Down Dog: Avoid Shoulder Impingement

3 Steps to Avoid Shoulder Impingement

in Downward-Facing Dog

Should You “Relax Your Shoulders” Away From Your Ears?

In my previous blog, “The Yoga Cue That Could Be Destroying Your Shoulders,” I explained how taking the arms up overhead while dropping our shoulders down our back could be a recipe for shoulder impingement. Many teachers use Downward Dog as a “resting pose.”  In my experience, I have found that “relaxing” in Downward Dog is quite often the reason for most shoulder issues but can easily be rectified with the 3 cues I provide in the video and photo breakdown below: 

  1. Externally Rotate the Humerus
  2. Pronate the Forearms (not directly related to the shoulder but balances out Step 1)
  3. Elevate the Scapula 

Elevation of the scapula happens when you lift your shoulder blades upward, which is like “shrugging” your shoulders, or when you excitedly reach your arms up to the sky. We naturally let our shoulders lift when our arms go up, but since many instructors cue the opposite, it is easy develop a pattern that does not serve the health of our shoulders. In addition to the verbal cue of “soften your shoulders,” gravity also causes issues if we don’t actively resist when we are in postures like Downward Dog, Forearm Stand, Handstand, or in a jump forward. My suggestion is to strengthen the muscles that elevate the scapula (upper trapezius and serratus anterior being the primary ones) in order to develop the pattern that can help to avoid shoulder impingement.

Many people cringe when I suggest strengthening the muscles that lift the shoulders up, saying something like “but my shoulders are stuck up by my ears, shouldn’t I relax them down?” The short answer is yes, but the longer answer is that muscles hold tension when they are weak. Your shoulders are likely up by your ears because of stress, rather than excess strength . . . unless you are a world champion bodybuilder . . . then ignore this. We also have muscle-holding patterns, which means that when we hold our neck, head, and arms in one position for most of the day, it will cause the muscles to become accustomed to holding those positions, and as a result you will be somewhat stuck in that shape. Simply pulling your shoulders back down will not relax the trapezius; rather, it could cause more stress, and the muscle could become more aggravated.

SHOULDER REVELATION

Strength•Mobility•Biomechanics

  • Increase strength and flexibility
  • Decrease risk of injury
  • Release shoulder tension
  • Learn anatomy and biomechanics
  • Access a wider range of postures
  • Stabilize the rotator cuff muscles
  • Learn binds, heart openers, and arm balances
  • 12 all-levels, 75-minute online classes
  • Lifetime unlimited access to all

$198.00 $138.00

BUT ISN’T IT IMPORTANT TO RELAX MY NECK?

Relaxing is undoubtedly important, and it will help release tension in your mind and body. At the same time, muscles relax from being activated properly and then released. You have certainly experienced this after engaging your muscles in a good workout or yoga class and then the incredible relaxation afterwards. Stretching a muscle can help release tension at times, but more often than not, I find active engagement or passive shortening of a muscle is far more effective. When a muscle is healthy and strong, it is better able to relax.

Follow the 3 easy steps in the video below to avoid shoulder impingement, and you will grow stronger in your trapezius muscles and rotator cuff.

Maintaining Joint Space

Research indicates that externally rotating the humerus helps to move the supraspinatus tendon away from the impingement area under the acromion process. Essentially this means that by rotating your arm bones outward (biceps turn forward) you are less likely to pinch the the soft tissues that run between your arm bone and the shoulder socket. 

HANDSTAND TRAINING

2 PART COURSE FOR STRENGTH & BALANCE

  • Part 1: Get strong in key areas for Handstand
  • Part 2: Learn to Balance Handstand
  • Techniques, anatomy and drills to gain mastery on your hands
  • Easy to follow, step by step approach
  • Find weak points and make them your strengths
  • The most efficient & effective course to access handstand
  • Option to purchase each course separately or together

CURRENT SALE PRICE FOR BOTH

$298.00 $148.00

Other Helpful Muscle Engagements

Research also shows that activating both the biceps and triceps at the same time  can actually support creating more space in the glenohumeral joint  (where the arm meets the shoulder socket). You can do this by actively pushing the arms straight, and then try to squeeze your hands toward each other like a bull dog.   It is challenging to do oppositional muscle engagements so this takes a bit of exploring. First work on straightening the elbows and activating the triceps. When you squeeze your arms toward each other you will also get the added benefit of activating the adductor muscles which can also support more space in the shoulder joint.

