Rehab & Recovery · Program 79

Shoulder Pain at Night

For shoulder pain that wakes you at night from rotator cuff tendinopathy, subacromial bursitis, or an early frozen shoulder, treated during the day rather than in bed. Daytime sessions settle the irritation with gentle external rotations, shoulder circles, scapular activation, and overhead reaches, then load the cuff with the external rotation series, reverse flies, A-shape pulls, thoracic extensions, and single arm rows. The last phase is an evening routine of cross-body stretch, around the world, postural endurance work, and Y-shape pulls that leaves the shoulder calm before you lie down.

Focus · Night painFrequency · 5-6 days / weekSession · 10-15 min
Shoulder Pain at Night cover art

Phase 1 · Daytime Irritation Control

Treat the tissue that hurts at 2am while you are awake and upright. Gentle external rotations, shoulder circles, scapular activation, and overhead reaches move the joint through easy range and flush the area without adding to the day's irritation. Less inflammation built up during the day means less pain when you finally lie still.

01

Gentle External Rotations (Uncrossed)

2-3 sets of 15 reps (per side)Low Anchor

Universal recovery exercise with light external rotation. Promotes blood flow and gentle activation.

How To
1Perform gentle external rotation with very light resistance.
2Focus on blood flow, mobility, and gentle activation.
Coaching Cues
Very light resistance
focus on mobility
gentle movements
promote blood flow and recovery
Muscles Activated
External Rotators
02

Multi-Level Shoulder Circles (Variable)

2-3 sets of 10-12 repsMid Anchor

Universal mobility exercise for comprehensive shoulder movement. Adaptable to all programs and populations.

How To
1Perform large shoulder circles with light resistance in both directions.
2Focus on full range of motion and circulation.
Coaching Cues
Large range of motion
both directions
gentle resistance
focus on mobility and circulation
Muscles Activated
Scapular Stabilizers
03

Scapular Activation (Uncrossed)

2-3 sets of 12-15 repsLow Anchor

General scapular activation for multiple programs. Excellent for rehab and postural training.

How To
1Activate scapular muscles through various pulling and stabilization patterns.
2Focus on scapular control and activation.
Coaching Cues
Focus on scapular movement quality
control patterns
activate commonly inhibited muscles
Muscles Activated
Lower TrapeziusSerratus Anterior
04

Overhead Reaches (Uncrossed)

2-3 sets of 10-12 repsHigh Anchor

Promotes overhead mobility and activation. Excellent for swimming and overhead mobility restoration.

How To
1Reach arms fully overhead against light resistance.
2Focus on full extension and overhead mobility restoration.
Coaching Cues
Full overhead reach
emphasize shoulder elevation
gentle stretch feel
promote mobility
Muscles Activated
Anterior DeltoidLatissimus DorsiSerratus Anterior

Phase 2 · Load the Cuff in Daylight

Give the cuff enough work that it stops complaining when it is unloaded. The external rotation series, reverse flies, A-shape pulls, thoracic extensions, and single arm rows build capacity in the tissue that gets compressed by side-lying and by a rounded daytime posture. A cuff with capacity tolerates the positions you end up in overnight.

01

External Rotation Series

3 sets of 12-15 reps (per side)Mid Anchor

Comprehensive external rotation training at multiple angles. Excellent for endurance and rotator cuff health.

How To
1Perform external rotation at different arm angles (0, 45, 90 degrees).
2Focus on endurance and varied positions.
Coaching Cues
Vary arm angles
slow controlled tempo
focus on endurance
maintain form throughout series
Muscles Activated
Posterior DeltoidInfraspinatusTeres MinorExternal Rotators
02

Reverse Fly (Uncrossed)

3 sets of 12-15 repsHigh Anchor

Fundamental posterior chain exercise. Excellent for postural correction and activation across all programs.

How To
1Stand facing anchor point, arms extended forward at shoulder height.
2Pull arms apart horizontally, squeezing shoulder blades together.
Coaching Cues
Keep slight bend in elbows
lead with pinkies
pause at full retraction
avoid using momentum
Muscles Activated
Posterior DeltoidRhomboidsMiddle Trapezius
03

A Shape Pulls

3 sets of 12 repsMid Anchor

Isolated scapular retraction at 45 degree arm angle. Targets mid-trapezius and rhomboids for postural correction. Excellent for addressing rounded shoulder posture and upper crossed syndrome. Can be used in isolation or as part of combination sequences.

How To
1Stand facing mid-level anchor, arms extended forward and down at approximately 45 degree angle forming letter A shape.
2Pull bands back horizontally, squeezing shoulder blades together while maintaining arm angle.
3Focus on scapular retraction without excessive shoulder elevation.
4Return with control to start position.
Coaching Cues
Maintain 45 degree arm angle throughout
lead with elbows and pinkies
avoid shrugging shoulders
focus on horizontal pull
squeeze shoulder blades at end range
control eccentric phase
chest up and proud throughout.
Muscles Activated
Posterior DeltoidRhomboidsMiddle TrapeziusExternal RotatorsScapular Stabilizers
04

Thoracic Extensions (Uncrossed)

2-3 sets of 10-12 repsHigh Anchor

Addresses thoracic kyphosis from prolonged sitting. Essential for golfers and desk workers.

