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Shoulder Health and Mobility: How to Prevent Injuries

Jen Dugard
Written by Jen Dugard
May 21, 2025   •   
Shoulder Health and Mobility: How to Prevent Injuries

Shoulder health and mobility are essential for pain-free movement and long-term function, yet it’s one of the most overlooked areas of the body when it comes to injury prevention and recovery. Whether you’re dealing with stiffness, weakness, or recurring discomfort, there are effective ways to improve shoulder mobility and prevent injuries. In this guide, we’ll explore the root causes of shoulder pain and share the most impactful strategies to restore strength, stability, and freedom of movement.

In this comprehensive guide, we explore why shoulder injuries linger, what contributes to poor shoulder function, and the most effective ways to support recovery and build long-term strength.

Why Is the Shoulder So Tricky?

The shoulder is a ball-and-socket joint, but unlike the hip (which has a deep socket for stability), the shoulder socket is shallow, more like a golf ball on a tee. This allows for an incredible range of motion, but it also makes the joint inherently unstable.

To stay functional and pain-free, the shoulder relies heavily on muscular support from the rotator cuff, scapular stabilisers, and surrounding structures like the thoracic spine (mid back)  and neck. When even one part of this system is out of sync, pain and dysfunction often follow.

Common Causes of Shoulder Pain and Injury

Here are some of the key contributors to shoulder issues, especially relevant for mums, fitness professionals, and anyone returning to exercise:

1. Poor Posture and Thoracic Spine Stiffness

Many people today spend hours seated at desks or hunched over devices. This leads to a stiff mid-upper back (thoracic spine), which reduces mobility and contributes to shoulder pain, especially during overhead movements like pressing or lifting.

If your thoracic spine can’t extend by at least 10 degrees, it affects your ability to move your arms overhead efficiently and safely. Simple assessment tools like wall angels or prone arm lifts can help screen clients for mobility limitations.

2. Scapular Dysfunction

The scapula (shoulder blade) is critical in shoulder movement. For every 2 degrees your arm lifts, the scapula should move as well. If muscles like the serratus anterior, trapezius, or levator scapulae aren’t functioning optimally, the shoulder becomes misaligned and painful. Improving shoulder health and mobility requires attention to how the shoulder blade moves in harmony with the rest of the upper body.

Look for signs like:

  • Protracted or winging shoulder blades
  • Rounded shoulders
  • Imbalances in shoulder mobility and rotation 

3. Rotator Cuff Weakness

The rotator cuff consists of four small muscles that stabilise the shoulder joint. When these muscles aren’t functioning together properly often due to poor posture or lack of strength the humerus bone moves erratically, causing inflammation and pain.

Isometric strength testing or simple banded exercises can help determine if the rotator cuff is contributing to shoulder discomfort.

Effective Shoulder Rehab & Mobility Strategies

To address and prevent shoulder pain, we must focus on mobility, strength, and motor control.

1.  Improve Thoracic Mobility

  • Foam rolling with thoracic extensions
  • Cobra stretches
  • Thread-the-needle rotations
  • Active wall slides 

2.  Strengthen Postural and Scapular Muscles

  • Suspension row variations
  • Scapular push-ups or wall push-ups
  • Serratus anterior activation in plank or dumbbell reaches
  • Lower and middle trapezius strengthening

3. Support Rotator Cuff Activation

  • External rotation with resistance bands
  • Isometric holds with internal and external rotation
  • Functional movement drills with control and stability

Incorporating these movements not only restores shoulder function but also reduces injury risk, especially for those returning to exercise postpartum or navigating the demands of motherhood and business ownership.

Why Posture Matters More Than Ever

Studies show that a slight 30-degree forward tilt of the head increases the load on neck muscles by 2.5 times. This additional tension impacts shoulder mechanics and contributes to a condition known as Upper Cross Syndrome, characterised by tight traps and pecs, weak mid-back muscles, and poor overall alignment.

As movement professionals, observing posture and daily habits gives us valuable insight into what might be affecting a client’s shoulder pain, and where we can help them make impactful changes.

The Bigger Picture: Prevention Is Power

True rehabilitation is not just about eliminating pain, it’s about empowering individuals to move better, feel stronger, and prevent injuries long-term. Whether you’re recovering from injury or rebuilding strength post-pregnancy, prioritising shoulder health and mobility can help you move with confidence and prevent future pain.

MumSafe trainers understand the unique needs of women during every stage of life and can help you develop a safe and effective exercise program that supports your physical and emotional well-being.

Want to find a qualified exercise professional to guide you through postpartum recovery and beyond?

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Jen Dugard
Written by Jen Dugard

Mum-focused author, educator and business owner, Jen Dugard is on a mission to ensure every woman is safely and effectively looked after when she becomes a mother. She is a highly qualified trainer and fitness professional educator and has been specialising in working with mums for over a decade. MumSafe is the go-to place online for women to find mum-focused fitness services that are all accredited, experienced and partnered with women’s health physios so you know you are in very safe hands.

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