that's when people   usually get pain towards the end of that motion,  you're getting the socket to move adequately,   up and out of the way of the ball, and the  alignment is maintained, so that you're not   pinching stuff inside your shoulder. So here's what it looks like you're   going to use a wall, put your forearms  against the wall, and you're just barely,   you're not really resting on the wall very  much, you're more so just kind of touching them.  But you don't want to lean on the wall a whole  lot, then in that position, you have to maintain   a slight double chin, I'm going to turn it around,  because you need to see this here, you have to   make a double chin, but a slight one. So about  a 50, maybe even 25% intensity, double chin.  So this is 100, I'm going about 50%, maybe  even a little bit lighter. But the trick is,   when you do the shrug motion, when your shoulders  come up like that, your head is going to want   to on tuck, it's not going to stay tucked in  like this, it's going to want to go that way.   And you have to maintain the position, hold it. And don't let it move because when you shrug,   you're going to want to do that right there, chin  comes out, your head kind of wants to look up,   but you have to keep your head slightly  down so that your chins in position   when you come up don't want to talk more  like you're tipping your head down more,   you just need to keep the position you start with. So here it is right here, you're going to hold   your arms up on the wall parallel to each other,  I like to put my pinkies in the wall, thumbs out,   there's no magic about that. That's just what  I do. Then tuck your chin about 25 to 50%.   Then shrug up and hold it there  for 10 seconds. And I don't know   if you can tell but I am shaking right here. Because I feel my upper traps, my upper trap   muscles are working. The ones that are right in  here, they go up to the base of the skull down the   neck and out here to the corners of the shoulders  on both sides, of course. And that's what you want   to feel you want to feel those muscles working,  hold it up there for 10 seconds, a going to do   10 reps, keeping your chin in position. And  as you do these reps, what you should feel is   the of course these muscles up here are working. But those double chin muscles are the ones that   that tighten up, when you bring your chin down,  they will start to also fatigue and tire out on   a smaller intensity. And that's okay, you want  that to happen. Because those muscles are called   the deep neck flexor muscles, they actually  give you a lot of stability in your neck.  And they help to free up the nerve space that  any disc herniations you might be dealing with as   well, that could be setting up weakness into the  muscles out in the shoulder, you want those nerves   to have plenty of space, so that the nerve supply  to the muscles is as close to 100% as possible.  So for this exercise, you're going to do 10 reps  at one time with breaks as needed in between and   hold each rep for 10 seconds, you should be coming  up and slowly counting to 10. Take a rest break.   Some people need a second some people need 10  seconds, whatever you want, then do it again.  And what you're trying to do here is  build up your tolerance to doing these   shrugs because if right now all you can do is  like five seconds because you might only hold   five seconds and a few reps, that's okay. But eventually you need to work towards   the goal of doing 10 second holds 10 times.  And if you want to make it slightly harder,   here's what you would do. Instead of starting here  with your elbows about parallel to your shoulders,   you're going to raise your arms up in shrug  from there, same position with your head,   everything else is the same. It's just that your arms are   higher up and eventually you can lock out  your elbows and shrug like that with just   your hands touching the wall. Once your arms are  all the way up and you you're doing consistently   10 second holds there and you're able to do 10  reps and you're doing this exercise five to 10   times per day so you're getting in a total of  50 to 100 reps spread out throughout the day.  Then you're ready for Exercise number five  which is going to be weightlifting overhead.   So this is where you're going to need a small  weight this is two and a half pounds. If you   feel like you can do more than this like a  five or even 10 pounds and you're safe your   shoulder feels fine doing it you know Feeling  the after effects afterwards, then that's okay.  But I would recommend you start with a very  lightweight like this. And if you don't have   a wait like this, go grab a water bottle, even  a big water bottle like I've got this metal one,   there's some ways, well, I don't know  exactly how much this weighs. But it's   more than this two and a half pounder,  so it's probably closer to five pounds.  And you could use that to pick it up over your  head and replace a weight. And here's what   you're going to do with this exercise. So here's  Exercise number five, you're going to grab the   weight with two hands, it is possible for you to  hold two weights it one in each hand like this,   if that's what you have at home, that's fine,  or two water bottles, it hold the weights in   your hands, and then you're going to reach up and  as you come up once the weight passes about face   level right here, you have to shrug just like  we did in the wall on exercise number four.  So wait, come straight here.  And then you need to shrug.   Hold your chin and position and come up all the  way struggling and hold it there for 10 seconds.   After 10 seconds, keep the shrug until the  weight gets to about face level again, then relax. So now you're going to do 10 second  holds holding away no wall anymore. And when   that weight comes up to about face level,  you need to shrug all the way, hold it up   on the way down. After 10 seconds, the whole the  shrug until the weight gets to about face level   and then relax the shrug. Now this is teaching  you to properly move your arms up and down.  Because when you start to reach up, what  should happen with your shoulder blade is   you should begin to shrug gradually. And then  by the time you get all the way up overhead,   your shoulder blade should be shrugged up  100%. So that's you need to be practicing   with a small weight. And if you're somebody  who likes to lift weights up overhead,   especially heavier weights, that's okay, it's  actually a good thing for you to do that.  As long as you're doing it the way that I'm  telling you where you're shrugging properly   and holding your neck in position, it's not  uncommon that people will pick up weights   overhead and their head does this. I have  even seen trainers and fitness instructors,   coaches, those types of people, and unknowingly Of course, instruct people to allow their head to   go forward, especially with like barbell with the  long bar with those types of exercises the whole   the weight out here, and then they're telling you  to move their head forward in order to accomplish   the lift properly. But that's actually pinching  the nerves slightly and irritating the discs.  