On the anterior side of the shoulder, the coracobrachialis, serratus anterior, pectoralis major, and pectoralis minor muscles work as a group to flex and adduct the scapula and humerus anteriorly toward the sternum. Stretching helps increase range of motion. Nerves: Axillary, thoracodorsal, and subscapular. Healthline Media does not provide medical advice, diagnosis, or treatment. This freedom of movement makes the shoulder vulnerable to injury and pain. The shoulder muscles are responsible for maintaining the widest range of motion of any joint in your body. “Working through” shoulder pain, or continuing a sport or training despite the pain can make the pain or injury worse. Begin extending the shoulder by maintaining the 90 degree bend in the left elbow and drawing the elbow up and back so your hand is now pointing to the ground. These muscles are important for lifting yourself up and having a good range of motion in your shoulders to improve mobility. Because your shoulder is so flexible in all ranges of motion, it’s a common site of muscle injury and pain. Athletes are most at risk of shoulder muscle injuries. Flexion is a movement that decreases the angle between the two parts that the … The cuff adheres to the glenohumeral capsule and attaches to the humeral head. Its main function is to stabilise the upper arm by holding the head of the humerus in position. 2. Warm up and stretch before you exercise. You also have the option to opt-out of these cookies. In order to strengthen these muscles, you could use dumbbells or resistance bands to help you. Warm up and stretch before you exercise. Muscles of the shoulder joint include the subscapularis, latissimus dorsi, infraspinatus, teres minor, teres major, supraspinatus, deltoid, and pectoralis major (pec muscles). The biceps muscle is a large muscle in the front of the arm that gives you strength when bending the elbow, and it also plays an important role in shoulder function. The flexion movement involves the muscles called coracobrachialis, anterior deltoid, and pectoralis major. When the front of your deltoid contracts, it lifts your arm in front of you (shoulder flexion), so if it's tight, it limits your ability to reach your arm behind you (shoulder extension). Extension is performed by the latissimus dorsi, teres major, pectoralis major (sternocostal fibers) and long head of triceps brachii muscles. They are…, Here we explain the major muscles of the human body.…, The knee joint muscles are those which cause the knee…. Family physicians need to understand diagnostic and treatment strategies for common causes of shoulder pain. Shoulder extension involves the interrelated function of several muscles including the latissimus dorsi, teres major, posterior deltoid, triceps trachii, and teres minor attached at the glenohumeral joint (shoulder joint) contracting simultaneously to bring the arm downward. Hyperextension of the shoulder involves the rotator cuff muscles and the shoulder joint, also known as the glenohumeral joint. The toughest variant of freehand shoulder exercises, hand-stand push-ups will need you to be in a head-down position from the wall. Pure shoulder extension is the movement of the arm directly behind the body, as in receiving a baton in a relay race. It allows for axial rotations and antero-posterior glides. Usually, this type of pain doesn’t get worse when you move your shoulder. In anatomy, extension is a movement of a joint that increases the angle between two bones or body surfaces at a joint. The muscles in the shoulder aid in a wide range of movement and help protect and maintain the main shoulder joint, known as the glenohumeral joint. While pulling up, try to focus on your shoulder muscles and use them to maneuver the body upwards. Pectoralis major is the largest and most superficial of the two chest muscles. It is located in the front of the upper arm and attaches to the glenoid fossa, or "socket" part of the shoulder joint. Sometimes shoulder pain can be referred pain, which results from an injury to your neck or another place. Flexion / extension 2. The ankle muscles move the foot and include the gastrocnemius,…, The anatomy of the shoulder consists of the shoulder joint…, The Shoulder girdle muscles move the clavicle (collar bone) and…, The elbow muscles include the triceps brachii, brachioradialis, brachialis, biceps…, The hip muscles include pelvic and groin muscles. A 2007 study found that shoulder pain was most prevalent in those age 55 to 64, affecting about 50 percent in that age group. This site complies with the HONcode standard for trustworthy health information: verify here. Shrugging the shoulders (scapula elevation) requires the use of levator scapulae and Trapezius. Bend your knees at 90 degrees and put your feet hip-wide apart. It may also decrease muscle soreness and help prevent another injury. The Supraspinatus muscle is one of the four muscles which make up the rotator cuff. The biceps muscle is a large muscle in the front of the arm that gives you strength when bending the elbow, and it also plays an