Common Exercises That Put Your Shoulders "At-Risk"

Back in 1991, I injured my left shoulder while doing latstress your shoulders receive, along with killing your
pulldowns behind my head. During my set, I suddenlyposture. The solution is simple - sit perfectly upright and
realized that my left arm was out at a slight angle,pull the bar straight down to your collar bone.
while my other arm was still pulling straight down.You work the same muscles that way. Then you can
A year and a half later, after some ups and downschange the muscles affected by altering your grip and
with that shoulder, I found myself in an orthopedicyou can also lean back at a slight angle and pull down
surgeons' office, where he told me what I alreadyto your chest. You get all the benefits at a much lower
knew - that I probably had a partially dislocatedrisk of injury. If you are over 35, like I am, you need to
shoulder and a partial tear in my rotator cuff. He said Iweigh the risk versus the rewards. You can still work
could have surgery or quit lifting weights. No physicalout intensely, but be a little smarter.
therapy or corrective exercises were offered. I was aAnd by the way, the average age of the twenty
little disappointed.patients in the study - 28. I was a little younger than this
I later discovered that poor posture contributed to mywhen I injured my shoulder. Also, at least a third of the
problems by placing them in an inefficient position. Didguys I've talked to in various gyms, who have lifted
pulldowns behind my head contribute to this injury?fairly intensely for several years, have some degree
Most definitely. However, it wasn't the sole problem.of problems with one or both shoulders. Sounds like a
After that point, I started doing some reading onneed for some prevention.
shoulder problems and came across some interestingAn exercise that could also potentially cause harm is
information. One study done in 1993 by a group ofthe barbell upright row with a very narrow grip, so that
medical doctors, looked at 20 patients with shoulderthe hands are almost touching. This places the
pain and instability who lifted weights. It wasshoulder into extreme internal rotation so that at the
determined that certain exercises put the shoulder intop of the movement, where the elbows are above
what they termed "the at-risk position."the chin, you run the risk of impingeing the shoulder,
This position occurs when the upper arm is 90irritating some of the tendons as they rub against other
degrees away from the torso with the elbow alsoshoulder structures. This information comes from the
bent at 90 degrees and behind the head, such as inbook "The 7 Minute Rotator Cuff Solution."
the lat pulldown done behind the head. Other exercisesIf you want to do this exercise, I would modify it by
in this category included the military press behind themoving your hands farther apart so they are about
head and chest flyes on a machine that places theshoulder width. When doing pec flyes with either
bent elbows in a 90 degree position with the palmsdumbbells or on a machine, just make sure not to go
facing forward.too far with your stretch. Don't let your hands go
Ten of these patients studied had to have surgery andfarther than your body. If using a machine, use one that
the other ten were able to complete conservativeputs your hands at the same level as your shoulder,
exercises for the shoulder. Eight of those who didn'tthat you grip with your hands.
require surgery went back to lifting weights and byAnother exercise that did further damage to my
avoiding this at-risk position, had no more problems.shoulder was the power squat. In this exercise you set
One of these patients, however, avoided the advice tothe bar farther down your back than you do with the
skip these exercises and the pain came back. Afterbodybuilding squat. This is done for better leverage, to
rest and modifying the exercises, he was able to liftlift heavier weights. In my case, my lack of flexibility
without pain.and poor posture put a great deal of pressure on my
In the last 15 years or so I have worked in and workedunstable shoulder. So if you are doing this lift, make
out in many different facilities in many different cities. Insure you have proper stability in your shoulders first.
probably 90% of the time I saw people doing theIn closing, I would recommend doing plenty of work to
behind the head pulldown, they finished this exercisestrengthen the muscles surrounding the scapula and to
bent forward, usually by doing a crunch to help finishmake sure that you balance out the amount of pushing
the exercise.and pulling you do. For every press, do an equal
Now its bad enough for your shoulders by doing themamount of rows and pulls. And make sure to watch
sitting straight upright. But the crunch just adds to theyour posture while lifting.