How To Strengthen Rotator Cuff - Physical Therapy Exercises For Shoulder Pain
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- Опубліковано 8 вер 2024
- Your shoulder is the most mobile joint in your body. The rotator cuff is four muscles that stabilize this joint throughout its dynamic motion. A weak rotator cuff can lead to pain, shoulder impingement, tendinitis, and even a rotator cuff tear. In this video we’ll discuss what your rotator cuff is, why it’s important, and share 5 of the best exercises to strengthen your rotator cuff.
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RELEVANT TIME STAMPS FOR THIS VIDEO:
0:54 WHAT IS THE ROTATOR CUFF?
3:15 STOP DOING THIS EXERCISE
4:34 SIDELYING EXTERNAL ROTATION
6:13 SIDELYING INTERNAL ROTATION
9:57 BAND/CABLE EXTERNAL ROTATION
10:30 EXTENSION WITH EXTERNAL ROTATION
13:45 BAND/CABLE INTERNAL ROTATION
WHAT IS YOUR ROTATOR CUFF?
Your rotator cuff is four muscles and their tendons that act to stabilize the shoulder joint. The shoulder joint is a ball-and-socket joint; while it is the most mobile joint in our body, it’s also important that it’s a very stable joint. This is where the rotator cuff comes in. These four muscles wrap around the head of the humerus to keep it pulled in tight to the joint cavity. That ball needs to stay squarely seated on the center of the socket in order to move and function properly. If it is not firmly seated in that spot this can lead to impingement, pain, tendinitis, and even rotator cuff tears.
DON’T FORGET TO TRAIN YOUR SHOULDERS IN ALL DIRECTIONS
The most common error I see people make in training is neglecting these rotator cuff muscles. It seems like people tend do to a lot of military press and front raises for the anterior deltoid, lateral raises for the medial deltoid, and rear flies for the posterior deltoid. But they forget that the shoulder moves in one more plane of motion - that is rotation. It’s crucial that you maintain strength in this motion to avoid shoulder pain and injury.
HOW TO STRENGTHEN THE ROTATOR CUFF
Strengthening your rotator cuff is a crucial part to proper function, but many of us don’t know how to do it or are doing it wrong. In this video I discuss common mistakes people make when training their rotator cuff muscles and share proper form for 5 of the best rotator cuff exercises you can do with dumbbells and elastic band or cables to keep these muscles strong and your shoulder healthy.
A WORD ABOUT DUMBBELLS
In order to strengthen your rotator cuff using dumbbells, you have to lay down on your side to do it. Standing with your elbows at 90 degrees and rotating does nothing to actively strengthen your rotator cuff against resistance. You have to lay down on your side and lift the dumbbell against gravity to do it effectively.
DUMBBELL EXTERNAL ROTATION
Lay down on your left side with the dumbbell in your right hand, elbow bent to 90 degrees.
Keep your elbow tucked in to your side and rotate your shoulder to lift the dumbbell up towards the ceiling.
3 sets of 10-15 reps
DUMBBELL INTERNAL ROTATION
Lay on your left side with your left arm slightly in front of you, a dumbbell in your left hand, and your left elbow bent to 90 degrees.
Keep your elbow on the floor as you slowly raise the dumbbell up towards the ceiling.
3 sets of 10-15 reps
BAND/CABLE EXTERNAL ROTATION
Stand with the cable/band handle in your right hand. Your right arm is across your belly and your right elbow is at a 90 degree angle.
Keep your elbow bent at a right angle and pull the band out to your right as demonstrated in this video.
3 sets of 10-15 reps
BAND CABLE EXTENSION WITH EXTERNAL ROTATION
Stand facing the cable with the handle in your right hand, your right elbow straight, and your right shoulder flexed to approximately shoulder height.
Keep your elbow straight as you pull the band back behind your right hip.
Allow your thumb to rotate from a “thumbs up” position at the top to pointing away from you at the bottom.
3 sets of 10-15 reps
BAND/CABLE INTERNAL ROTATION
Stand with the cable/band in your right hand. Your elbow is at a 90 degree angle and your arm is rotated out to the right side.
