Thursday Tip: Shoulder Strengthening
There has been some hubbub recently about shoulder injuries, especially from tricks like Phoenix, Twisted Grip Handspring, reverse/blind/flying grabs, and even one-handed spins. This was posted a while back, but I think it’s relevant– and important! To bring it up again… and to add it to the “Tips” section of the site. So, here you go!
Okay guys. For today’s entry, I’m going to go out on a limb and give you all a basic anatomy lesson. Or, attempt to.
Why? Well. Because I’m hearing more and more stories about shoulder injuries. People are feeling chronic pain in their shoulders, resting them, coming back to pole, and getting frustrated when the pain reappears. And this drives me absolutely crazy. It’s like walking out into the rain without an umbrella and always wondering why you eventually get wet. Are you doing anything to address the rain, or just giving yourself time to dry off before getting wet again?
Shoulder injuries are super common in pole dancing—nearly all the spins we do, and many of the static holds and tricks, require you to suspend your weight from the pole with your arms. If you have a responsible teacher, they have taught you how to engage through your shoulder to prevent harm to your shoulder joint. But a lot of people don’t really understand why that is so important.
The shoulder is a ball-and-socket joint… like your hip. The round top of your arm bone (the ball) fits into a shallow dish-like depression created by the bones of your shoulder (the socket), and is held together with four small and short muscles and tendons that are called the “rotator cuff”. Over the top of the whole thing, is the shoulder muscle (deltoid) which connects your collarbone and shoulder bone (blade) to the upper arm. The ball-and-socket setup allows for a huge range of motion—I mean, think about what other joints in the body allow for movement in every plane of motion! You can swing your arm around like a monkey if you want to. But the downside is that with that huge range of motion comes very little stability. Because the joint has to be free to move a lot, it means that there aren’t a lot of controls on the joint that keep it within a safe range of motion. That’s where those four little muscles come into play.
If you’re learning about this rotator cuff stuff for the first time, take a look at this video. It is a great 3D illustration. I’ll be right here waiting while you watch it.
So, now that you can see how the shoulder joint works, think about this: When you hang off your arm in a spin, you are hanging the entire weight of your body off the tendons and relaxed muscles of your rotator cuff. They aren’t that big, right? That sounds pretty bad, right? Like maybe you could tear something. Or rip something. Or at the very least, stretch some tendons beyond their comfort zone.
On the other hand, if you engage big lovely muscles, and the little itty bitty muscles of the rotator cuff (pulling your shoulder down and away from your ear, and sliding your shoulder blade down and into the center of your back), you are using the strength of those contracted muscles to hold you up.
If you don’t have the strength in the shoulder muscles to engage properly, you WILL hurt yourself. Maybe not now, maybe not 6 months from now, but all the accumulated damage you are doing to your shoulder will catch up with you. THAT is why beginners should NOT do one-handed spins until they have built up serious strength and are able to maintain good form. And that damage is the reason that many of us have shoulder problems and pain. I was never taught how to engage my shoulder in a spin, and my right shoulder actually clicks when I make a big circle with my arm. It sucks.
Pole dancing creates imbalances in our bodies. We are constantly having to pull up, pull in, contract towards the pole. So all of the muscles that are used for opposing actions suffer: I have very strong biceps to lift my body up, but my triceps are very weak. Or my inner thighs are very strong because I have to squeeze my legs around the pole, but my outer thighs are weak and I can’t generate nearly as much force at opening my legs (insert dirty joke here). There are a lot of muscles that get neglected, for the simple reason that they’re difficult to work in exercises using our apparatus of choice. The muscles of the rotator cuff in particular are often ignored and very difficult to strengthen in traditional pole strengthening moves.
If you have chronic shoulder pain, re-evaluate what you are doing and how you are doing it. You can’t just “rest” it and think that the problem will go away. You need to address the root of the problem and take steps to eliminate it.
For some suggestions on how to strengthen your shoulder, take a look at this video below. Doing these exercises in my weekly Pilates privates have made my shoulder SO much stronger and more stable, and completely eliminated all the discomfort and pain that I was feeling in my shoulders. Angel (an awesome reader) pointed out that “The second vid has good exercises and the nice thing is you can tie the resistance band to the pole instead of the door. The funny thing is that he cues you to keep the elbow in during the external rotation exercises, but then he doesn’t”– so do as he says, and not as he does.