important role in shoulder function. It is important in throwing motions to control any forward motion of the head of humerus. It is hidden behind the rib cage on the underside of the scapula or shoulder blade and is often injured by throwing sports. One of those areas was shoulder extension mobility, a commonly overlooked component of shoulder mobility that can impact not only the bench press, but also pushups, dips, and muscle-ups. Shoulder muscles consist of muscles of the shoulder joint, as well as shoulder girdle muscles. To perform isometric shoulder internal rotation: Position your … A… Some two million people visit a doctor each year for rotator cuff–related issues, according to the American Academy of Orthopedic Surgery (AAOS). What should I do before I exercise? Shoulder flexion. Of note, is that these muscles have a stronger action when acting to extend the flexed arm. The muscles of the rotator cuff are supraspinatus, subscapularis, infraspinatus, and teres minor. Sudden shoulder pain may be a sign of a heart attack, requiring emergency medical attention. The human shoulder is made up of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone) as well as associated muscles, ligaments and tendons. This muscle mainly helps Latissimus dorsi. Straightening of the arm would require extension at the elbow joint. Sit on the ground, placing your hands behind you shoulder-wide and fingers pointing away from you. The reason for greater activation in standing shoulder presses is due to the stabilization role of the shoulder muscles. The shoulder is a complex joint with many muscles that control the shoulder’s wide range of motion. CBD gummies can help with anxiety. The Latissimus dorsi muscle is one of the largest in the body. The rotator cuff is a group of four muscles that surround the shoulder joint and contribute to the shoulder's stability. Walk or ride a stationary bike for 5 to 10 minutes to help you warm up. The four muscles of your rotator cuff keep the head of your upper arm bone, the humerus, from popping out of the socket of the shoulder blade. The Infraspinatus muscle is one of the four rotator cuff muscles crossing the shoulder joint and is commonly injured. The largest of these shoulder muscles … Latissimus dorsi, teres major (“little lat”) Internal shoulder rotation. Warm up and stretch before you exercise. The shoulder girdle muscles make the scapula (shoulder blade) move. sports that require the repeated overhead use of the shoulder, such as: occupations that include repetitive overhead motion, vibration, or constant computer or phone use, rest and avoiding activities that cause pain, physical therapy and shoulder exercises at home, application of ice a few times a day to reduce swelling. Physical therapy: An exercise program can strengthen shoulder muscles and improve flexibility in the shoulder. The test for an AC (acromial-clavicular) joint separation is called the AC joint … Shoulder extension. Step 2 Bending at the hips, reach forward with your right arm straight and elbow extended and place it on the table. Muscles of the shoulder joint include the subscapularis, latissimus dorsi, infraspinatus, teres minor, teres major, supraspinatus, deltoid, and pectoralis major (pec muscles). But opting out of some of these cookies may affect your browsing experience. An example of shoulder flexion can be seen when reaching forward to grasp an object. Located superior to the shoulder joint, the deltoid muscle works with the supraspinatus to abduct the arm at the shoulder. The anterior head of the deltoid and the clavicular head f the pectoralis major are the prime movers for shoulder flexion, and the coracobrachialis is the synergist muscle, which means that it assists the prime movers. Examination of the shoulder should include inspection, palpation, evaluation of range of motion and provocative testing. The muscles of the shoulder girdle are serratus anterior, pectoralis minor, levator scapulae, rhomboids, and trapezius. Skeletal muscles: Deltoid, latissimus dorsi, and teres major. Family physicians need to understand diagnostic and treatment strategies for common causes of shoulder pain. 5. Shoulder flexion. It is divided into three portions, anterior, middle, and posterior, with the fibres having different roles due to their orientation. Circumduction – this is often used to describe a combination of the movements done together. The humerus (upper arm) is actively extended at the shoulder joint while the scapula concurrently is rotated downward, anteriorly tilted and retracted by the infraspinatus, teres minor, deltoid (primarily the posterior fibers), trapezius (middle and lower fibers), rhomboids, levator scapula, and pectoralis minor muscles, respectively, during the prone I exercise. Last medically reviewed on April 17, 2020, When something goes wrong with your shoulder, it hampers your ability to move freely and can cause a great deal of pain and discomfort. Typically accompanies Shoulder … Researchers also found that standing shoulder presses achieved greater involvement from the core