Keep your elbow at a 90 degree angle as you pull the band/cable in across your body. Your forearm should be resting on your belly.
3 sets of 10-15 reps
I hope you enjoyed the tips presented in this video; be sure to like the video and subscribe to Tone and Tighten here on UA-cam.
Check it out! I've got an UPDATED version of this video that is exercises you can do at home with ZERO equipment! You can watch it right here: ua-cam.com/video/3OtA0cwuUDE/v-deo.html I hope these help you to feel better soon and thanks so much for watching!
Superb.. Minute details given.
@@subhashnagpal4169ð
I am doing all of your exercises. Really these me help a lot to spend a pain free life also with mobility. Stay happy and blessed.
I am happy to hear that, Riaz! Thanks for sharing!
fully dislocated my shoulder two times already hopefully this works to prevent or lessen the chance of a dislocation again
Timestamps:
00:00 - intro
00:52 - Ratator Cuff info/visualization/pain info (and recommended video on dealing with pain in description)
03:20 - least favorite exercise (ineffective)
04:34 - first exercise (sidelying external rotation)
05:41 - intro to 2nd exercise, reminder that cables preferred as internal rotation with free weight can cause issues.
06:14 - 2nd exercise (sidelying internal rotation)
06:51 - switching to bands (or cable machines), issues encountered, mistakes people make, what you're actually aiming for and how the rotator cuff functions.
09:57 - 3rd exercise (Standing Cable External Rotation)
10:32 - 4th exercise (Cable Extension With External Rotation)
11:21 - info regarding external muscles vs internal, and where most pain comes from transitioning to 5th exercise.
11:59 - 5th exercise (Standing Cable Internal Rotation) with reiteration of workout plan (sets/reps).
12:48 - outro
Thanks for helping others out!
@@toneandtighten Thanks for the exercises. Started butterfly stroke and my rotator cuffs are not happy.
Thank u for the time stamps. Amazing!
@@toneandtighten this is week 7 for my shoulder impingement. There has been improvement but not linear. What's rough timeline for complete healing?
Wow, excellent video ! I never knew that a band would be way more suited for this than dumbbells. I love it. Thanks !
Happy to help!
I REALLY like your attention to detail. Not only how you so fully explain good form, but HOW good form is so important in the correct performance these exercises. Thanks!!
I appreciate that!
Thanks Jared, I will certainly try these exercies as well! I have been using exercises from Bob and Brad for the last 3 months and my movement has increased about 75% and the pain is also almost gone. I still have pain on the front muscle just below where the color bone joins the shoulder blad and suspect your exercises will certainly help more. By the way, I am 71 and stil plays golf twice a week and I can already feel that my backswing is much longer and easier.
Regards
Kobus Müller (South Africa)
Thanks for sharing!
This video helped me so much! I really appreciate what you do and how clearly you explain things. My shoulder is feeling much better after a month of pain!
I am so glad! Thanks for sharing!
This is a really great video. I've been doing rotator cuff exercises with dumbbells, but this covers proper form extremely well and adds a few exercises I wasn't aware of. I'm going to get some resistance bands and expand my rotator cuff workout!
Man I started with your elbow pain exercises and it went away after a few sets and you said it had to do with rotator cuff and I have had that pain for years and you’re exercising fixed it 5 minutes unbelievable thanks
Great to hear!
Thank you so much Jared for your beautiful videos, it really helped A LOT,
But quick question please, how to strengthen a shoulder after recovery from shoulder impingement please.
Hi, gave myself an injury about a month ago while rushing to pick up my father who collapsed while doing gentle squats rehabilitating after liver surgery. Tried to lift him quickly with poor form but he was dead weight and I seemed to pull the muscles in my back near the spine giving me pain in that area, across the shoulder, in the shoulder, down the back of the elbow and pins and needles in the fingers. Most of the areas seem to have healed but the elbow ache remained continue to prevent a good nights sleep, this video really helped me with daytime ache and hopefully will help me sleep well tonight. Thank you for posting this video and the tennis elbow one and sharing your knowledge. Much appreciated.
