Best Exercises for Rotator Cuff (2024)

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Best Exercises for Rotator Cuff (2)
Medically Reviewed by Ross Brakeville,DPT on March 20, 2023

Written by WebMD Editorial Contributors

4 min read

The rotator cuff is a collection of muscles and tendons that keep the bones of your shoulder joint in place. An injury to this group is common, especially in people who work with their arms a lot like painters or construction workers. Usually, a portion of the cuff tears, which causes pain. This can happen at once as the result of a single injury, or the tearing can happen over time with repeated use. More advanced rotator cuff injuries may cause difficulty moving or weakness in the affected arm.

The main treatment for rotator cuff tears are exercises to strengthen the muscles. However, if your injury is severe, in some cases you may also need rotator cuff surgery.

Exercises to Help Rotator Cuff

When you’re recovering from an injury, conditioning is an important part of strengthening your muscles and staying flexible so that you can get back to a healthy lifestyle more quickly. It’s important to take these exercises slowly to avoid increased pain and to work closely with your physician or physical therapist to be sure you’re following the routine correctly and minimizing the risk of additional strain on your rotator cuff.

Pendulum

This exercise targets a group of muscles around your shoulder and promotes gentle, deliberate movement and strengthening, using only the weight of your arm for resistance.

Step 1: Lean forward and place your left hand on a table or counter for support.

Step 2: With your arm hanging down, gently swing your arm back and forth.

Step 3: Then, swing it side to side.

Step 4: Then, rotate it in a circle.

Step 5: Repeat on the other side.

Try for two to five repetitions, five or six days a week.

Cross-Body Stretch

This simple stretch helps with flexibility. You should feel it in the back of your shoulder as a gentle stretching that shouldn't cause any sharp pain.

Step 1: You can start sitting or standing.

Step 2: Lift your injured arm at the elbow with your unaffected arm.

Step 3: Bring that injured arm across your body, stretching the shoulder.

Step 4: Press gently with the holding arm, but take care not to put extra pressure on your elbow.

Step 5: Hold for about 30 seconds.

Step 6: Repeat on the other side if desired for a full and balanced upper-body stretch.

Try for 4 sets of repetitions on each side.

Overhead Stretch

You can easily practice overhead stretches at home with only equipment you already have around. Bending before reaching above your head slightly changes the angle of the stretch.

Step 1: Stand about an arm's length away from a sturdy object like a chair, counter, table, or doorknob.

Step 2: Bend over with your arms straight. Place your hands on the object for support and to stretch the shoulders.

Step 3: Adjust your body in the stretch. You may want to take a step forward or backward.

Step 4: Hold the stretch for 15 to 30 seconds.

Step 5: Repeat 2 to 4 times.

Wall Press

Pressing your arm against something sturdy like a wall offers resistance and helps strengthen the muscles around your rotator cuff.

Step 1: Stand next to a door frame or wall with your arm at a 90-degree angle and your palm on the door frame.

Step 2: Fold a towel and place it between the bent arm and your body.

Step 3: Press your palm into the door frame while keeping the towel pressed between your arm and body.

Step 4: Repeat 10 times for five sets.

Step 5: Turn around so your outer arm is against the door frame or wall.

Step 6: Keeping the towel pressed between your arm and body, press your elbow and forearm into the wall.

Step 7: Repeat 10 times for 5 sets.

Standing Row

Step 1: Make a three-foot-long loop with a resistance band and tie the ends together.

Step 2: Attach the loop to a doorknob.

Step 3: Stand in front of the doorknob with feet hip-width distance.

Step 4: Hold the band with your elbow next to your hip. Your elbow should be bent at 90 degrees.

Step 5: Keeping your arm close to your side, pull your elbow back.

Step 6: Return to your starting position with control.

Step 7: Repeat as many times as you can or as directed.

Finger Walk

This exercise is sometimes called “wall climbing to the side,” and it mimics the climbing motion without requiring you to hoist yourself up.

Step 1: Face a wall, standing about 3/4 of an arms-length away.

Step 2: Touch the wall with the fingers of your injured arm.

Step 3: Walk your fingers up the wall, like a spider, to shoulder height.

Step 4: Allow your fingers to do most of the work.

Step 5: Lower your arm slowly back to the starting position.

Step 6: Repeat 2 to 4 times.

Tip: Try to keep from shrugging your shoulder upward while you’re reaching.

Safety Considerations

You should consult your doctor before beginning an exercise program for rotator cuff injury. Before you do these exercises, warm up your muscles with a heating pad or a warm shower.

If you get sore from performing these exercises, use a cold compress or ice to relieve the pain and swelling. However, if you experience a sharp pain stop the exercises and let your doctor know.

Best Exercises for Rotator Cuff (2024)

FAQs

Best Exercises for Rotator Cuff? ›

In fact, each year, over two million people in the U.S. visit their doctors because of rotator cuff tears and injuries. Fortunately, many rotator cuff injuries and strains are treatable without surgery. Doing regular rotator cuff stretches can help.

