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Exercises for the top of the shoulder

Shoulder & elbow · Arthritis at the top of the shoulder (AC joint)

How to use this sheet. Do the exercises slowly, keeping the elbow below shoulder height. Stop before the pain builds — mild discomfort is fine, sharp pain is not. Avoid: reaching across your body, lifting heavy things overhead, bench press and push-ups, carrying heavy loads on this shoulder, and sleeping on the painful side. Ice wrapped in a cloth can ease the pain.

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Pendulum swing

Pendulum swing

Lean forward, let the arm hang. Swing it gently in circles using your body, not the shoulder.

  • 1 minute
  • 4 times a day

Should feel: The shoulder loosening Should not feel: Sharp pain

Table slide

Table slide

Sit at a table, slide the hand forward, letting the body follow.

  • 10 times
  • 3 times a day

Should feel: A stretch at the end of the range Should not feel: Pinching at the top

Stick-assisted external rotation

Stick-assisted external rotation

Hold a stick in both hands in front of you, elbows bent at a right angle. Keep the elbow of the affected arm against your side. Use the good arm to push the stick across, so the hand of the affected arm turns outwards. Hold, then return.

  • 10 times
  • 3 times a day

Should feel: A stretch at the front of the shoulder Should not feel: Sharp pain

Shoulder blade squeeze

Shoulder blade squeeze

Squeeze the shoulder blades together and down.

  • 10 times
  • 3 times a day

Should feel: Between the shoulder blades Should not feel: The shoulders lifting

Isometric external rotation

Isometric external rotation

Stand beside a wall, elbow bent and tucked in, press the back of the hand into the wall without moving.

  • Hold 10 seconds
  • 10 times

Should feel: The muscle working Should not feel: Sharp pain

Band row

Band row

Pull a band back, squeezing the shoulder blades together.

  • 12 times
  • Once a day

Should feel: The shoulder blade muscles working Should not feel: Shrugging

Stop and telephone us if

  • The top of the shoulder becomes hot, red and swollen, or you have a fever — come the same day
  • Pain at night that wakes you, or weight loss you cannot explain — especially if you have had cancer before
  • The pain is getting worse, not better, after two weeks
  • You get new numbness, tingling or weakness

Ready when you are.

Call either clinic during consulting hours, or send a WhatsApp message any time.