You are welcome! I am so glad it is helping.
Hey this is great info. Tore up my shoulder several years ago. I’m now 63. It’s never been the same and I’ve been wondering what to do to strengthen it.
Thank you so much.
You are very welcome, Liz Dg! I hope you find these exercises effective in your treatment!
Good timing for me, thanks. I am 2 months into recovering from injury to my rotator cuff, caused by over-vigorous pulling of the lawn-mower cord. I am just now getting movement back, and wish to add further mobility and strength.
You are welcome, Alan! I hope you find these helpful in your recovery!
I can't tell you how long I've been struggling to do external rotation correctly. I've been very strict about tucking my elbow in as this is the instruction I got from my biokineticist. You're one of the only people that explain the form in detail
Thank you! Happy to help!
I have been having rotator cuff pain. I’m going to be going to a surgeon soon. I hurt my shoulder back in 1999. I’ve always had good strength. The pain is getting worse. Back in 2015 I was going to p t in a different state and these are the exercises that my p t helped me a lot. The therapist gave me those exercises even with good strength but it helped with the pain. Fast forward to now and a different state. The therapist said I have good strength and don’t need those exercises. So, she was having me do scapula retractions by holding the lat pull down above me and doing the shoulder shrug. It did more harm than good because not only the rotator cuff was hurting but the rhomboids and upper traps were hurting and I had spasms. I have quit p t and have not had pain or spasms in the rhomboids and upper traps. I have an appointment soon to see the surgeon.
Best of luck!
You’re so good at explaining things without the fluff. Love it and thank you.
You are so welcome! I am glad this was helpful!
Excellent! I'm doing these exercises now. The angle tips and thumb position is valuable info! Thank you.
You are welcome, Leo! I hope these exercises help you out!
I have a tennis injury. These exercises are clearly illustrated and the therapist discusses the rationale for proper technique. I’m going to implement the exercises, and I’ll get back to you with my results. Hoping for the best!
Best of luck! I hope you recover quickly!
I LOVE YOUR VIDEOS! PTA here and new to the OP world and i have learned so much from your videos. Thank you!
Glad you like them and thanks for sharing!
Iv bought a set of those resistance tubes and I'm feeling better by the day , started with the yellow weakest now I'm ready to go up to red I'm 73 so I'm doing it steady but I'm feeling the difference every day is doing it steady the best way, but thanks anyway my pains going away.
I just found your channel and I absolutely LOVE the way you describe everything, the amount of detail, the precision of your demos and where you are supposed to feel it, etc. You are a great instructor!!! My respects 🙏🥰
I just have a question. Can you train your rotator cuff with out any props?
Thanks 🙋
Maybe it's a small thing and not worth mentioning, but I *genuinely appreciate* when a Physical Therapist has the *appearance* of someone who engages in physically training themselves. I don't need a "Mr. Olympia" - not by a long-shot - but I want the person running the PT show to understand exercise from personal experience, and not just what the textbook *says* that physical exercise is like.
I'm just trying to say, "Thank you for being fit."
Thank you so much! That is such a kind comment!
This was very helpful! describing the eccentric and concentric motion of these exercises will be very nice too. thank you
You are welcome! I am so glad it was helpful!
Great presentation. Clear, logical and easy to follow.I tore my Supraspinatus muscle (It's still functioning, but weak) and it can't be repaired. Reverse shoulder replacement is an option, but I have more strength and range of motion than people who get the surgery according to my last PT test. I want to tighten up that whole area for more joint stability. Are there specific exercises in addition to what you demonstrated on the video.
your Body language and teaching 🤘👌 very very good your training awesome 👌👌 thank you so much sir😍🙏
You are welcome, Lingu GTH! Thank you for your kind words and I hope this helps you!
Thanks you for that I got alot of pain on my shoulders I will keep trying
Thank you very much for showing !!! i have learned to hold arms in a better ..more comfortable position , to train this shoulder part !
My pleasure!