I hope that helps some of you! If you’re more knowledgeable on this topic please feel free to chime in/correct using the comments!!
Tomorrow’s post: In my bag, part 2!…

Hi Amy, do you have any tips or suggestions for forearm pain from things like the mermaid (the move where you’re in split grip and you body wave in the air, if you’re unfamiliar with that particular name)? For that matter, any move where I’m holding myself up for a while, not spinning, in split grip just kills my bottom forearm. Exercises, stretches, advice?
Hey Fran, I’m copy and pasting the same response I left for Sophia
there are a couple of things that you can try to help alleviate the pressure in the bottom forearm, especially if you are feeling the pressure in the elbow. Assuming you are engaging correctly through the top shoulder, your bottom arm should be pushing you away from the pole, and doing minimal weight bearing. Check to make sure that you are not hyperextended through the bottom elbow, and that you are not rotating the arm too much– you want to try to aim the inside of your elbow towards the wall (same direction your wrist is facing), not the ceiling. You can slightly bend the bottom arm, and brace the upper arm against your abdomen– sort of the same idea as holding a flag, and burying the elbow into your abdomen/ribcage to give yourself more support. Let me know if these things are clear, or if you have more questions!
I am also interested in exercises that would help the problem Fran is talking about. It has gotten a lot better for me now though, since I learned (and have the strength) to pull more with my upper arm and also engaging through the shoulder muscles instead of hanging to much of my weight on the bottom arm. But exercises or tips to make it even better would be much appreciated!
Hey Sofia,
there are a couple of things that you can try to help alleviate the pressure in the bottom forearm, especially if you are feeling the pressure in the elbow. Assuming you are engaging correctly through the top shoulder, your bottom arm should be pushing you away from the pole, and doing minimal weight bearing. Check to make sure that you are not hyperextended through the bottom elbow, and that you are not rotating the arm too much– you want to try to aim the inside of your elbow towards the wall (same direction your wrist is facing), not the ceiling. You can slightly bend the bottom arm, and brace the upper arm against your abdomen– sort of the same idea as holding a flag, and burying the elbow into your abdomen/ribcage to give yourself more support. Let me know if these things are clear, or if you have more questions!
Thanks a lot for the tips! The elbow rotating thing is something I really have to try and correct cause I see now I have been doing it the wrong way. Now I am so excited to go to tonight’s practice (not that I’m not usually am but now even more so =D)
Thanks for the comment Sofia, glad that helped!
Fran,
If I’m thinking about what you’re talking about, then your problem is almost certainly your lower hand grip. When you grip the pole with that bottom hand, are you “twisting” you hand so that your thumb is on the outside/down side of the pole? I see this SO much. You need to use a push pull grip, pulling with the upper arm, shoulder blaces down and back, lower hand down with your fingers pointing DOWN, I tell my students “flip off the floor” that middle finger should be pointing STRAIGHT to the floor. In my early days, I actually got stress fractures in my forearms from “twisting” that lower hand as most people do…BIG NONO! You can also get tendonitis from this grip. By keeping your middle finger pointing down, you are keeping the two bones in your forearm in a neutral position. In the grip that most use, those small bones are twisting and you are putting too much pressure and weight on your ulna bone. When pushing with that bottom arm your elbow should be around belly button height, then you pull with top, bringing those shoulder blades down and back, thus lifting yourself up and away from the pole. NEVER EVER twist that bottom arm unless you are about to invert into something like a butterfly, or are doing some type of tuck spin. Years later, I still can’t put too much pressure on my forearms, I’ve essentially ruined them! Don’t be like me! lol
Summer, can you clarify what you mean by the twisted grip, with the thumb on the outside/down side of the pole? I’m not sure what you mean by down/outside with the lower hand.