DOES THIS APPLY TO HANDSTAND AS WELL?

Your shoulder joints do not know the difference between downward dog and handstand – aside from the gravitational pull, the shoulders are in the same alignment in downward dog as they are in handstand, this is called flexion. When the arms are flexed over head, you are at risk of impingement. The only difference is that in handstand you have to compete with gravity and so you will need to increase your efforts. You will find much more on this subject in the online course titled Handstand Part 2: Balance.

Step 1 - Externally Rotate the Arm Upper Arm Bone

Rotating the humerus externally when the arm goes up over head can help to avoid the impingement interval in the joint. One of your rotator cuff muscles, the supraspinatus, runs through the glenohumeral joint (under the acromion process and above the head of the humerus). This muscle helps to lift the arms up from tadasana, but because of its location it is easily pinched if the arms go over head but the shoulder blades don’t follow the movement. Downward dog is often the culprit- the weight of the body on the shoulders requires that we put effort into the posture to push the ground away, however with cues like “relax your shoulders” and “soften” we often release the appropriate muscular action required to maintain space resulting in shoulder impingement. In plain English – Externally rotate your arms (triceps rotate toward your face) and you will maintain more space in the joint and less potential for impingement. 

Step 3: Upward Rotation of The Scapula

From the outer line of your shoulder blades press through your hands into the earth. When you elevate your shoulder blades toward the ears from the outside line of the arm, the bottom wingtip of the scapula begins to rotate out and up – this is known as upward rotation of the scapula. As a result of upward rotation your shoulder blades rotates and angles itself to allow the arm bone to be overhead without a collision of bones in the joint, creating less possibility of impingement. 

Step 2: Pronate the Forearm

When externally rotating the upper arm bone you will notice that the lower arm (forearm) will go along for the ride and rotate as well. This results in an increased pressure in the outside of the hand and wrist. To evenly distribute the weight to the whole hand, simply pronate your forearm, by rotating the inner forearm and hand down toward the ground. Many teachers will stress this by asking you to press your index finger and thumb down. Depending on your range of motion in your radial ulnar joint,  you may not be able to press the inside edge of your hand down and maintain external rotation of the shoulder. My suggestion is to turn the hands slightly outward if this is the case. Learning to rotate the forearm in opposition of the upper arm bone can be challenging, but through mindful repetition you will be able to do it, and you will feel an increased strength and stability from it. To Strengthen your wrist, I highly recommend Handstand Training

The 3 Actions

While I have broken this down into 3 steps, with time and practice it can be 1 step and the 3 actions can happen all at once. To build muscle coordination it is useful to separate the actions and practice them individually. Though I created a definitive order to follow, know that it is beneficial to mix up the 3 steps and put them out of order. You may find another combination to work better for your body! The dotted red line above is to indicate the path of the bottom wing tip of the scapula. If you do not do push the bottom wing tip will wind up closer to the spine, it is helpful to video yourself to see where your shoulder blades are on your back. 

ONLINE TEACHER TRAININGS

 

GET CERTIFIED AT THE 200 OR 500 HOUR LEVELS

  • 200 Hour Training: Get certified to teach yoga
  • 300 Hour Training: Take your certification to the 500 hour level
  • Recognized globally by Yoga Alliance 
  • Take your practice to the next level
  • All levels, ages, and experience welcomed

Depression of the Scapula

Pulling your shoulders down away from the ears is the opposite of everything I have mentioned in this post, however it is an important action to work on especially for arm balances like side plank because depression creates stability when the arms are at or below shoulder height.

When Can I Relax My Shoulders?

One of the best parts about getting stronger with shoulder elevation (upward rotation) is that the muscles of your upper trapezius will become more supple and be able to relax more easily. Just like after working really hard in a yoga class you feel that complete relaxation in your body, each of your muscles experience that after being strengthened. There are plenty of opportunities to relax your shoulders down your back – just not when you reach your arms overhead. So when you are sitting at your chair you can think shoulders move slightly back and shoulder blades relax downward. When you are in a strong posture like crow pose and your upper arms are not over head, you can even work on strengthening the muscles of depression of the scapula. My philosophy on the body is that there are no wrong actions or muscle engagements, there are just appropriate and inappropriate times to use them.