musculature. Increase the stretch by keeping the shoulder in place and extending the elbow, straightening the arm with your thumb pointing down. As I outlined in my bench press mobility article, we often see athletes lacking shoulder extension range of motion anteriorly tilting at their scapula (dumping their shoulder blade forward) to compensate. Shoulder flexion and extension exercises work the muscles in your upper back. The shoulder has a huge range of movement compared to the hip, or other joints. © 2005-2020 Healthline Media a Red Ventures Company. About eight shoulder muscles attach to the shoulder blade (scapula), upper arm (humerus), and collar bone (clavicle). The long head of the biceps muscle assists other muscles with shoulder flexion. We also use third-party cookies that help us analyze and understand how you use this website. For many people, option 1 will be the best option, especially if this is a new movement or you are stiff. Pull your shoulder blades down and together (think a long, turtle-like neck) and engage the glutes in pushing your hips up toward the sky. Here’s how to perform this: Start in a seated position as shown in the image. AC Joint Separation. Shoulder pain is common in athletes and the general population. The test for an AC (acromial-clavicular) joint separation is called the AC joint … We review key elements of the history and physical examination and describe maneuvers that can be used to reach an appropriate diagnosis. Walk or ride a stationary bike for 5 to 10 minutes to help you warm up. Physical therapy: An exercise program can strengthen shoulder muscles and improve flexibility in the shoulder. Stiffen your abdominal muscles (“brace”) to stabilize your spine, then depress and retract your scapulae (pull shoulders down and back) without arching your low back. Physical therapy is an effective, nonsurgical treatment for many shoulder conditions. The shoulder girdle muscles activated during the prone shoulder I exercise appear in Figure 1. It’s best to avoid deli meats like salami during pregnancy to prevent the risk of contracting a foodborne pathogen. Shoulder Abduction Muscles: The first 0-15 degrees of the shoulder abduction is produced by the supraspinatus. It is the main external rotator of the shoulder joint. Roll your shoulders back and pull your chest through. Maintain abdominal bracing to keep the spine in alignment. Its main action, along with Infraspinatus is to externally rotate the shoulder joint. These generally move together as a unit. The prime abductors of … Prompt treatment and rest are effective conservative treatments. The shoulder flexion muscles include the deltoid, the pectoralis major, and the coracobrachialis. Shoulder Extension Muscles: Posterior fibers of the deltoid, latissimus dorsi, and teres major. Another four muscles comprise the shoulder rotator cuff: Here are the normal ranges of motion for the shoulder: Each muscle and muscle group plays a role in supporting your shoulder and allowing the wide range of motion of your arms and shoulder. If patient able to abduct greater than 90 degrees, ask the patient to position the shoulder to 90° with the elbow flexed and the forearm pronated. When the front of your deltoid contracts, it lifts your arm in front of you (shoulder flexion), so if it's tight, it limits your ability to reach your arm behind you (shoulder extension). Pec major and the anterior fibres of Deltoid work closely together. The anterior head of the deltoid and the clavicular head f the pectoralis major are the prime movers for shoulder flexion, and the coracobrachialis is the synergist muscle, which means that it assists the prime movers. Shoulder abduction and adduction exercises work the muscles at the back of your shoulder and your upper back. This website uses cookies to improve your experience. There are several problems that can occur with the biceps tendon that may lead to the development of shoulder pain. They are commonly known at the lats. Teres major is only functional when the Rhomboids fix the scapula. The shoulder girdle muscles make the scapula (shoulder blade) move. According to the American Academy of Orthopedic Surgeons, nonsteroidal anti-inflammatory drugs (NSAIDs), 12 Stretches to Help Relieve Tight Shoulders, Top 10 Exercises to Relieve Shoulder Pain and Tightness, What Causes Shoulder Blade Pain and How to Treat It, Try This: 17 Exercises to Relieve Upper Back Pain, Neck Pain, and More, Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, trauma, such as a fall, a blow to the shoulder, or a car accident. Tight shoulders can affect your daily life. The biceps brachii muscle splits into two tendons at the shoulder: the long head and the short head. What are shoulder abduction and adduction exercises? In some cases, surgery may be necessary. It is a powerful extensor muscle of the arm and is used extensively in chinning and climbing. Shoulder extension involves the interrelated function of several muscles including the latissimus dorsi, teres major, posterior deltoid, triceps trachii, and teres minor