Shoulder Pain? Here Are 3 Common Causes (And How to Help) 

The shoulder is one of the most mobile joints in the human body.

That’s great when you’re reaching overhead, throwing a ball, or lifting weights – but all of that mobility also makes it one of the easiest joints to irritate.

The good news?

Many of the most common shoulder issues we see aren’t major injuries. Instead, they’re often the result of overuse, weakness, limited mobility, or poor movement mechanics.

If your shoulder pain is severe, follows a traumatic injury, causes significant weakness, numbness, or prevents you from using your arm normally, it’s important to be evaluated by a healthcare professional. But for many mild, nagging aches, improving strength and movement quality can make a big difference.

Let’s look at three of the most common shoulder issues and a few exercises that may help.

Rotator Cuff Tendinitis

What is it?

Your rotator cuff is made up of four small muscles that help stabilize the shoulder and control arm movement.

When these tendons become irritated from repetitive lifting, overhead activity, or doing too much too soon, they can become painful.

Common Symptoms
  • Pain lifting your arm overhead
  • Aching on the outside of the shoulder
  • Pain reaching behind your back
  • Discomfort after workouts
Exercises That can Help

Band External Rotations

Strengthens the small stabilizing muscles of the rotator cuff.

Side Lying External Rotations

Targets rotator cuff strength while minimizing compensation from larger muscles.

Scaption Raises

Raise your arms about 30° forward from your sides (the “scapular plane”) using light dumbbells to strengthen the shoulder safely.

Movements to Limit (Temporarily)

If these movements are painful, consider modifying them until symptoms improve:

  • Heavy overhead pressing
  • High-volume kipping pull-ups
  • Behind-the-neck presses
  • Repeated overhead work without adequate rest

Shoulder Impingement

What is it?

Shoulder impingement occurs when the structures at the top of the shoulder become compressed during arm movement.

It’s often associated with poor shoulder mechanics, weakness of the rotator cuff, limited thoracic mobility, or reduced control of the shoulder blade.

Common Symptoms
  • Pinching sensation reaching overhead
  • Pain putting on a shirt or jacket
  • Pain during presses
  • Painful arc when raising the arm
Exercises That can Help

Banded Pullaparts

Strengthens the muscles between the shoulder blades and encourages better posture.

Wall Snow Angels

Improves shoulder blade movement while increasing overhead mobility.

Face Pulls

Strengthens the upper back, rear shoulders, and rotator cuff while promoting healthier shoulder mechanics.

Movements to Limit (Temporarily)

Avoid repeatedly pushing through painful overhead positions such as:

  • Heavy overhead presses
  • Upright rows
  • Deep dips if they reproduce symptoms
  • Any movement that causes sharp pinching pain

Remember: discomfort isn’t always something to ignore. Pain is information.


Biceps Tendinitis

What is it?

The long head of the biceps tendon runs through the front of the shoulder before attaching near the shoulder joint.

Repeated pulling, pressing, or overhead activity can irritate this tendon.

Common Symptoms
  • Pain in the front of the shoulder
  • Tenderness over the biceps tendon
  • Pain carrying objects
  • Discomfort during pull-ups or curls
Exercises That can Help

Isometric Bicep Holds

Holding a light curl position can help reduce pain while beginning to load the tendon.

Single Arm Bentover Rows

Strengthens the upper back and helps improve overall shoulder stability.

Serratus Wall Slides

Improves shoulder blade control and reduces unnecessary stress on the front of the shoulder.

Movements to Limit (Temporarily)

Reduce or modify:

  • Heavy curls that reproduce pain
  • High-volume pull-ups
  • Heavy pressing if symptoms increase
  • Fast, explosive pulling movements

One Thing These Injuries Have in Common

Although these conditions have different names, they often share similar contributing factors.

Many shoulder issues improve when you focus on:

  • Strengthening the rotator cuff
  • Improving shoulder blade control
  • Increasing upper back mobility
  • Maintaining full shoulder range of motion
  • Gradually progressing training loads instead of doing too much too soon

The shoulder works best when everything around it works together.


Don’t Forget About the Rest of the Body

One of the biggest misconceptions is that shoulder pain always starts in the shoulder.

Many times, the root cause is somewhere else.

Limited thoracic spine mobility, poor posture from prolonged sitting, weak upper back muscles, tight chest muscles, or insufficient core stability can all change how the shoulder moves.

That’s why some of the most important aspects we’d like all of The Gym members to focus on when doing shoulder exercises are:

  • Good movement mechanics
  • Full range of motion
  • Strengthening the upper back
  • Rotator cuff exercises
  • Mobility work
  • Balanced programming

Healthy shoulders aren’t built by training the shoulder alone.

They’re built by creating a body that moves well as a whole.


The Bottom Line

Shoulder discomfort doesn’t always mean you have to stop training.

In many cases, modifying movements, strengthening the muscles that support the joint, and improving mobility can help you continue making progress while allowing the shoulder to calm down.

As always, if you’re dealing with persistent pain or aren’t sure how to modify a movement, reach out to set up a consultation with our trainer.

We’re happy to help you find the right variation so you can continue training safely and keep doing what you love.

Your shoulders will thank you. 💪