A great rule of thumb you can take with you: when in doubt just let your shoulders follow your hands – if the hands go up, let your shoulders go up, if they go down let them go down, if you reach forward let them go forward, etc. Enjoy your exploration, thank you for stopping by!

-Matt

SHARE YOUR THOUGHTS & QUESTIONS

TOP RECOMMENDATIONS 

Handstand Training

Learn the techniques that make Handstand fun, easy and accessible! This 2 part course consists of the top most effective exercises will increase your strength and technique so you can easefully balance a handstand.

View Details

SHOULDER REVELATION

In this 12 class immersion  you will practice specific techniques to strengthen and unlock your shoulders. Each class focuses on a specific joint articulation and muscle group so you gain mastery in the shoulders.

View Details

HEART OPENERS

Finally, a 12 class immersion designed specifically to help you discover the freedom of heart openers. Learn how to avoid uncomfortable compression, and awaken your true range of motion in a step by step manner.

View Details

Continue Learning

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Avoid Shoulder Impingement

Shoulder Impingement

The Yoga Cue That Could be Destroying Your Shoulders

 

“Relax your shoulders”

There probably isn’t a single yoga teacher out there, myself included, who hasn’t used the verbal cue “relax your shoulders away from the ears.” This cue can be totally innocent and helpful to point out unconscious patterns related to stress or posture, but it can also lead to some serious shoulder injuries when the arms are overhead. Shoulder Impingement is common amongst dedicated yogis, and many people have blamed chaturanga as the culprit. It has become more and more obvious, however, that downward dog is where most students are creating the issue. To be clear, downward dog is not the issue, it is the way in which many students do the pose that causes shoulder impingement.

When we take one arm up overhead, eventually the shoulder blade and collar bone have to lift and rotate in order to maintain space in the joint. If you pull your shoulders down while your arms go up, you are not allowing the necessary rotation that allows you to maintain space. As a result, you will cause pinching or friction in the joint space where muscles, tendons, and subacromial bursa run through. If you continue to force this action repeatedly you can expect pain or injury.

You are most likely fine in standing poses simply because you’re not likely to force your arm up high enough to create the compression or impingement. Most people unconsciously bend their elbows when they reach up with their arms in poses like tree pose or warrior one – this gives the illusion or feeling that the arms are reaching up vertically while still keeping their shoulders soft.

On the other hand, in poses like downward dog, the shape itself in combination with its relationship to gravity makes it challenging to maintain space in the joint unless you understand how to elevate your shoulder blades toward your ears, and protract them away from each other. These two actions in combination with external rotation of the upper arm bone (triceps/armpits turn toward face) will create upward rotation and help to maintain space in the joint. Rather than offering the cue “relax your shoulders”, many yoga teachers give an amazing hands-on adjustment that indirectly creates more space in the shoulders. If you have had your hips pushed up and back or thighs pulled back then you know the feeling, but you probably were sensationally distracted by the stretch in your hamstrings. What actually moves your hips up and back if you don’t have the assistance of your teacher is the elevation of your scapula – think shrugging your shoulders.

 

HANDSTAND TRAINING

2 PART COURSE FOR STRENGTH & BALANCE

  • Part 1: Get strong in key areas for Handstand
  • Part 2: Learn to Balance Handstand
  • Techniques, anatomy and drills to gain mastery on your hands
  • Easy to follow, step by step approach
  • Find weak points and make them your strengths
  • The most efficient & effective course to access handstand
  • Option to purchase each course separately or together

CURRENT SALE PRICE FOR BOTH

$298.00 $148.00

When you elevate and upwardly rotate your shoulder blades you will not only bypass impingement, but you will increase your range of motion. This is also the key to getting out of the banana back handstand or forearm stand. With these actions, you give yourself the opportunity to have enough range of motion or “flexibility” that allows for the arms and rib cage to be at the same angle. This is definitely easier said than done. When you are upside down and have the entire weight of your body, you have to be strong enough to elevate your scapula. Picture this, you are standing on your feet, you reach your arms up overhead and then you shrug your shoulders up toward your ears. Then your entire body weight is placed on your hands. Your shoulders would want to fall down. This is basically what it feels like to do a handstand at first. With the right exercises, you will get stronger. If you are looking for exercises to help build strength and awareness in your shoulders I highly recommend The Handstand Strength Training video, which provides amazing exercises to build strength specific to poses with arms overhead.