All of the exercises are simply amazing, helping me a lot, I consulted therapists and I don’t know why no one accurately diagnosed my problem, I mean, I know that the professional opinion is crucial, but I started to make the exercises and followed your advises and the pain on my shoulder reduced dramatically, but I'm worry about CrossFit, do I have to stop crossfit until my pain gone?
I honestly would do something less taxing on the joints than crossfit.
Crossfit is for assholes anyway. Stick to the weight room and running
Stay away from cross fit. Period.
Does nothing but damage your body.
I pick 4 - 5 upper body and lower body exercises and focus on doing upper body 2 for days and lower body for 2 days.
Give you body time to heal the tears in your muscles for the other 3 days.
Swim 50 laps, it works entire body and 0 impact
@@pacvend yes but you'll get little to no hypertrophy and depending on how often or long you swim it can actually decrease strength and bone density. The man's doing one of the most explosive, strength oriented sports on the planet, and your recommendation is one of the most cardio focused sports on the planet. Where I'm from, this is called 'speaking so that you don't fall asleep'.
Thanks, very useful details for performing correct exercises, much appreciated!
You're very welcome! I hope you find these exercises effective.
My daughter just got a rotator cuff tear while working
Will share this with her
Great video
I am a subscriber
I hope these exercises help her and thanks for sharing!
I wish that I can put more than one like. You helped me a lot with my rotates cuff pain. Thank you 👍
Oh, thanks so much! I am happy to hear that and appreciate your support!
Thanks Doctor for your video.. I have been suffering Rotator Cuff pain for a few months.. the pain is on the front left Rotator when I rotate my arm inward.
I have just tried your exercises and they don't cause any pain. How often should I do them?
Excellent. Thanks for info about natural angle of shoulder for external; rotation
My pleasure!
Memories flooding back of painful PT after shoulder surgery! With the other shoulder now having the same symptoms, I do NOT want to have to go through that again! Thank you for these posts so I can strengthen that shoulder!
Everything we PT's do we do from a place of love! Hope these things help you!
@@toneandtighten only 2 days in and already a huge difference! So grateful!
Hey, thanks for your video. I am gonna try those exercises. The link to the resistance band is not working, could you please share a new one? Thanks again!
Have you tried these exercises? What do you think? Leave me a comment below and be sure to share with your friends! Thanks for watching here on Tone and Tighten!
Not yet my shoulders and arms are paining will do this exercises soon after work Thanks Ramya
@@Ramyapad19 Try them out and, as they get stronger, I'm sure your shoulders will feel better.
Tone and Tighten what do you think about deficiencies for pains like these... like vitamin b12 or vitamin d deficiency being a cause of pain
@@pranavijain5342 I think those can be a contributing factor and exacerbate symptoms, but in my experience they won't be an independent cause. I'm not saying it's definitely not a cause; I'm just saying I've never seen that as the primary cause. Good luck!
Waiting for Plantar Fasciitis exercise..
You always share awesome, extremely informative content. Please keep it up. I feel like I e learned more from watching your videos than from my C.I. I haven’t commented on your videos before but I felt I needed too now. I’m a SPTA in my final clinical rotation and every other PTA at various sites have been adamant about the pt keeping their elbows glued to their ribs. I’ve always had a slight problem with this because i noticed how much it limits their ROM. Since I’m still just a student I feel like I can’t question other practitioners methods. I will definitely use the widened towel roll trick in the future!
Thank you so much for your kind comment! I hope these exercises prove useful for you!
Thank you
Great info.
Some Rotator cuff exercises that are new to me.
Looking forward to trying these😊
I hope they help!
Great video. Love the exercises you show us. I find the external rotation lying down is really good, and tough!
Thank You!
You're so welcome, Joe! I am glad you found these exercises helpful and thanks for sharing!
I need this as my shoulders still paining during work and at home will let you guys know how it goes Thanks Ramya
Sorry to hear about your shoulder pain, Ramya. I know these will help you! Thanks for commenting.
Thanks for sharing. What is a reason for a shoulder to get dislocated? How to avoid it? What if it happens in sleep?
