Shoulder Exercises

Shoulder Internal Rotation

Internal rotation turns the forearm inwards towards the belly and is needed for reaching behind the back. We use both stretching versions to regain range and band versions to strengthen the subscapularis at the front of the rotator cuff.

What it does

Strength in internal rotation stabilises the front of the shoulder. Range in internal rotation is needed for dressing and personal care.

Our physiotherapists use it most often for rotator cuff injury, shoulder arthropathy and shoulder dislocation, and it features in our frozen shoulder physiotherapy programmes.

How to do it

  1. Strength: stand side-on to a door with a band anchored at elbow height, holding it in the hand nearest the door.
  2. Keep the elbow tucked at your side, bent to 90 degrees, and pull the band inwards across your belly.
  3. Return slowly.
  4. Stretch: hold a towel over one shoulder with the top hand and grasp the bottom end behind your back with the stiff arm. Pull the towel up with the top hand to slide the lower hand higher.

How much

Strength: 12 to 15 repetitions, 2 to 3 sets. Stretch: 5 slow repetitions with a 10 second hold, twice a day.

Common mistakes

  • Letting the elbow leave the side.
  • Forcing the towel stretch into pain.

Stop and check with us if

  • The towel stretch produces sharp pain rather than stretch.

Medical note

These instructions are general guidance, not a personal prescription. If you have a recent injury or surgery, a diagnosed condition, or symptoms such as numbness, weakness or dizziness, get assessed before starting. Stop and seek advice if pain increases sharply or you feel unwell.

Frequently asked questions

Why is internal rotation slow to come back?
It depends on the back of the joint capsule, which is often among the last structures to loosen.
Is the sleeper stretch the same?
It's another internal rotation stretch, but it can irritate some shoulders. We advise individually.

Ready to feel better?

Book an assessment at our Indirapuram clinic or ask for a home visit. Call +91-9999973681 or send a WhatsApp message and we will confirm your slot.