And over time, you can get a disc herniation  and a pinched nerve, which can of course affect   the shoulder and set you up for shoulder  impingement problems. And not to mention,   of course, the slightly more obvious  problem is that when your arms up here,   you're stacking all the bones properly, the  humerus the ball is stacking on top of the socket.  And if your arm is more at an angle, you're  not stacking and you're increasing the lever   arm. So we're getting a little sciency here,  a little physical therapy talk. But when the   way that the the simple idea here is that  when the weights up overhead, it's easier to   hold up than if the weights at an angle it feels  heavier and it is more stress on your shoulder.  So going straight up overhead, like I just showed  you like that is the right way to lift weights   overhead. And that's how you need to be doing it  to be safe and protect yourself from more shoulder   impingement in the future. Now this weightlifting  exercise is definitely for when you're feeling   fantastic, hardly ever having any shoulder  pain, and now you're looking to prevent it.  If you're in that zone, then it's not as necessary  for you to do the last four exercises. At this   point you might need to be getting into the  gym to do more weightlifting type exercises   and practicing good form with a full shrug,  and your chin slightly tucked like I showed   you. Now let me show you that bonus exercise,  you're going to need a place to hang to do this.  And here's the bonus Exercise number six, you're  going to need a pull up bar or something sturdy   that you can hang from. And it doesn't have to  be this a frame like this one, a standalone pull   up station, you can use one of those over the  door inside the door ones those are not going   to be as stable. And I would not trust those with  your full body weight or even partial body weight   if you're a bigger person. So just be careful and  make sure you're being safe whenever you do this.  Now the idea with this is really simple.  When you pull your body when you stretch   your body in a hanging position and your  hands up there and it's pulling down like   that you are opening up. Let me show you the  skeleton, your shoulder joint and stretching out   the bones. So when you're reaching up like that  you're pushing the ball up into this part of the   shoulder blade, this this overhanging bone. And as long as you're not irritated and it   doesn't hurt to do this, it's actually a safe  thing to do so that you can remold reshape   your shoulder joint so that it can tolerate  doing more hanging stuff more other exercises,   weightlifting and there's a whole book  written on this. I'm not just making this   stuff up. But I agree that it works on a percent. This is not well researched at all. I have to   warn you in that this is very new thinking very  advanced thinking, but I've got a video where I   interviewed an orthopedic surgeon Urgent Dr. John  curse. That's where I credit this idea. And that   that video interview is linked in the description  below in case you want to learn more details about   where I'm getting this hanging concept from. But here's how it works, you're just going to   find a place to hang, grab, you can grab overhand  or underhand, it doesn't matter. And then let your   body weight sink down. And right now I'm getting  about 50% here, so my feet are touching the   ground, not all my body weight is going through  my hands. So I can tolerate hanging here longer   than if I had my whole body weight hanging. What you want to do is hang here for 10 to   30 seconds, and let your shoulder stretch out, let  yourself relax, don't try to hold it up like this,   you want to let yourself just dangle. And  after 10 to 30 seconds, you can come on up,   take a little rest break. And then  repeat this for a 10 minute time span.  The reason for that is because that's enough  input into the ball and socket joint to get   it to respond to open up and start to reshape  itself. This reshaping is important in my opinion,   in order to get the that overhanging bone  on the socket side to move out of the way   so that you're avoiding surgery later on, of  course, avoiding a rotator cuff tendon tear.  Now it's critically important in my opinion,  that you don't do this, if you're in pain,   you shouldn't grit through pain with this, and you  find a happy medium. So if you go hang on here,   even at 50% of your body weight and it  hurts, see if you can back off a bit and   only hang with 10 or 20% of your body weight, or  maybe even shift over to one side or the other   and see if that's better for you. And if you just can't do it even at   that low percentage, then you need to be  working on the other exercises for a time   and then come back to this and once you feel  like you're better able to tolerate it. And   you would only need to do this one or two times  a day because it's going to tire out your grip   and it's going to stretch you out pretty good. I know people that do it more often than that,   and that's fine as long as you feel like  you can comfortably tolerate that some   people eventually progressing to doing pull  ups. It's not 100% needed in order to fix a   shoulder impingement problem. But if you wanted  to do it for your own fitness or your own goals,   I think it's fine and it's a good thing. I hope this helps you with your shoulder   impingement problem. Please share this video with  somebody you think needs to hear this and don't   forget to give us a thumbs up if you thought  this was helpful please subscribe and hit that   notification bell so that you don't miss out  on any of our helpful videos. No Forget down   in the description below are links to other  playlists for other shoulder problems that   you might need help with. Thanks so much for  watching. I'll see you in the next video. Bye
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Channel: El Paso Manual Physical Therapy
Views: 476,448
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Keywords: El Paso Manual Physical Therapy, Dr. David Middaugh, Top 5 Shoulder Impingement Exercises To Help Get Healthy, shoulder impingement exercises, top shoulder impingement exercises, best shoulder impingement exercises, how to heal from shoulder impingement, best exercises for shoulder impingement, what are the best exercises for shoulder impingement, shoulder impingement exercises at home, shoulder impingement exercises and stretches, shoulder impingement exercises physical therapy
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Length: 22min 25sec (1345 seconds)
Published: Tue Feb 28 2023
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