3 Causes of Shoulder Pain When Doing Push-ups


Understanding Shoulder Pain During Push-ups

Experiencing shoulder pain while doing push-ups is a common issue that many individuals face. This discomfort often stems from shoulder impingement, which occurs when the rotator cuff tendons become pinched between the shoulder arch and the ball of the shoulder joint. In this article, we will explore three main causes of shoulder pain during push-ups and provide actionable tips to help you perform this exercise comfortably.

1. Impingement from Arm Positioning

One of the primary causes of shoulder pain during push-ups is improper arm positioning. When your arms are positioned too high, it can lead to impingement. To prevent this, pay close attention to where your shoulders align in relation to your wrists during the exercise.

To achieve optimal positioning:

  • Keep your shoulders directly over your wrists.
  • Adjust your elbows to either a slightly forward or backward position based on comfort.
  • Avoid letting your arms drift too far back, which can exacerbate shoulder pain.

Visualizing Proper Arm Position

When performing a push-up, visualize your body moving in a straight line from your head to your heels. If your arms are too far behind or in front of your body, it can lead to unnecessary strain on your shoulders.

2. Internal Rotation of the Shoulders

Another contributing factor to shoulder pain during push-ups is internal rotation of the shoulders. This occurs when your elbows point outwards instead of being tucked in. Proper elbow positioning can significantly reduce strain on the shoulder joints.

To counteract internal rotation:

  • Keep your elbows close to your sides as you lower and raise your body.
  • Focus on engaging your triceps by tucking your elbows in, which shifts some of the workload away from your shoulders.
  • Consider adjusting your hand positioning so that your fingers point slightly outward.

Exploring External Rotation

By maintaining external rotation during push-ups, you not only alleviate shoulder pain but also engage your triceps more effectively. This adjustment helps create a more balanced workout while protecting your shoulder health.

3. Movement of the Shoulder Blades

The third tip to prevent shoulder pain during push-ups involves the movement of your shoulder blades. If your elbows travel too far back, it can lead to the ball of your shoulder gliding forward in the socket, increasing the risk of injury.

To improve shoulder blade mobility:

  • Focus on activating your shoulder blade muscles as you perform push-ups.
  • Incorporate a push-up with a plus, where you push your shoulder blades forward at the top of the movement.
  • Limit the backward movement of your elbows to maintain better alignment.

Implementing the Push-up with a Plus

The push-up with a plus is an effective modification that allows you to engage your serratus anterior muscles. This helps stabilize your shoulders and reduces the risk of impingement during the exercise.

Conclusion: Next Steps for Pain-Free Push-ups

Shoulder pain during push-ups can be frustrating, but by understanding the causes and implementing the tips discussed, you can perform push-ups more comfortably and effectively. Start by adjusting your arm positioning, focusing on elbow placement, and engaging your shoulder blades. If shoulder pain persists, it’s advisable to consult a healthcare professional for personalized guidance.