No problem, I had a feeling I didn’t explain well. I don’t do so good with typing! lol I just made a video for you, it’s compressing right now. I’ll get you the link as soon as it’s done! (hopefully in the next 20 min or so)
K, here ya go…all I had at the moment was my flipcam, sorry for it being not so much screen!
http://www.youtube.com/watch?v=Q__-L4IBph4
Woah, totally missed this video when you posted this! So sorry for hte delayed response but the clarification video did help. So interesting, I’ve never seen people do that twisted grip before but it’s definitely something to look out for! My wrists are pretty crappy so I’m pretty adamant about having wrists in neutral all the time in class.
No prob Amy. I’m suprised you haven’t seen that! That’s pretty much ALL I see. Just doing a basic boomerang and bam, twisted bottom hand. Makes my arm hurt thinking about it! lol
Heres a picture showing the twisting mostion of those bones…puts a LOT of pressure on the ulna during rotation http://www.davisandderosa.com/media/img/344657/adult_elbow_fx_anatomy01.jpg
THis is also a GREAT illustration as to why twisted grip handsprings can be… questionable!
Thanks for this Amy I have had a lot of trouble with my left shoulder, it’s never been that strong and it was injured a long time ago before I started pole. Thankfully I’m back at pole now having injured it from not pulling myself upside down properly, but thanks to your basic inverts you uploaded I’m now feeling more confident when pulling up into my snake and chopper and I’m starting to build up again! but taking it easy this time
Awesome Fiona, I’m so glad to be of help and it’s great to hear that you’re on the road to recovery!
Thank you so much, Amy!
Fran – I used to have that problem too.
In addition to what Summer Morris said, it helped me to just practice my split grip for as much as I could every lesson (but not until I feel pain!). Every lesson I managed to hold longer, and after several months it stopped hurting.
You’re very welcome, thanks for contributing to the discussion!
I’ve taught pilates for 7 years and now teach pole as well, and I see a lot of weakness in the back muscles as well as the rotator cuff in a lot of students. I naturally have very rounded shoulders and tight chest muscles, so I am always fighting with this, too. Amy, I love that you re-posted this. Such a good reminder and that anatomy video is awesome. A lot of problems can also com from not being strong enough in the biceps, lats and mid-traps/rhomboids coupled with the chest muscles being too tight. That’s more related to holds and inversions, but I think it would be a great complementary post with this one.
Susan, I think that unfortunately, tight chest/shoulders is a pretty common among polers! I love that you come from a Pilates perspective (did you read my Pilates blog post?)!
I did read your pilates post, and loved it. It was very encouraging. I hadn’t been able to be a student for a while when I read it, and it helped me remember the student’s perspective. You might even know the master trainer I studied with. He’s one of the owners at your studio:)
AH! Did you study with Matt through the Kane school? What a small world
Before I started pole, I was into road biking, and ran into a lot of the same problems (in different areas of the body – for the bike it’s knees, wrists, poor range of motion in the legs due to repetitive movement). The bike community has a fairly strong voice advocating exercise variation in order to avoid injury and stress on the joints and muscles that biking works – mostly yoga to loosen up those tight legs.
I take this approach to pole as well, and try to do some other activity a few workouts a week. You’ll build the muscles you don’t use on the pole, stretch in new ways, and take a little mental vacation from the pole (great when there’s a move frustrating me!). I prefer long hard cardio sessions like turbo kickboxing or hip hop dance, but will pitch in for yoga or weight training every now and again.
I think cross training is important, and I am a pretty vocal supporter of it as well! I think that a lot of polers maybe weren’t active before pole, and some are more interested in it for fun (health being a nice side effect) so it’s tough to convince people to “work out” outside of pole, but I think that the mentality is slooowly shifting. Thanks for chiming in with your thoughts!
Thanks for posting this!
I’m going to incorporate those exercises into my workouts–
might help with some of the pinching I feel in a handstand.
Absolutely, and I hope they help!
Just a quick note here that this is a great post and everyone should be encouraged to perform stabilization exercises. The action of the deltoid is opposite that of the rotator cuff in terms of stabilizing the joint, the big muscle you really want to engage in conjunction with the rotator cuff, is the latissimus dorsi which counteracts the superior shear of the deltoid muscle. Nice job Amy!
Thanks Fleur
Love having ya come by!
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