THANK SO MUCH FOR THE EXPLANATION. SUPER.
You are welcome, Marissa! I hope it helps!
Thank you for this. Exactly what I need for rehab. 👌
You’re welcome 😊I hope it helps!
Very well explained
Thanks so much! I hope these exercises are helpful for you!
Terrific explanations, sensible and so worthwhile thank you! I have been looking for this type of instruction for so long!
Thanks so much!
You are welcome! I hope it helps!
Thank you so much sir
I am physiotherapist from India
Your videos are so usefull
You are welcome! I am glad you are finding them helpful and thanks for commenting.
How frequently should these exercises be done - daily, 3x a week, etc? I don't want to overdo it but also want to make progress. Thanks for the great video!
I have tear in my shoulder and should I do these exercises,?
thanks for sharing,
Thanks for your advice
You bet!
Really well explained. The use of the model of the rotator cuff was particularly useful. Thanks for posting
You are welcome! I am so glad you found this helpful!
Hi Jared
I really like your videos where you take the time to explain the medical part, the wrongs and the rights to be done. I would like to know how to you stretch rotator cuffs? I'm a surfer where I think I use a lot and strengthen my rotator cuffs a lot. However, I don't know how to stretch them during warm-ups before I jump in for my surf. Your advice will be greatly appreciated. Thanks!
Love your videos! Such helpful information and exercises. Thank you!
You are doing really well your way of explaining is very smooth
Oh, thanks so much! That is a kind comment and I appreciate your support!
My bad shoulder is my left and surprisingly the internal rotating was less painful than the external. Still got all my reps and sets with both exercises
Very informative...thank you.
You are welcome!
Hi, I first want to tell you, I absolutely love your channel. I wanted to ask when doing these exercises should I push through the pain or am I making it worse?
Would you would be encouraging shoulder internal rotation by bringing the handle of the cable into the stomach instead of just starting with handle in line with shoulder and rotating outwards?
Thanks !
I like the detail on how the thumbs should rotate
Thanks so much! I hope it helps you!
Wooow Amazing way that you are explaining every single part that really needs to strengthen if it’s weak and to stretch it if it’s taught .Thank you so much so beneficial keep going all the best.. and also I like this gravity thing very beneficial actually I got shoulders problem and will fix it with resistance band thank you.
You are welceom Blue sky! I am so glad you find this video helpful! Thanks for sharing!
Very helpful, thank you
You're welcome! So glad it helped!
I couldn't access the link for the bands, but I'm pretty sure that they're the Sportcord bands, because I recognized them from physical therapy. Myself, having had surgery for a rotator cuff tear about 8 months ago.
Very good thanks help me a lot
My pleasure!
Thanks for sharing this
You bet!
Very effective exercises
Glad to hear that and thanks for commenting, Marko!
Amazing results!
Great video!
What about face pulls for the rotator cuff?
LOVE face pulls for the cuff. Absolutely!
I had a bankart lesion surgery but after a year I managed to dislocate my shoulder again. Will these excercises help me to gain range of motion without pain?Thanks Doc...
Sorry to hear about your shoulder issues, Johan! These exercises will absolutely help you regain strength, but they're not my go-to's for increasing flexibility and range of motion. That's my video for next week. These will be great to strengthen and stabilize your shoulder and mitigate the chances for re-dislocation.
Hello, this is a great video! Thank you for sharing your expertise. The link to the resistance bands on Amazon no longer works. Do you have a new link or a product recommendation? Thank you so much. Susan
This is a great, professional exercises, I love it. You've brought Kinesy much closer to my doorstep. Thanks
You are welcome, Maggy Ablor! I hope these exercises help you! Thanks for commenting!
Good stuff 👍👍
Thanks so much! I hope these exercises are helpful for you!
This is very informative. Thanks. You earned another subscriber.
Awesome, thank you!
Great video! I've managed to already damage my rotator cuff (full thickness tear of supraspinatus at footprint, partial tear of infraspinatus). Can these exercises still help or am I doing more damage? Thanks in advance for the reply!
