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Tearing your rotator cuff is commonly associated with baseball players because of the forceful motion of throwing a pitch, but rotator cuff injury is also common in yoga practitioners, rock climbers, swimmers, golfers, and tennis players due to the demands placed on the shoulder joint. Add to that our desk-bound lifestyle, in which our shoulders can become tight and imbalanced from hours hunched over the keyboard, and you can see how easily this area of the body can become aggravated.
Fortunately, it is possible to stretch and strengthen the muscles of the rotator cuff in ways that help extend your range of motion, relieve shoulder pain, and reduce your chances of experiencing an injury.
The anatomy of the rotator cuff
The rotator cuff is a group of four muscles that stabilizes the upper arm bone in the shoulder socket and allows the shoulder to rotate. The rotator cuff muscles include:
- Supraspinatus: helps you lift your arm
- Infraspinatus: externally rotates your arm
- Teres minor: stabilizes the glenohumeral joint
- Subscapularis: internally rotates your arm
These muscles work with your wrists and arms to account for a significant portion of the movement when press up into a plank, slowly lower your body weight to the floor, and stabilize your body throughout your practice and other workouts. Abrupt movements, especially ones that require a considerable amount of force when pressing or pulling, can increase the challenges that these muscles face. Also, the related tendons can easily become irritated from repetitive motion, especially when there is weakness in the muscles that stabilize the shoulder blades and anchor the rotator cuffs.
Because there are four muscles and their respective tendons, each of which have an origin and an insertion point, a wide range of symptoms can be indicative of rotator cuff issues. Generally, pain is felt over the top of the shoulder, but it can extend to almost anywhere around the shoulder joint itself, including the shoulder blade and the armpit.
3 yoga-based exercises to stretch and strengthen the rotator cuff
Practicing rotator cuff exercises that bolster and the muscles around the shoulder joint and restore your range of motion, you can create a stronger, more supportive structure as you move in your yoga practice, which can decrease your chance of experiencing a rotator cuff tear or facilitate your recovery from injury.
Always consult with a physician when you are experiencing pain prior to engaging in physical activity.
1. Gomukhasana (Cow Face Pose)
How it supports the rotator cuff: This pose stretches the entire rotator cuff with a combination of internal and external rotation of the arms, improving range of motion. If your shoulders are tight, you can do this pose in a warm shower or hold onto a strap or towel if you can’t reach your hands.
How to practice: From a seated or standing position, reach your left arm straight out to the left, parallel to the floor. Rotate your left arm inward; the thumb will turn first toward the floor, then point toward the wall behind you, with the palm facing the ceiling. This movement will roll your left shoulder slightly up and forward, and will round your upper back. With a full exhalation, sweep the left arm behind your torso and tuck the forearm in the hollow of your lower back, parallel to your waist, with the left elbow against the left side of your torso. Roll the shoulder back and down; then work the forearm up your back until it feels parallel to your spine. The back of your hand will be between your shoulder blades.
Inhale and stretch your right arm straight forward, parallel to the floor. Turn the palm up, inhale, and stretch your arm straight up toward the ceiling, palm turned back. Bend your elbow and reach down for the left hand. If you can, clasp your hands in Cow Face Pose. If you can’t reach, take a towel, strap, or belt in your overhead hand and reach for it with your lower hand. Breathe here for 30 seconds. Repeat on the other side.
2. Plank Pose with knees down
How it strengthens the rotator cuff: This motion is reminiscent of a scapular push-up. Plank Pose strengthens the muscles around the shoulder blade (the levator scapulae, rhomboids, and serratus anterior) which provides a strong foundation that braces the rotator cuff.
How to practice: Come into Tabletop. As you exhale, without bending your elbows, lower your rib cage toward the floor and draw your shoulder blades toward each other. As you inhale, push the floor away, pull your rib cage away from the floor, and, without rounding the spine, spread your shoulder blades apart. You can keep your knees on the floor or come into Plank Pose and try the same movement there. Visualize your shoulder blades gliding toward and away from each other around your rib cage. Repeat 10 times, rest for a few breaths, and repeat. As your muscles grow stronger, work your way up to 15 or 20 repetitions.
3. Vasisthasana (Side Plank Pose) Variation
How it strengthens the rotator cuff: Side Plank makes the muscles of the rotator cuff work as an integrated unit to keep your lowered arm and torso stable while they exert force.
How to practice: Come onto your forearms with your elbows under your shoulders and your feet together. Roll onto the edge of your left foot and place your right foot down in front of it for stability. Turn your left forearm in 45 to 90 degrees. Hug your left arm bone into the shoulder socket and press the base of your left index finger into the floor. Lift and lengthen the sides of the rib cage and extend your right arm up. Breathe here for 30 to 60 seconds; then repeat this variation of Side Plank on the other side.