Should I stretch my rotator cuff if it hurts? ›

In fact, each year, over two million people in the U.S. visit their doctors because of rotator cuff tears and injuries. Fortunately, many rotator cuff injuries and strains are treatable without surgery. Doing regular rotator cuff stretches can help.

What is the fastest way to heal a torn rotator cuff? ›

Conservative treatments — such as rest, ice and physical therapy — sometimes are all that's needed to recover from a rotator cuff injury. If your injury is severe, you might need surgery.

Can you repair a torn rotator cuff with exercise? ›

The main treatment for rotator cuff tears are exercises to strengthen the muscles. However, if your injury is severe, in some cases you may also need rotator cuff surgery.

What not to do when rotator cuff hurts? ›

Do not work with your arms above shoulder level for a long time. If needed, use a foot stool or ladder. Lift and carry objects close to your body. Try not to lift heavy loads away from your body or overhead.

How to loosen up your rotator cuff? ›

Shoulder stretch (posterior)
  1. Relax your shoulders. Hold the elbow of your affected arm with your other hand.
  2. Use your hand to pull your affected arm gently up and across your body. ...
  3. Hold for at least 15 to 30 seconds, then slowly lower your arm.
  4. Repeat 2 to 4 times.
  5. If you can, repeat these steps for your other shoulder.

What exercises should you not do with a torn rotator cuff? ›

Injured Rotator Cuff Exercises to Avoid
  • Overhead Lifts. Overhead lifts or presses require heavy strain on the shoulder area. ...
  • Lat Pulldowns. Lat pulldowns extend your rotator cuff past its natural range, further stressing your shoulder muscles. ...
  • Upright Rows. ...
  • Bench Dips.

How long does it take for a torn rotator cuff to heal without surgery? ›

Usually, mild rotator cuff tears or sprains will heal within four weeks. In other severe cases, the recovery might take 4 to 6 months or even longer based on several factors such as the severity of the tear, age, and other health complications.

What is the best pain relief for a rotator cuff injury? ›

Moist heat, such as a hot bath, shower, or a heat pack, can help loosen up your shoulder when you feel pain in your shoulder. An ice pack applied to the shoulder 20 minutes at a time, 3 to 4 times a day, may also help cut down the swelling when you are in pain. Wrap the ice pack in a clean towel or cloth.

What is the best home remedy for a torn rotator cuff? ›

Rest and activity modification

Inflammation in the soft tissues surrounding the rotator cuff can cause pain and discomfort. Many providers recommend alternating between heat and ice therapy to relieve these symptoms. Applying heat helps loosen tight muscles and joints to relieve pain.

What can be mistaken for a torn rotator cuff? ›

The most common condition that mimics a rotator cuff tear is shoulder stiffness or a frozen shoulder. This condition is characterized by reduced range of motion — the shoulder will only move so far before starting to hurt. It is common for a patient to develop a stiff and painful shoulder with no injury.

How can I rehab my rotator cuff at home? ›

Step-by-step directions
  1. Lean forward and place one hand on a counter or table for support. Let your other arm hang freely at your side.
  2. Gently swing your arm forward and back. Repeat the exercise moving your arm side-to-side, and repeat again in a circular motion.
  3. Repeat the entire sequence with the other arm.

Are push ups good for rotator cuff injury? ›

If you know that you have a rotator cuff problem, or even if you suspect one, it's best to avoid regular pushups for a while until you fully heal. In the meantime, wall pushups are a great alternative, as is doing pushups on an elevated surface like a counter or aerobic step.

What will happen if I don't repair a torn rotator cuff? ›

A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use your injured arm.

How can I calm my rotator cuff pain? ›

In many cases, resting your shoulder is the best medicine to allow swelling and other symptoms to subside. Inflammation in the soft tissues surrounding the rotator cuff can cause pain and discomfort. Many providers recommend alternating between heat and ice therapy to relieve these symptoms.

What is the best position to relieve rotator cuff pain? ›

If you are dealing with rotator cuff issues, you can reduce pain by sleeping on your back rather than on your side. You can even elevate your injured shoulder in this position by placing a folded towel or pillow underneath it, reducing swelling and inflammation.

Should I push through rotator cuff pain? ›

We don't recommend pushing through the pain, because, more often than not, you make a mild problem worse. You may also change your posture to compensate for the pain and injure something else in the process. There's no reason to risk further injury.

How to tell the difference between rotator cuff tear and tendonitis? ›

What are the symptoms of a rotator cuff tear or tendonitis? Tendonitis pain and chronic rotator cuff tendon pain can be gradual and can worsen overtime with continued use of the shoulder joint. In contrast, an acute rotator cuff tear will typically present with sharp, immediate pain and weakness in the shoulder joint.

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