IOL Strength and Conditioning

The last piece of the shoulder rehab puzzle fell into place recently, at least I hope it’s the last piece. Feels like the last piece. The 15-year progression went something like this:

Long-term trainees with aching shoulders always start with rotator cuff work using thin rubber tubing. We started doing that in the mid-‘90s and the trend continues, both for rehab and for daily warm-up.

A few years ago many added shoulder YTLWs to the mix, on a stability ball if they were bold enough to do that in public.

A couple years ago wall slides and joint mobility came to the forefront, and the forward-thinkers jumped on board. And the desperate.

These shoulder rehab efforts work, unless the damage done is serious enough to require medical intervention… er, surgery. For most of us, pretty good is good enough.

But is it really? What if there’s one more thing you could do that would make your shoulders feel young again? Would you try it?

A couple months ago in Florida, I had Bill Peel run me through the Gray Cook Athletic Body in Balance version of the functional movement screen. I passed the overhead squat progression, but it was nothing to brag about, and there was room for more range of motion in the backward shoulder movement. The worst of the lot that day was the thoracic mobility screen; I claimed a pass, but barely.

A month of focused attention to shoulder range of motion and remedial thoracic spine mobility work didn’t change much, so what was missing? I thought about some of the practices of the past months and remembered my problems with posture; specifically that in the end it wasn’t back strength to hold my shoulders in position that was missing, it was that tightened muscles in the front were pulling the shoulders forward. No amount of strength would be enough to keep my shoulders back until the muscles in the front were stretched regularly to give them the length to rest in good postural position.

Huh. What if that’s the problem with the rear range of motion in the shoulders? Huh! What do you know? It’s magic!

If your shoulder range of motion to the rear is lacking, one side more than the other or both sides equally, give this a try:

Lie on your back on the floor, knees bent, feet flat as if standing. Raise your arms overhead to rest on the floor; if both arms are flat on the floor, move along… there’s nothing for you here.

If only the backs of your wrists or not much more of the arms are touching the floor, or if one side if touching more than the other, rest in position, breathing regularly and deeply into the abdomen. Occasionally, breathe deep, expand the ribcage and keep it expanded by letting out a tiny bit of air and refilling the space. The point of this is to use your full air to hold the ribcage open and as far as possible from its connections at the spine. Stay there, arms overhead, knees bent until you begin to feel the backs of your arms flatten onto the floor.

This is probably going to take awhile, five minutes, ten, maybe more. You’ll probably be okay with that, though, because as it happens it feels a bit miraculous. The muscles and tendons of the upper torso and the thoracic spine and rib cage are relaxing, lengthening, and you can feel it happening.

In a few days, what was stressful and took fifteen minutes will be easy, relaxing and will only take five.

Couple of tips:

If you simply can’t get your hands overhead, start with a lesser angle, such as hands outstretched in a T position. If (or when) the backs of your arms rest heavily on the floor, move your hands up a bit, heading towards a Y angle. This way you’ll ease your way into the overhead position over time; it may take what feels like too much time, but in the end, it will work.

If there’s a twinge in your upper back, different than the stretching that you feel throughout the upper torso, you may need to roll around on a tennis ball or medicine ball to address a triggerpoint or a tight lat before doing the stretch. The trigger point work can be outrageously painful, but the upside is releasing that triggerpoint may be a key — and immediate — factor in relieving your shoulder pain.

Final points:

Don’t do this early in the morning; afternoon or after a workout is best. A light and easy doorway stretch — not forced — is good in the morning to reverse overnight sleeping posture, but your thoracic spine and rib cage aren’t ready for this radical stretch before warming up to the day.

After resting with the arms overhead for awhile, has one side settled onto the floor with the other side still lifted? Try shifting the hip of the lifted side. Did the shoulder just flatten? Triple bingo going on here: Go back and read up on the troubles of hip rotation.

It’s remarkable, really. And it may be the answer to the last of your shoulder distress.

*****

Late edit: I’ve had a few private notes about this from people who were amazed at how this worked for them. However, one person pushed too hard and tweaked his shoulder, so let me bring up two more points.

Relax into this; don’t push it. The point is to wait long enough to allow your body to relax. You can’t make that happen… you have to be patient enough to lay there until it happens.

Which brings up point two: This may take days, weeks even. Dave’s doing this, and his hands overhead are nearly a foot off the floor behind him. Seriously… no, I’m not exaggerating. No amount of forcing is going to loosen up his upper torso. He’s going to have to wait it out, and so might you.