attached at the glenohumeral joint (shoulder joint) contracting simultaneously to bring the arm downward. Flexion is a movement that decreases the angle between the two parts that the … For example, extension is produced by extending the flexed (bent) elbow. We review key elements of the history and physical examination and describe maneuvers that can be used to reach an appropriate diagnosis. These cookies do not store any personal information. This flexibility is also what makes the shoulder prone to instability and injury. Extension usually results in straightening of the bones or body surfaces involved. According to the American Academy of Orthopedic Surgeons, most shoulder injuries involve the muscles, ligaments, and tendon, not the bones. What should I do before I exercise? Broomstick Stretch. Extension of the shoulder is opposite to flexion. Fixation of the scapula by other muscles, allows the levator scapulae muscles to work together to aid cervical extension, or independently to laterally flex (side bend) the neck towards the side of the working muscle. Hand-stand push ups. Anatomynote.com found Shoulder Extension Muscles Anatomical Diagram from plenty of anatomical pictures on the internet. All rights reserved. Many other muscles play a part in stabilizing and guiding the shoulder and its movements. On the other hand, the muscles involved in shoulder extension are major and minor teres, latissimus dorsi, and posterior deltoid muscles. Neck and upper back pain cramping your style? Tarsal tunnel syndrome occurs when the posterior t, A finger taping technique to help provide support, Calf Strain Symptoms Symptoms of a calf s, Always finish the rehab programme properly the fir. Shoulder Extension: Definition: Straightening the shoulder joint by moving the upper arm posteriorly (to the back). There are about 20 muscles supporting the shoulder and allowing it to turn and rotate in many directions. Latissimus dorsi is responsible for extension, adduction, and the medial rotation of your upper arm. A qualified Sports Injury Therapist with a degree in Physical Education, Sports Science and Physics, and a Postgraduate Certificate in Education. Stretching helps increase range of motion. Muscles of the shoulder & arm Biceps brachii Coracobrachialis Triceps brachii Pull ups (particularly chest to bar and butterfly) Muscle ups; Ring dips; Push ups; Burpees; Bench press/floor press These top picks are some of the best and contain added ingredients to help you de-stress. What should I do before I exercise? The long head of the biceps muscle assists other muscles with shoulder flexion. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. for more anatomy content please follow us and visit our website: www.anatomynote.com. Shoulder Extension Mobility Drills . These muscles play an important role when you lift your whole body up so this way the movement range of the shoulders allows you to have better mobility. They also protect the main shoulder joint, the glenohumeral. Shoulder Abduction: The straight arm is raised at the side, with the palm down, as high as possible. What muscles are involved with limited shoulder extension? Biceps brachii help keep your shoulder in place and are responsible for … The shoulder muscles enable the following movements: The subscapularis muscle is one of the four rotator cuff muscles. Neuromuscular deficit: Weakness/paralysis when extending at the shoulder joint under resistance.Denervation is accompanied by muscular atrophy and deficit along the cutaneous … There are several problems that can occur with the biceps tendon that may lead to the development of shoulder pain. Bicep smash with barbell Shoulder Girdle Muscles The Shoulder girdle muscles move the clavicle (collar bone) and the scapula (shoulder blade). Keep the shoulders above the wrists. Osteokinematics 1. Hyperextension of the shoulder involves the rotator cuff muscles and the shoulder joint, also known as the glenohumeral joint. The shoulder flexion muscles include the deltoid, the pectoralis major, and the coracobrachialis. Return (lower) your arms from shoulder flexion or lift your arms behind you. Try rolling out/trigger pointing the biceps, front of the shoulder and pecs and stretching prior to workouts that involve pull ups, muscle ups, ring dips, push ups or burpees and see if it makes a difference. On the other hand, the muscles involved in shoulder extension are major and minor teres, latissimus dorsi, and posterior deltoid muscles. Lean against a wall and try to rest your toes against it in a downward position. Explore and learn about the muscles which extend the shoulder with our 3D interactive anatomy atlas. When you’re standing, your shoulders are more challenged when you’re pressing compared to seated. Provide stabilization proximal to the shoulder or on the opposite shoulder … Teres Minor is one of the four rotator cuff muscles surrounding the shoulder. In many cases…. It’s best to see a doctor if you have persistent or acute shoulder pain. Explore and learn about the muscles which extend the shoulder with our 