I been doing these the past 2 months and my Ortho Dr wasn't happy when I canceled my surgery!
Just what I need.. a refinement of my exercise!
I hope you find these helpful!
Thank you for sharing your professions.
Gary - you are welcome! I hope that it was helpful for you. Thanks for watching and leaving a comment.
Very Helpful. God bless you
Glad it was helpful and you are welcome!
Excellent simple descriptions!
Great stuff thanks!
Glad you liked it!
Thank you so much for the tips to help strengthen a weak rotator cuff ...my left shoulder has been a huge problem ... was told there is no tear but just a lot of inflammation 😑
Kmkay Strickland, I hope this video helps your shoulder!
Tumeric is great for inflammation. I have a similar problem. I'm going to eat less inflammation forming food so my arm can get better.
@
Tone and Tighten great, super video. I was able to understand my mistake in performing external rotation exercises.
Are the internal and external rotation exercises also valid for long head pain of the biceps? Thank you
Great video! Can you send a new link to resistance bands you use. Link above is no longer working.
I love your instructions as always. Does Supraspinatus get stronger with these exercises?
Excellent communication
Thanks so much!
great simple. tnx
Thank You!
So I Am clearly understanding that with the pain now that goes and comes; these functional moves will alleviate?
If you're consistent with these exercises you should notice a decrease in your pain as your muscles get stronger. Good luck and thanks for commenting!
Excellent presentation.naty P.T.
Appreciate it!
Professional and on point. How often these exercises should be perform? I have weak rotator cuff and want to strengthen it. My PT is making me do side dumbbells for external rotation while standing.
Thank you! I would try to do these daily for best results!
And thanks for this great videos... they are helping me a lot to learn more about my major :)
You are welcome! I am glad you are finding them helpful and thanks for sharing!
Hi Thank you this is a great, clear video. Is the first band exercise the same as the third band exercise but starting from opposite positions ?
Hello how are you? I just recently had an x-ray of my right shoulder and the physician diagnosed my shoulder as: RIGHT SHOULDER IMPINGEMENT! What exactly is this and is this the same as rotator cuff injury? What can be done to remedy this issue? This is affecting my trombone playing!
Thank you
How many times would you recommend doing this routine per week? I'm trying to get my shoulder back so I can work out again. Thanks.
I guess after 2 months of pain, you'd call it chronic? Great timing, followed your link after watching the recent episode about rotator cuff stretching. I have therabands at home which will work great. Definitely cannot sleep on the sore side. I can lift my arm almost without pain now, however lifting something more than 10 pounds is a no-go.....more work required 😁
How did you injure it and is it better now?
@@Roganrewind23 HI Blyth! I injured it while lifting and bracing a pole pruner for a couple of hours 🙄
It's definitely 100% now,which is a huge relief both physically and mentally. Now I need to work on my hips! ☺
@@markpoppe8681 yeah I’ve done the same to mine. how long did you do these exercises for before it was better?
@@Roganrewind23 hello! It took about 3 weeks of really working on it. It seemed to be going very slowly at first but then I realized one day the pain was gone.
@@markpoppe8681 are you fine lifting weights now?
THANK YOU FOR THIS VIDEO. AM LOOKING FOR SOME WARM-UP SHOULDER EXERCISES FOR THE ACTUAL TENNIS DRILLS AND MATCH PLAYS FOR MY TENNIS STUDENTS WHO ARE AGES 10 TO 18. ANY SUGGESTIONS? AGAIN THANK YOU FOR YOUR VIDEO.
I got supraspinatus tendinosis tear of 2mm by 3mm at the anteroposteria .Pl guide me with some excercises
In the cable extension with external rotation I feel a pretty good amount of the end of the movement in my tricep. Any ideas on that? Also, great videos and information.
Great video! Quick question, when is the best time to do this excercises? before, after a workout or can i even do them during my workout?
Easy to follow, great video
Thanks so much, Jetman 501! I hope these exercises help you! Thanks for commenting.
Explanations of each exercise was great!
Thank you so much, Linda!