How To
1Stand facing high anchor, pull bands back while extending through thoracic spine.
2Focus on chest up position and mid-back extension.
Coaching Cues
Chest up
shoulders back
extend through mid-back
counter rounded posture
controlled movement
Muscles Activated
RhomboidsMiddle TrapeziusThoracic Extensors
05

Single Arm Rows (Alternating)

3 sets of 12 reps (per side)High Anchor

Unilateral pulling strength. Excellent for functional strength and imbalance correction.

How To
1Stand facing high anchor, one arm extended forward.
2Pull band to ribs with rowing motion.
3Alternate arms or single arm focus.
Coaching Cues
Pull elbow to ribs
squeeze shoulder blade
maintain athletic stance
control the return
Muscles Activated
Posterior DeltoidLatissimus DorsiRhomboids

Phase 3 · Evening Cool-Down

Finish the day with a short routine done in the hour before bed. Cross-body stretch, around the world, postural endurance work, and Y-shape pulls unwind the shoulder gently and leave the shoulder blade sitting down and back. Going to bed with a settled shoulder is often the difference between waking up once and waking up four times.

01

Cross-Body Stretch (Crossed)

2-3 holds of 30-45 secondsMid Anchor

Universal mobility exercise for posterior capsule and shoulder mobility. Essential for all programs.

How To
1Pull band across body at shoulder level, creating stretch in posterior shoulder.
2Hold sustained stretch position.
Coaching Cues
Gentle sustained stretch
hold 45-60 seconds
breathe deeply
do not force the stretch
Muscles Activated
Posterior Deltoid
02

Around The World

2 sets of 10-12 repsHigh Anchor

Targeted shoulder mobility and stabilization exercise. Focuses heavily on the lateral and posterior deltoids, rotator cuff, and scapular control along the lateral plane of the body. Excellent for building shoulder endurance, improving overhead range of motion, and correcting forward-rolling shoulder posture.

How To
1Stand facing away from the high anchor point with feet close together.
2Begin with arms straight, highly stretched out, and extended overhead in a wide V shape.
3Slowly sweep both hands downward and outward to the sides in a massive horizontal arc until they reach the sides of the hips.
4Actively raise the straight arms back up along the same wide, lateral path to return to the starting position.
Coaching Cues
Keep arms fully extended and locked out to the sides throughout the movement
maintain the wide lateral plane without letting the hands drift forward in front of the body
think about reaching outward toward the walls to maximize shoulder engagement
mindfully lift the arms back to the top position as the resistance bands slacken.
Muscles Activated
03

Postural Endurance Training (Uncrossed)

2-3 holds of 30-45 secondsHigh Anchor

Builds endurance for sustained postural demands. Excellent for occupational and postural training.

How To
1Perform sustained holds or higher repetition posterior chain exercises.
2Build endurance for daily demands.
Coaching Cues
Focus on endurance over strength
maintain form throughout
progressive duration increases
Muscles Activated
RhomboidsMiddle Trapezius
04

Y Shape Pulls

2 sets of 12-15 repsMid Anchor

Lower trapezius dominant exercise crucial for scapular upward rotation and depression. Addresses scapular dyskinesis and prepares shoulders for overhead function. Essential for overhead athletes, swimmers, and anyone with shoulder impingement concerns.

How To
1Stand facing mid-level anchor, arms extended forward and up at approximately 45 degree angle forming letter Y shape overhead.
2Pull bands back and down, emphasizing scapular depression and retraction.
3Focus on engaging lower trapezius to pull shoulder blades down and together.
4Return with control.
Coaching Cues
Maintain Y angle throughout
initiate movement from shoulder blades
focus on downward pull of scapulae
reach tall at start of each rep
avoid excessive arm bend
control descent
think pull shoulder blades into back pockets.
Muscles Activated
Posterior DeltoidLower TrapeziusSerratus AnteriorScapular Stabilizers
Get the gear

Train this program with Iron Neck shoulder bands

Cloth wrapped bands with graduated resistance and a door anchor for high, mid, and low setups. Everything this program calls for, in one kit.

Prehab and Performance Shoulder Bands (Set of 6) $199.00
Set your resistance

Light, medium, or heavy?

We call for an effort level instead of a specific weight, because the right resistance depends on you, the movement, and where you are in your training. For the sets and reps listed on each exercise, pick the resistance that makes the last few reps feel like the level shown.

Light

You finish the set with several clean reps still in the tank. The work stays easy and fully controlled from the first rep to the last.

Medium

You could manage a few more reps at the end, but not many. The final reps take real effort while your form holds.

Heavy

You reach the last prescribed rep with little or nothing left. Completing every rep with good form is genuinely hard.

These are starting points, not rules. Everyone is built differently, so adjust to fit you: size down if your form breaks before the final rep or a movement aggravates a symptom, and only size up once every rep feels smooth and pain free. When you are unsure, choose the lighter option.