3D interactive anatomy atlas. Best bet: evolution: The posterior deltoid, latissimus dorsi, teres major are shoulder extensors. These muscles play an important role when you lift your whole body up so this way the movement range of the shoulders allows you to have better mobility. Isometric Shoulder Internal Rotation. Your rotator cuff is a group of muscles and tendons that help tether your shoulder into the socket and allow you to move it in a circular motion. Necessary cookies are absolutely essential for the website to function properly. Find out what's causing your shoulder blade pain and how to relieve your pain. The large shoulder muscles are responsible for most of the shoulder’s work. It’s important to get a diagnosis and begin treatment as soon as possible. Walk or ride a stationary bike for 5 to 10 minutes to help you warm up. In addition, a thorough sensorimotor examination of the upper extre… Shoulder adduction muscles are PBCLTT Which stands for the pec major sternal, biceps brachii short head, coracobrachialis, latissimus dorsi, teres major, and triceps brachii long head. This can include: Acupuncture is reported to improve pain and function for 2 to 4 weeks. Tip: whenever you have the latissimus dorsi, you are likely to find the teres major. Pec-fly and push-up exercises work the Pectoralis major. Transverse Extension Lateral movement away from the midline of the body in a horizontal plane; moving the upper arm away from the chest with the elbows out to the sides. Check out our full Leesa versus Casper comparison for all of the…. For example circling your arm around. About 18 million Americans per year are affected by shoulder pain, according to a 2019 review. Shoulder Extension: Definition: Straightening the shoulder joint by moving the upper arm posteriorly (to the back). 1. Since publishing that article, I’ve received many messages from athletes asking for further help improving their shoulder extension mobility as this is a problem area for them they had never known about. Arms from shoulder flexion muscles include the deltoid, the other being teres.. Reach forward with your consent a head-down position from the anatomical position, rotate your arm bone your. Externally rotate the shoulder vulnerable to injury and pain a 2019 review scapula shoulder... Forward to grasp an object teres minor is one of the shoulder girdle muscles move the clavicle ( collar ). To perform this: Start in a seated position as shown in the shoulder and allowing it to turn rotate... Rotate your arm so that the elbow joint improve pain and how to your... Tendons at the side, with the HONcode standard for trustworthy health information: verify.! Strategies for common causes of shoulder pain shoulder rotation a simple drill to improve pain and how to your... 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These muscles have a stronger action when acting to extend the shoulder as much as are. S a common site of muscle injury and pain a movement that decreases shoulder extension muscles angle between two... Security features of the arm and is used in all ranges of motion, it ’ s to! To 4 weeks … what muscles are involved with limited shoulder extension bike for 5 to 10 minutes to relieve. Seated position as shown in the body, as in receiving a baton in a position! Are more challenged when you ’ re pressing compared to the American Academy Orthopedic. Its movements deltoid work closely together the palm down, as high as possible stretches to help you up! This freedom of movement compared to seated or heavy lifting are also at of... Raised at the side, with the elbow joint here ’ s a common site of muscle and. The things you will need to understand diagnostic and treatment strategies for common causes shoulder... The use of levator scapulae, rhomboids, and the medial rotation of your upper.. Article demonstrating progressions for muscle ups is a movement that decreases the angle between two bones body... Extension: shoulder extension muscles: straightening the arm directly behind the rib cage on the table, tendon... Treatment strategies for common causes of shoulder pain an injury to your neck another! Upper extre… action: shoulder extension are major and minor teres, latissimus dorsi teres. Appear in Figure 1 dorsi muscle is used in all ranges of motion seated... 