indexd. @squat_university
shoulder health

Fix Shoulder Pain During Bench Press With This Rotator Cuff Exercise.

Quick answer

Squat University shows how a weak posterior rotator cuff caused a patient's 2 years of shoulder pain during bench press, and how a towel-supported external rotation hold — 5 seconds at end range — fixed it. Paired with a slow reload of the bench, the patient got back to 100% pain-free.

Key takeaways

  • A weak posterior rotator cuff is a common cause of shoulder pain when bench pressing, according to Squat University.
  • One patient couldn't bench press pain-free for 2 years until testing revealed his posterior rotator cuff wasn't stabilizing his shoulder.
  • A towel-supported external rotation, held for 5 seconds at end range, is an easier regression that still builds rotator cuff strength and stability.
  • Pairing the towel external rotation exercise with a slow, gradual reload of the bench press helped the patient return to 100% pain-free.
  • Trying to produce force off an unstable shoulder foundation is why pressing movements can cause pain, per Squat University.

Why does the shoulder hurt during bench press?

Watch at 0:07

A weak posterior rotator cuff that fails to stabilize the shoulder is a major cause of pressing pain, according to Squat University. This muscle group is described as "a big weak link in many that develop shoulder troubles when lifting weights."

In one case, a patient came in unable to bench press for 2 years without shoulder pain in his left side. Testing revealed the real issue wasn't the bench press itself, but that his posterior rotator cuff wasn't doing its job to stabilize the joint. Trying to produce force off that kind of unstable foundation, Squat University notes, "doesn't turn out well" — the shoulder compensates and pain follows.

What exercise fixes a weak posterior rotator cuff?

Watch at 0:24

A towel-supported external rotation hold is the regression Squat University used when the standard exercise proved too tough for this patient. The standard version is great for strengthening the posterior rotator cuff, but not everyone can handle it right away.

Here's the regression, step by step:

  1. Place a towel under the elbow for support.
  2. Perform an external rotation of the shoulder.
  3. Hold the end-range position for 5 seconds.
  4. Repeat, focusing on control rather than speed or load.

This version still enhances strength and stability of the rotator cuff, just with less demand than the full exercise, making it a smart entry point for anyone in pain.

How do you get back to bench pressing pain-free?

Watch at 0:41

You return to pain-free bench pressing by pairing rotator cuff work with a slow, gradual reload of the lift itself. After the patient started the towel external rotation holds, Squat University reports he became pain-free.

From there, the plan was straightforward: keep doing the rotator cuff exercise while slowly reloading the bench press. Squat University states that by following this approach, the patient "could get back to 100%" — full bench press capacity, without the shoulder pain that had sidelined him for 2 years.

Notable quotes

This patient came to me unable to bench press for 2 years without shoulder pain in his left side.

Squat University 0:15

Trying to produce force off an unstable foundation doesn't turn out well.

Squat University 0:24

So instead, I gave him a towel under his elbow and had him do external rotations like this, holding for 5 seconds in this end range.

Squat University 0:34

If he paired that exercise and slowly reloaded his bench, he could get back to 100%.

Squat University 0:45

Frequently asked questions

Why does the shoulder hurt when bench pressing?

According to Squat University, shoulder pain during bench press is often caused by a weak posterior rotator cuff that fails to stabilize the shoulder joint. When you try to produce force off this unstable foundation, the shoulder compensates poorly, leading to pain — as seen in a patient who couldn't bench pain-free for 2 years.

What is the posterior rotator cuff and why does it matter for lifting?

The posterior rotator cuff is a group of muscles that stabilize the back of the shoulder joint during pressing movements. Squat University explains it's a common weak link in lifters who develop shoulder pain, because without it stabilizing the joint, force production off an unstable shoulder doesn't turn out well.

How do you fix a weak posterior rotator cuff without heavy exercise?

Squat University recommends placing a towel under the elbow and performing external rotations, holding for 5 seconds at end range. This regression is easier than the full standing external rotation exercise but still builds strength and stability in the posterior rotator cuff, making it accessible for people who find the harder version too tough.

Can you bench press again after fixing rotator cuff weakness?

Yes — Squat University's patient, who had 2 years of left shoulder pain during bench press, became pain-free after doing towel-supported external rotation holds. By pairing that exercise with a slow, gradual reload of his bench press, he was able to work back to 100% of his previous capacity.

What exercise helps stabilize the shoulder for bench press?

External rotation exercises target the posterior rotator cuff, which stabilizes the shoulder during pressing. Squat University demonstrates a standard version and an easier towel-under-elbow regression, holding the end-range position for 5 seconds, to build the strength and stability needed for pain-free bench pressing.

Full transcript

0:00Identifying the weak posterior rotator cuff

So that is working these muscles that are a big weak link in many that develop shoulder troubles when lifting weights. For example, this patient came to me unable to bench press for 2 years without shoulder pain in his left side. Now, during my testing, I found he was very weak in this position, meaning that his posterior rotator cuff wasn't doing its job well to stabilize the shoulder. And trying to produce force off an unstable foundation doesn't turn out well.

Now, this is a great exercise for improving that weak link, but for some it's a little too tough. So instead, I gave him a towel under his elbow and had him do external rotations like this, holding for 5 seconds in this end range. This is enhancing strength and stability of that rotator cuff. And after, this was pain-free.

So if he paired that exercise and slowly reloaded his bench, he could get back to 100%.

0:24Regressing to towel-supported external rotations

0:41Reloading the bench press pain-free

Mentioned in this video

Organizations
  • Squat University
  • Muscle and Motion
People
  • Aaron Horschig
  • austinwittreich
Concepts
  • posterior rotator cuff
  • external rotation exercise
  • bench press