Exercises to Prevent Shoulder Pain From a Backpack
The area called the shoulder includes two major bones – the humerus, or upper arm bone, and the scapula, or shoulder blade. In addition, the clavicle, or collarbone, is connected to the front part of the shoulder. All of these bones are held together and supported by tendons, ligaments and muscles. Four muscles on the scapula also pass around the shoulder; their tendons join to create a structure called the rotator cuff. A backpack can put pressure on any of these structures and cause shoulder pain.
Backpacks
Whether a backpack is used by a hiker, a traveler or a schoolchild, it should fit the person, be worn on both shoulders and not be used to carry too much weight. An overloaded backpack not only puts too much pressure on the shoulder, it disperses extra weight on the hip, knee and ankle.
Rotator Cuff Exercises
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Shoulder exercises can strengthen muscles, promote range of motion and stretch muscles that are tight. The rotator cuff stabilizes the shoulder, and it is important to strengthen that group of muscles. Internal and external rotation are good exercises for the rotator cuff. Stand near a wall. Bend the elbow to 90 degrees and keep the elbow close to the body, with the lower arm parallel to the floor. Press the palm into the wall for 10 seconds; repeat on other side. For an external rotation, follow the same steps but use the back of the hand rather than the palm.
- Shoulder exercises can strengthen muscles, promote range of motion and stretch muscles that are tight.
- For an external rotation, follow the same steps but use the back of the hand rather than the palm.
Shoulder Shrugs and Wall Pushups
To help stabilize the shoulder blade, stand with your arms at your sides, holding a light dumbbell in each hand. Your palms should face the body. Keep your arms straight and shrug your shoulders upward toward the ears. Pause and lower the shoulder; repeat 10 times. Wall pushups are another shoulder exercise. Stand about 18 inches from the wall. Place your hands at shoulder level with palms flat on the wall. Slowly lower yourself toward the wall, then return to the starting position.
- To help stabilize the shoulder blade, stand with your arms at your sides, holding a light dumbbell in each hand.
- Keep your arms straight and shrug your shoulders upward toward the ears.
Considerations and Warnings
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Talk to your doctor before starting a shoulder exercise program. Always warm up before an exercise session to decrease the risk of injury. A backpack should weigh no more than 10 percent of your body weight, according to the website The Athletic Advisor. Use both straps at all times; shoulder straps should be padded. Use a waist strap to help disperse the load, and lighten the backpack load whenever possible.
- Talk to your doctor before starting a shoulder exercise program.
- Use a waist strap to help disperse the load, and lighten the backpack load whenever possible.
Related Articles
References
- The Athletic Advisor: Back Pack Pain
- American Academy of Orthopaedic Surgeons: Backpack Safety
- UW Medicine Orthopaedics and Sports Medicine: Home Exercises for the Unstable Shoulder
- MedlinePlus: Rotator Cuff Exercises
- Comel JC, Nery RM, Garcia EL, et al. A comparative study on the recruitment of shoulder stabilizing muscles and types of exercises. J Exerc Rehabil. 2018;14(2):219-225. doi:10.12965/jer.1835198.599
- Rotator Cuff and Shoulder Conditioning Program. American Academy of Orthopaedic Surgeons. October 2012.
- Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow. 2017;9(2):75–84. doi:10.1177/1758573216676786
- Chan HBY, Pua PY, How CH. Physical therapy in the management of frozen shoulder. Singapore Med J. 2017;58(12):685-689. doi:10.11622/smedj.2017107
- Posture and Back Health. Harvard Medical School. March 2014.
- Shoulder Pain: 3 Most Common Causes and How to Fix It. Cleveland Clinic. September 2019.
- Torn Rotator Cuff. Emory Healthcare.
- Scapular (Shoulder Blade) Disorders. American Academy of Orthopaedic Surgeons.
- Physical Therapist (PT) Education Overview. American Physical Therapy Association.
- ChoosePT. American Physical Therapy Association.
- "Shoulder Surgery Exercise Guide" American Academy of Orthopaedic Surgeons. 2007.
Writer Bio
Beth Greenwood is an RN and has been a writer since 2010. She specializes in medical and health topics, as well as career articles about health care professions. Greenwood holds an Associate of Science in nursing from Shasta College.