Why do I have shoulder pain after doing push-ups?

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I recently started working out more frequently, doing 3-5 hour long yoga sessions every week and trying to build arm strength by doing 30 push ups (with my knees down) every day. A few days ago, I noticed a sometimes-dull sometimes-sharp ache in my right shoulder when I’m going about my day – whether sitting on my computer during work, or making dinner, or even reading. The ache doesn’t seem to stem from any specific position. I’ve massaged the shoulder a bit to see if it’s coming from a specific spot, but it feels like it’s the inside of the shoulder, not something that I can massage and feel a specific tender spot.

Disclaimer: Please note, this reply is for informational purposes only. It’s not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, physical therapist, or other qualified health provider with a medical condition.

Things to Know

  • Pain in the shoulder can be from an injury to your shoulder joint or tissue, or it may be coming from the neck or upper back.
  • Increases in activity level can contribute to pain if the demand on the tissue exceeds the tissue’s ability to recover and repair.
  • In addition to your pushups, it may be beneficial for you to work the muscles of the back of the shoulder to improve muscle balance.

Sorry to hear that you are having shoulder pain. Without a thorough examination, I am not able to comment on your specific condition, but I can offer some general information that may be helpful. 

Pain in the shoulder can be from a variety of sources. It can be from an injury to your shoulder joint or tissue, or it may be coming from the neck or upper back. A physical therapist can perform special testing to determine if the problem is in your shoulder or if it is stemming from another location.

Although push-ups can be a nice body weight exercise when preformed with good form, they predominantly work the muscles on the front of your arms and shoulders. This can negatively impact the posture of your shoulder, pulling your shoulders into a more forward position over time, when done in isolation. It may be beneficial for you to begin a few exercises that work the muscles of the back of the shoulder, such as a row exercise, to improve muscle balance.

Increases in activity level can contribute to pain if the demand on the tissue exceeds the tissue’s ability to recover and repair. I would recommend taking a few rest days from push ups and yoga to allow the shoulder to recover from the demands of your increased activity. If this combination of rest and incorporating shoulder blade strengthening exercises is not sufficient to change your pain, I would recommend seeing a physical therapist. 

A physical therapist will conduct a thorough evaluation to determine the source of your pain. They will also help develop a treatment plan to address your specific condition that may include a combination of targeted exercises, manual therapy, and more detailed adaptations to your exercise program, helping you improve your form with your current yoga and push-up activities.

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As movement experts, PTs can get to the root cause of your pain or dysfunction and create a custom treatment plan tailored to your body so you can get back to the things you love quickly and safely.

Please note, this reply is for informational purposes only. It’s not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, physical therapist, or other qualified health provider with a medical condition.

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