Shoulder Pain After Workouts: Causes & Prevention

Shoulder Pain After Workouts Causes & Prevention

Shoulder pain after workouts is common, particularly among athletes and fitness enthusiasts. The shoulder joint is one of the most mobile joints in the body, making it susceptible to various injuries, especially after repetitive or intense activity. Understanding the shoulder anatomy, the causes of shoulder pain, and the prevention strategies can help you reduce the risk of injury and safely return to your workout routine. This article will discuss the leading causes of shoulder pain after workouts and provide helpful prevention tips.

Anatomy of the Shoulder

The shoulder joint is a complex structure of bones, muscles, ligaments, and tendons. The three main bones involved are the clavicle (collarbone), scapula (shoulder blade), and humerus (upper arm bone). The shoulder is unique because it allows a wide range of motion, which is made possible by its ball-and-socket structure. This flexibility, however, can lead to instability and injury if not correctly supported or maintained.

The rotator cuff muscles help stabilize and move the shoulder. They play a crucial role in keeping the head of the humerus (upper arm bone) within the shallow socket of the scapula. These muscles are involved in almost every shoulder movement, from lifting weights to throwing a ball.

Common Causes of Shoulder Pain After Workouts

Sports like weightlifting have become very popular worldwide. While these sports improve physical fitness and cardiovascular health, they carry an inherent risk for physical injuries, mainly to the shoulder. Shoulder pain from working out can be caused by various factors, including improper technique, overuse, and muscle strain. Below are some of the most common causes of shoulder pain individuals experience after physical activity. The incidence of shoulder pain ranged from 7.7 to 62 per 1000 persons annually.

Rotator Cuff Injury

The rotator cuff consists of four muscles and their tendons that support the shoulder. These muscles help stabilize the shoulder and facilitate movement. A rotator cuff injury occurs when one or more of these tendons is strained, torn, or inflamed due to overuse or improper form during exercises. This type of injury is prevalent in sports that involve overhead movements, like weightlifting, swimming, and tennis.

Weight Lifter Shoulder

“Weight lifter’s shoulder” is a term used to describe injuries to the shoulder caused by repetitive lifting and overhead movements. The strain from lifting heavy weights significantly above the head can cause inflammation and damage the shoulder structures, including the rotator cuff, labrum, and acromioclavicular (AC) joint. This condition is more likely to occur if the lifter has poor form or attempts to lift weights that are too heavy for their body to handle.

Dislocated Shoulder

A dislocated shoulder happens when the head of the humerus pops out of the shallow socket of the scapula. This often occurs due to a sudden, forceful movement or impact, such as in contact sports or high-intensity training. After a dislocation, the ligaments and tendons around the shoulder are often stretched or torn, leading to pain, weakness, and instability.

Shoulder Impingement Syndrome

Shoulder Impingement Syndrome

Shoulder impingement syndrome occurs when the tendons of the rotator cuff muscles become irritated or pinched between the bones of the shoulder joint. This can happen when the arm is repeatedly raised above the head or moved in a way that causes the tendons to rub against the acromion, a bony structure in the shoulder. Over time, this rubbing can lead to inflammation, pain, and limited range of motion.

Symptoms to Watch Out For

Attention to the symptoms is essential if you experience shoulder joint pain after a workout. Some of the most common symptoms of shoulder injuries include:

Dull Ache

A dull, persistent shoulder ache is a common sign of overuse or strain. This pain typically worsens after physical activity and may improve with rest. If the discomfort persists or intensifies, it could indicate a more serious injury, such as a rotator cuff tear or impingement. Shoulder soreness after a workout can also be a natural result of physical exertion, but it should improve with rest and proper care.

Tenderness or Sharp Pain

Sharp pain or tenderness around the shoulder joint, particularly during specific movements, can indicate a rotator cuff injury, impingement, or tendonitis. This pain can also be triggered by lifting heavy objects or performing exercises that place stress on the shoulder.

Swelling

Swelling in the shoulder area is often a sign of inflammation. It may accompany other symptoms like bruising or redness and can result from an injury such as a sprain, strain, or dislocation. Swelling typically indicates an underlying issue that needs to be addressed.

Weakness or Stiffness

If you notice weakness or stiffness in your shoulder after a workout, it could indicate that the muscles and tendons have been overstrained. This can make it difficult to perform everyday tasks or continue exercising. Weakness and stiffness may also result from long-term shoulder injuries, such as tendonitis or rotator cuff tears.

Difficulty Reaching Behind Your Back

It may indicate a shoulder issue if you find reaching behind your back difficult or performing specific movements without pain. This symptom is commonly associated with rotator cuff injuries or shoulder impingement syndrome, which restricts the shoulder’s range of motion.

Treatment Options for Shoulder Pain After Workout

If you experience shoulder pain after a workout, it’s essential to address it promptly to prevent further damage. Here are some common treatment options:

Rest and Ice Application for Minor Strains

Rest and ice application can be adequate for minor strains or overuse injuries. Applying ice to the affected area helps reduce inflammation and numb the pain. Resting the shoulder allows the tissues to heal and reduces the risk of aggravating the injury further.