To sum it up, try allowing your shoulders to rise up whenever you lift your arms overhead. Watch the video above to gain a clearer understanding of these actions

So Why Have I been told to relax my shoulders?

The cue to relax your shoulders is great when we are in postures where the arms are out to the side or lower. In Warrior 2, depressing the shoulder blades down the back can be stabilizing and strengthening. Postures like chaturanga and other various arm balances are also great opportunities to work on the depression of the scapula. When the arms are overhead such as down dog, handstand, and forearm stand there is fairly great risk in pulling your shoulders down, and there is a great opportunity to develop health in the trapezius muscles when you elevate the shoulders upward. 

Other Helpful Muscle Engagements

Research also shows that activating both the biceps and triceps at the same time can actually support creating more space in the glenohumeral joint  (where the arm meets the shoulder socket). You can do this by actively pushing the arms straight, and then try to squeeze your hands toward each other like a bulldog.   It is challenging to do oppositional muscle engagements, so this takes a bit of exploring. First work on straightening the elbows and activating the triceps. When you squeeze your arms toward each other you will also get the added benefit of activating the adductor muscles which can also support more space in the shoulder joint.

Step 1 - Externally Rotate the Upper Arm Bone

Rotating the humerus externally when the arm goes up overhead can help to avoid the impingement interval in the joint. One of your rotator cuff muscles, the supraspinatus, runs through the glenohumeral joint (under the acromion process and above the head of the humerus). This muscle helps to lift the arms up from tadasana, but because of its location, it is easily pinched if the arms go overhead but the shoulder blades don’t follow the movement. Downward dog is often the culprit- the weight of the body on the shoulders requires that we put effort into the posture to push the ground away however, with cues like “relax your shoulders” and “soften” we often release the appropriate muscular action required to maintain space resulting in shoulder impingement. In plain English – Externally rotate your arms (triceps rotate toward your face) and you will maintain more space in the joint and less potential for impingement.

Step 3: Upward Rotation of The Scapula

From the outer line of your shoulder blades, press through your hands into the earth. When you elevate your shoulder blades toward the ears from the outside line of the arm, the bottom wingtip of the scapula begins to rotate out and up – this is known as the upward rotation of the scapula. As a result of upward rotation, your shoulder blade rotates and angles itself to allow the arm bone to be overhead without a collision of bones in the joint, creating less possibility of impingement.

Step 2: Pronate the Forearm

When externally rotating the upper arm bone, you will notice that the lower arm (forearm) will go along for the ride and rotate as well. This results in increased pressure on the outside of the hand and wrist. To evenly distribute the weight to the whole hand, simply pronate your forearm by rotating the inner forearm and hand down toward the ground. Many teachers will stress this by asking you to press your index finger and thumb down. Depending on your range of motion in your radial ulnar joint,  you may not be able to press the inside edge of your hand down and maintain external rotation of the shoulder. My suggestion is to turn the hands slightly outward if this is the case. Learning to rotate the forearm in opposition to the upper arm bone can be challenging but through mindful repetition, you will be able to do it and you will feel increased strength and stability from it. To Strengthen your wrists, I highly recommend Handstand Training

The 3 Actions

While I have broken this down into 3 steps, with time and practice it can be 1 step and the 3 actions can happen all at once. To build muscle coordination it is useful to separate the actions and practice them individually. Though I created a definitive order to follow, know that it is beneficial to mix up the 3 steps and put them out of order. You may find another combination to work better for your body! The dotted red line above indicates the path of the bottom wingtip of the scapula. If you do not push the bottom wing tip, it will wind up closer to the spine. It is helpful to record a video yourself to see where your shoulder blades are on your back.