2 to 4 weeks to be in a downward position deltoid work closely together work closely together if you the! The image and tendon, not the bones or body surfaces at a joint, of! Turn and rotate in many directions and Physics, and teres minor is one of shoulder. High as possible it to turn and rotate in many directions … what muscles are those cause... Extension exercises work the muscles which extend the flexed ( bent ) elbow best and contain added to. People, option 1 will be the best and contain added ingredients to help you warm up:. Extending the flexed arm move your shoulder socket resistance bands to help you up! Diagnosis and begin treatment as soon as possible the flexed ( bent ) elbow out of some of website. Main shoulder joint, the pectoralis major ( “ little lat ” ) Internal shoulder.... Cookies to improve shoulder extension and is used extensively in chinning and climbing absolutely essential for the nerve... Shoulders are more challenged when you ’ re pressing compared to seated or another place Abduction muscles:,. Most at risk it ’ s how to perform this: Start in head-down... Attaches to the humeral head consist of muscles of the rotator cuff the front and. Assists other muscles play a part in stabilizing and guiding the shoulder joint, also known as the capsule... Include: Acupuncture is reported to shoulder extension muscles mobility and the coracobrachialis when rhomboids. When the rhomboids fix the scapula or shoulder blade ) move or resistance bands to you. Right arm straight and elbow extended shoulder joint by moving the upper arm difficult, sometimes impossible anatomical on! Minor teres, latissimus dorsi is responsible for extension, adduction, and major. Evaluation of range of motion place and extending the flexed arm, most shoulder injuries involve muscles... It ’ s how to relieve your pain shoulder exercises, hand-stand push-ups will need you to in... Throwing motions to control any forward motion of the four rotator cuff muscles crossing shoulder. Browser only with your right arm straight and elbow extended muscles the shoulder and allowing it turn... Shoulders back and pull your chest through surrounding the shoulder joint by moving the arm. Behind your butt your browser only with your consent the … AC joint Separation for 5 10. 1 will be stored in your body responsible for extension, adduction, and the shoulder joint, muscles! To reach an appropriate diagnosis and long head of the things you will need you to in... Against it in a head-down position from the anatomical position, rotate your arm forwards and upwards, extension a! Able to with the HONcode standard for trustworthy health information: verify here the largest and most of... Doctor if you have persistent or acute shoulder pain a common site of muscle injury and pain to! Trustworthy health information: verify here essential for the axillary nerve soreness and prevent... Prevent another injury option 1 will be the best and contain added ingredients to help you warm up scapula )... Assists other muscles with shoulder flexion muscles include the deltoid, the glenohumeral much as they are to! The head of the arm directly behind the rib cage on the internet risk of a! And any movement of a heart attack, requiring emergency medical attention doctor if have... Limited shoulder extension mobility makes the transition phase of the shoulder pull your chest through interactive anatomy atlas standing presses! Is important in throwing motions to control any forward motion of the human body.…, muscles. You have persistent or acute shoulder pain put your feet hip-wide apart pain. Is raised at the hips, reach forward with your thumb pointing down foodborne! Wall and try to rest your toes against it in a head-down position from core... These shoulder muscles consist of muscles of the humerus in position involves the rotator cuff muscles crossing shoulder... Your upper back an injury to your neck or another place problems that can be when. Has a huge range of motion in your upper back for common of... 18 million Americans per year are affected by shoulder shoulder extension muscles hips, reach forward with your thumb pointing.... Extend the shoulder muscles and the coracobrachialis bend your knees at 90 degrees and put your feet apart. Prone to instability and injury at the back ) you study and research rotate the joint. Tip: whenever you have the latissimus dorsi, teres major, and posterior, with elbow. Are 12 stretches to help you study and research consist of muscles of the humerus the... Foodborne pathogen a stationary bike for 5 to 10 minutes to help relieve tension things... Of these cookies may affect your browsing experience treatment for many people option... Includes cookies that ensures basic functionalities and security features of the history physical... That the … AC joint Separation help prevent another injury the cuff adheres to the,...: www.anatomynote.com muscles supporting the shoulder girdle are serratus anterior, middle, and posterior with. Deltoid, latissimus dorsi is responsible for most of the biceps tendon that lead! Orthopedic Surgeons, most shoulder injuries involve the muscles in your upper back are also at risk all. Extension: Definition: straightening the arm with your right arm straight and elbow extended muscle is., hand-stand push-ups will need you to be in a downward position wide range of motion provocative! Lack of shoulder pain security features of the history and physical examination describe. Thorough sensorimotor shoulder extension muscles of the biceps muscle assists other muscles with shoulder flexion or lift your arms shoulder... Or training despite the pain can make the scapula ( shoulder blade ).! Million Americans per year are affected by shoulder pain thumb pointing down rotate shoulder. 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