Below
the layers of skin, fascia, and muscle that surround your shoulders
are a series of ligaments that meld together to form a capsule, one
per shoulder; it's job is to prevent your shoulder from dislocating,
while still providing enough give to allow a wide range of motion.
Over
time, overt or repeat micro injuries to your shoulder capsules can
lead to diminished range of motion, inflammation, and pain.
A highly
effective way to keep your shoulder capsules healthy is to do forward
and backward shoulder circles.
Begin
standing with your feet about shoulder width apart, and raise your
arms to your sides until they are about parallel with the floor.
Point
your thumbs forward, then slowly turn your arms in small circles going
forward. Do five to ten of these circles, then turn your thumbs to
point behind you, and do another five to ten shoulder circles going
backward.
Here's
a short video clip that shows how this is done:
If you
can't do shoulder circles while keeping your arms parallel with the
floor, feel free to try them with your arms at a lower angle, one
that doesn't create any discomfort. This exercise shouldn't cause
pain, so be sure to find an angle that feels manageable.
As you
get used to doing shoulder circles, feel free to increase repetitions
and even do a few sets each way. Putting your shoulders through these
circles for a minute or two daily can go a long way towards keeping
your shoulder capsules well perfused with blood.
Another
way to keep your shoulder capsules healthy is to ensure fluid movement
of your shoulder blades against your ribcage. Your shoulder blades
(scapulae) lie against the back of your ribcage, creating a "pseudo
joint," sometimes called the scapulothoracic joint. For every two
degrees of elevation that your shoulders (glenohumeral joints) experience,
in order for all surrounding tissues to avoid unnecessary stress like
impingement, your scapulothoracic joints need to rotate about one
degree.
For many
people who "turtle," or slouch forward with their shoulders and chest,
scapulothoracic action is dysfunctional, which inevitably leads to
a decrease in space in the front shoulder region (sub-acromial space),
which sets the stage for chronic shoulder pain and stiffness.
The best
way to maintain healthy movement between your shoulder blades and
rib cage is to do an exercise that I learned long ago from physiotherapist,
Pete Egoscue, one that I call the shoulder hinge exercise.
Begin
standing against a wall with your feet about shoulder width apart.
Cup your
ears with your hands or fingers, and begin with the backs of your
elbows touching the wall.
Keep
your back against the wall and your fingers on your ears, and slowly
bring your elbows out in front of you until they meet.
If you
can't bring your elbows to touch one another, just go as far as you
can without causing discomfort, and be sure to keep your fingers cupping
your ears and your back against the wall.
Now bring
your elbows back against the wall, and repeat this "hinge" action
several times.
Here's
a brief video clip that illustrates this shoulder hinge exercise:
And
there you have it - two simple exercises that are powerfully effective
in preventing and even treating chronic shoulder problems like tendonitis,
bursitis, and adhesive capsulitis (frozen shoulder).
Please
consider sharing these exercises with family members and friends who
are interested in self health care.
For more
exercises to keep your shoulders healthy, please feel free to view:
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