SHOULDER REVELATION

Strength•Mobility•Biomechanics

  • Increase strength and flexibility
  • Decrease risk of injury
  • Release shoulder tension
  • Learn anatomy and biomechanics
  • Access a wider range of postures
  • Stabilize the rotator cuff muscles
  • Learn binds, heart openers, and arm balances
  • 12 all-levels, 75-minute online classes
  • Lifetime unlimited access to all

$198.00 $138.00

Depression of the Scapula

Pulling your shoulders down away from the ears is the opposite of everything I have mentioned in this post, however it is an important action to work on especially for arm balances like side plank because depression creates stability when the arms are at or below shoulder height.

When Can I Relax My Shoulders?

One of the best parts about getting stronger with shoulder elevation (upward rotation) is that the muscles of your upper trapezius will become more supple and be able to relax more easily. Just like after working really hard in a yoga class, when you feel that complete relaxation in your body, each of your muscles experience that after being strengthened. There are plenty of times to relax your shoulders down your back – just not when you reach your arms overhead. So when you are sitting in your chair, you can think shoulders move slightly back and shoulder blades relax downward. When you are in a strong posture like crow pose and your upper arms are not overhead, you can even work on strengthening the muscles of depression of the scapula. My philosophy on the body is that there are no wrong actions or muscle engagements, there are just appropriate and inappropriate times to use them.

A great rule of thumb you can take with you: when in doubt just let your shoulders follow your hands – if the hands go up, let your shoulders go up, if they go down let them go down, if you reach forward let them go forward, etc. Enjoy your exploration, thank you for stopping by!

-Matt

 

ONLINE TEACHER TRAININGS

 

GET CERTIFIED AT THE 200 OR 500 HOUR LEVELS

  • 200 Hour Training: Get certified to teach yoga
  • 300 Hour Training: Take your certification to the 500 hour level
  • Recognized globally by Yoga Alliance 
  • Take your practice to the next level
  • All levels, ages, and experience welcomed

TOP RECOMMENDATIONS 

Handstand Training

Learn the techniques that make Handstand fun, easy and accessible! This 2 part course consists of the top most effective exercises will increase your strength and technique so you can easefully balance a handstand.

View Details

SHOULDER REVELATION

In this 12 class immersion  you will practice specific techniques to strengthen and unlock your shoulders. Each class focuses on a specific joint articulation and muscle group so you gain mastery in the shoulders.

View Details

HEART OPENERS

Finally, a 12 class immersion designed specifically to help you discover the freedom of heart openers. Learn how to avoid uncomfortable compression, and awaken your true range of motion in a step by step manner.

View Details

Continue Learning

Double Stag Handstand

Double Stag Handstand

Double Stag HandstandbalanceDOUBLE STAG HANDSTAND Cultivating confidence is a non-negotiable when it comes to implementing a handstand practice. If handstands seem insurmountable even to consider, don’t fret; there might be an easier option. Easier? Really? Yes!  Ok,...

read more
Accelerated Handstand Development

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read more
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read more
Lotus Foundations

Lotus Foundations

Lotus FoundationspadmasanaLOTUS FOUNDATIONS Lotus Pose requires a healthy amount of hip flexibility. For some, it comes easy. Reasons for this might be that the person is hypermobile in the hips, knees, and ankles and/or that many months or years of effort have been...

read more
Hips and Eka Pada Galavasana

Hips and Eka Pada Galavasana

Hips and Eka Pada Galavasanaflying pigeonHIPS AND EKA PADA GALAVASANA Depending on where we are in our asana practice journey, arm balances may feel a little overwhelming. It can be difficult to know where to start. Instead of thinking about the final destination, we...

read more
Hip Flexor Health For Better Movement

Hip Flexor Health For Better Movement

Hip Flexor Health for Better MovementstretchHIP FLEXOR HEALTH FOR BETTER MOVEMENT Healthy hip flexor muscles are associated with both stretch and strength. Although we’re going to focus more heavily on strength in this article, always note that both strength and...

read more

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When You Subscribe, You Will Get Instant Access to

  • the Technique Pack: 15 yoga pose breakdowns
  • exclusive online course discounts
  • exclusive blogs and videos
  • This field is for validation purposes and should be left unchanged.

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