Medications

Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help reduce pain and inflammation. If the pain is severe or persistent, your doctor may prescribe stronger medications or corticosteroid injections.

Physical Therapy

Physical therapy treatment is an essential part of shoulder pain recovery. A physical therapist can guide you through exercises that improve shoulder strength, flexibility, and stability. This can help prevent future injuries and promote faster healing. At Continuous Motion PT, our therapists specialize in creating personalized rehabilitation plans that target the root causes of your shoulder pain.

Prevention Strategies for Shoulder Pain After Workout

A man and a woman working out in a gym.

While shoulder injuries are common, there are several strategies you can implement to reduce the risk of shoulder pain after workouts:

  • Warm-up properly: A proper warm-up increases blood flow to the muscles and prepares them for physical activity. Focus on dynamic stretches and mobility exercises for the shoulders.
  • Use proper form: Avoid lifting weights that are too heavy for your body, and always maintain correct posture and form during exercises.
  • Strengthen the shoulder muscles: Regular strength training exercises, particularly for the rotator cuff muscles, help stabilize the shoulder joint and prevent injuries.
  • Avoid overtraining: Allow your shoulders to recover after intense workouts. Take rest days between weightlifting sessions or exercises that stress the shoulders.

How Continuous Motion PT Can Help You

At Continuous Motion PT, we specialize in treating shoulder pain and helping our patients return to their activities pain-free. Our physical therapists conduct thorough assessments to determine the underlying causes of your shoulder pain and create a personalized treatment plan tailored to your needs. Whether you’re recovering from a rotator cuff injury, shoulder impingement, or general shoulder soreness, our team is here to support you every step.

Conclusion

Shoulder pain after workouts is a common issue that can affect anyone, from casual gym-goers to professional athletes. By understanding the shoulder’s anatomy, recognizing the causes of pain, and following proper treatment and prevention strategies, you can protect your shoulder from injury and confidently return to your fitness routine.

FAQs

Is it OK to workout with shoulder pain?

It depends on the severity of the pain. Light workouts may be okay if the pain is mild and doesn’t worsen with exercise. However, if the pain is sharp or persistent, it’s best to rest and seek treatment to avoid worsening the injury.

How do you get rid of shoulder pain after working out?

The most effective way to relieve shoulder pain is rest, ice application, medications, and physical therapy. A physical therapist can guide you through exercises to strengthen and heal the shoulder.

Is it normal for shoulders to be sore after a workout?

Soreness in the shoulder after a workout can be significantly normal if you’ve recently increased the intensity or volume of your exercises. However, sharp or persistent pain is abnormal and should be addressed promptly.

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Author

Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Khristian McGinley, PT, DPT Cert. DN

therapy in pregnancy

Dr. Khristian McGinley, physical therapist, grew up here in Phoenix, as a competitive softball player with a longtime passion for health and wellness. After sustaining an elbow injury in high school and attending PT herself, she knew that she wanted to pursue a career helping people recover from injuries and getting back to doing what they love. She eventually received her B.S in Nutritional Sciences from the University of Arizona in 2013, then earned her Doctorate in Physical Therapy from Franklin Pierce University in 2017.

Dr. McGinley began her career with a passion in pediatrics and orthopedics, undergoing coursework to treat diagnoses such as torticollis, developmental delay, and toe walking. She also became certified in Dry Needling in 2017, and since then has been additionally trained in Dry Needling for Pelvic Rehabilitation. After the challenging birth of her first child, she developed a passion for treating the pregnant and postpartum population. She became specialty training in Pelvic Floor Rehabilitation in 2021 and since then has focused her practice on helping moms achieve pain free pregnancy, peaceful childbirth, and complete postpartum recovery. She specializes in diagnoses such as urinary incontinence, diastases recti, pelvic organ prolapse, and pelvic pain.

Outside of the clinic, Dr. McGinley enjoys hiking, running, camping, weight lifting, and playing slow pitch softball. She loves spending as much time as she can outside with her husband and two children.

Dr. Khristian McGinley’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)
  • Specialty-trained in Pelvic Floor Therapy

Renée Ruchala - CSCS

Renée Ruchala, Strength and Conditioning Specialist grew up in Chicago, IL. Growing up as a dancer, she developed a deep passion for fitness, sports, and health. After hitting a plateau in her ballet, she realized the benefits of strength training for dancers and all athletes. She knew she wanted to pursue a career in coaching athletes. 


She earned her Bachelor’s degree in Exercise Science from Grand Canyon University in 2023. Renée was a sports performance intern at the University of Utah, Arizona State University, and Grand Canyon University. She worked alongside collegiate strength and conditioning coaches with both men’s and women’s Olympic sports teams in the weight room. 


In addition to sports performance, Renée is also a professional dancer with the Arizona Rattlers Indoor Football Team and a Coach at F45 Training GSQ.


Renée’s Certifications:

  • Certified Strengthen and Condition Specialist (CSCS) 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified