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Why Are My Shoulders So Tight & What Can You Do about It Today?

Discover why your shoulders feel tight and tense. Learn causes, posture tips, and exercises to relieve muscle tension and improve mobility.

After a long day at a desk, reaching overhead or turning your head can feel strangely stiff and heavy. If you have ever wondered why your shoulders are so tight, you are not alone. Tight shoulders often result from poor posture, trapped knots in the trapezius, neck tension, or simple weakness around the shoulder blade. This article will help you finally understand why your shoulders feel tight and teach simple, Exercises for Stiff Neck and Shoulders, practical steps you can use right away to release tension, feel lighter, and move more freely.

Pliability's mobility app offers short guided routines focused on shoulder mobility, posture, and neck pain so you can practice these steps anywhere, track progress, and start feeling the difference.

Why Are My Shoulders So Tight?

Person Stretching - Why Are My Shoulders So Tight

Prolonged sitting, poor posture, stress, and repeating the same arm motions drive shoulder muscles into a state of constant tension. When you hunch over a laptop, your chest shortens and your upper back lengthens, so shoulder stabilizers work from the wrong position. The body adapts by tightening overused muscles like the upper trapezius and levator scapulae while letting scapular stabilizers and rotator cuff muscles weaken.

That imbalance reduces the range of motion and makes simple tasks feel stiff or painful. “The shoulder has a wide range of motion, but it also needs the right balance of mobility and stability,” says Steven Goostree, PT, DPT. “When that balance is off. whether from prolonged sitting, stress, repetitive movements, or muscle imbalances, certain muscles can become overworked and tense while others weaken.”

How Repetitive Use and Muscle Imbalance Create Chronic Tightness

Repetitive strain from work or hobby tasks forces some shoulder muscles to do too much. Throwing, racket sports, lifting, hairdressing, or desk work produce patterns of repeated forward reaching or internal rotation that fatigue the rotator cuff and scapular muscles. Weakness in the scapular stabilizers causes the neck muscles and upper traps to compensate, producing soreness and trigger points.

Poor thoracic mobility and limited shoulder joint glides also contribute. On the structural side, conditions such as frozen shoulder, arthritis, or adhesive capsulitis reduce capsule mobility and make the joint feel locked. Nerve entrapment or previous injury can add referral pain and altered movement patterns that keep muscles on high alert.

What Causes Neck and Shoulder Pain Right Now?

Often the immediate sensation comes from muscles overworking to hold joints steady. When stabilizers fail, accessory muscles fire more than they should; that overfiring creates tightness, stiffness, and sometimes a bandlike pressure around the head. Nerve irritation can cause sharp or radiating pain, while myofascial trigger points give local aching and referral.

Cracking the neck can release joint pressure briefly and change how surrounding muscles fire, but repeated cracking without addressing the weak stabilizers only gives short-term relief. Soft tissue work and targeted rehabilitation exercises help reestablish proper muscle control and reduce pain.

Why We Hold Tension in the Neck and Shoulders

Stress primes the body to protect itself. In a stressful or traumatic state, muscles tighten as part of a prolonged readiness response. That constant background tension limits circulation, increases fatigue, and makes muscles more prone to developing trigger points.

Habitual movement patterns and posture choices compound the problem like stand all day in forward flexion or wear unsupportive shoes, and the neck and shoulders must work harder to maintain balance against gravity, which increases chronic load on those muscles.

Which Shoulder Exercises Are Right for You?

What works depends on what’s actually weak, tight, or unstable in your shoulder system. Generic routines sometimes miss the specific deficits at play and can worsen irritation. Still, specific movement categories help most people:

  • Gentle mobility to restore joint glides
  • Soft tissue release for tight muscles
  • Scapular activation drills
  • Progressive rotator cuff strengthening

Simple examples to discuss with a clinician include doorway chest stretches, cross-body stretches, chin tucks, thoracic rotations, banded external rotation, wall slides, and prone Y raises for scapular control. Start small, with a few minutes once or twice daily, and build sets and resistance as control improves.

Benefits of Regular Shoulder Stretching and Strength Work

Regular stretching and mobility work loosen tight muscles, improve range of motion, and reduce pain during daily tasks like reaching and driving. Strengthening the rotator cuff and scapular stabilizers restores balance and reduces compensatory firing in the neck.

Studies in office workers show that short daily neck and shoulder stretches over several weeks can lower pain levels and improve comfort. Movement also supports circulation and tissue health, and brief sessions sprinkled throughout the day help prevent stiffness from sitting.

Less Obvious Causes That Keep Shoulders Tight

Age‑related changes and repetitive forward bending increase strain over time and reduce tolerance for certain positions. Carrying heavy bags, prolonged phone use, or jobs that require repeated overhead work create a cumulative load.

Systemic conditions such as arthritis, gout, lupus, or Lyme disease can produce inflammatory pain that feels like tightness. Footwear and standing posture influence the chain above; hyperextension at the knee or weak hips can force the neck and shoulders into compensatory tension as the body fights gravity.

How to Prevent Shoulder Tightness in Daily Life

Stay active by mixing movements like swimming, yoga, or incorporating regular shoulder mobility and strength work into your routine. Set a timer to change position or stand up every 30 minutes when you sit for long periods. Use ergonomic work setups and practice simple posture cues:

  • Chest open
  • Shoulder blades lightly drawn down and back
  • Neutral head position

Hydrate, manage stress through breathing or brief movement breaks, and try regular self‑massage or professional soft tissue therapy when needed. When pain persists or worsens, seek medical or rehabilitation advice to rule out structural issues and get an exercise plan tailored to your shoulder.

Related Reading

25 Stretches to Help Relieve Tight Shoulders

Person Stretching - Why Are My Shoulders So Tight

1. Hand Behind Back Stretch: Open the Front of the Shoulder

Start with one hand near your lower back and the other hand holding one end of a towel behind your head. Grasp the other end of the towel at your lower back so the towel stretches between your hands.

Move your hand near your head up toward the ceiling. Your other hand will be pulled up along your spine to provide a stretch. Focus on keeping your lower arm relaxed as you hold this stretch.

Tips and Modifications

If you feel pinching, move the top hand less far overhead. Use a longer towel for more reach. Breathe slowly and do 3 to 5 gentle reps per side to improve range of motion and reduce shoulder stiffness from desk work and rounded posture.

2. Cross Arm Stretch: Back of Shoulder Release

Fold your arms across your stomach with one hand holding your opposite elbow from the bottom. Push that elbow with your hand up and across your body toward your opposite shoulder. Focus on relaxing your stretched arm as you hold this position. Relax your arms back to the starting position.

Tips and Modifications

Keep the shoulder down away from your ear. To increase the stretch, pull the elbow closer to your chest. Hold 20 to 30 seconds and repeat twice on each side to ease tension and target rear deltoid tightness.

3. Assisted Shoulder Rotation: Supported External Rotation Work

Start with your arm bent to 90 degrees with your elbow at your side. Hold a stick between both hands while keeping your elbow in the starting position. Keep your elbow at your side while pushing the stick with your other arm to move your hand out to the side.

Use the strength of your pushing arm to support the range of movement. Focus on breathing into the stretch as you hold this position. Use the stick to move your arms back to the starting position.

Tips and Modifications

Keep the motion slow and controlled. Use a broom handle or dowel. This helps rotator cuff mobility and reduces tightness caused by repetitive overhead work.

4. Forward Table Slide: Long Shoulder Opener on a Table

Sit with your forearm and hand resting on top of a table, and let your elbow hang just off the edge. Place a towel under your forearm. Keeping your elbow as straight as possible, slowly slide your arm forward and across the table by bringing your chest toward the floor.

Focus on relaxing your shoulder muscles as you hold this position. Bring your chest back upright to slide your arm back to the starting position.

Tips and Modifications

Bend the elbow slightly if full extension hurts. Use this to release tight anterior shoulder tissue from hours at a screen.

5. Open Book: Mid Back and Chest Rotation

Lie on your side with a pillow supporting your head. Arms straight out and legs stacked with knees bent. Reach your top arm up and behind you as you turn toward your opposite side. Keep the arm straight while your legs and other arm stay put.

Your chest will open toward the ceiling as you rotate. Continue to reach your arm and shoulder toward the floor behind you. Return and repeat on the other side. 

Tips and Modifications

Move slowly and breathe into each rotation. This improves thoracic mobility and reduces compensatory shoulder tightness.

6. Doorway Stretch: Chest and Front Shoulder Opener

Stand in a doorway with your elbows bent and each forearm resting on one side of the doorframe at about chest height. Step one foot through the entrance to move your hips and chest forward while your forearms stay in place. Focus on creating length through your chest and arms. Move your hips and chest back to relax out of the stretch.

Tips and Modifications

Keep the ribs down to avoid overarched the low back. Shift feet to adjust intensity. Use this often to counteract forward shoulder posture from sitting.

7. Standing Child’s Pose: Upright Spine and Shoulder Lengthening

Stand with your hands on a sturdy surface like a countertop or table. Take a few steps back as you lower your chest, hinging at your hips. Keep your arms straight, with your head positioned between them. Return to standing.

Tips and Modifications

Bend the knees slightly if hamstrings limit the hinge. This provides a quick upper back and shoulder release when you can't reach the floor.

8. Cat Cow: Spinal Movement for Upper Back and Shoulders

Start on hands and knees with hands under shoulders and knees under hips. Slowly round your entire back toward the ceiling while drawing your chin to your chest. Return to neutral. Look up to the ceiling as you arch your back toward the floor. Return to neutral.

Tips and Modifications

Move with your breath. Use smaller motions if you have neck pain. This restores movement through the spine and eases shoulder tightness tied to poor thoracic mobility.

9. Standing Sleeper Stretch: Internal Rotation Mobility

Lean your target side shoulder and upper arm against a wall with your elbow bent and resting on the wall at about shoulder height. The forearm should be parallel to the floor. Wrap your opposite hand around your target wrist and gently press your hand and forearm down toward the floor.

Tips and Modifications

Stop if you feel sharp pain. Keep the movement slow. This addresses internal rotation loss that can make shoulders feel stuck.

10. Shoulder Raises: Simple Elevation and Relaxation Drill

While standing or sitting with arms by your side and a straight back, slowly lift your shoulders up toward your ears. Hold for a few seconds. Slowly lower your shoulders back down. Repeat 5 times.

Tips and Modifications

Add a small breath in while lifting and a full breath out while lowering. Use this to flush tension and reduce muscle knots around the neck and upper traps.

11. Shoulder Rolls: Full Circular Shoulder Release

Maintain good posture while standing or sitting. Roll your shoulders up, back, and down. Do this movement 10 times. Then, roll your shoulders up, forward, and down 10 times.

Tips and Modifications

Move slowly and coordinate with breathing. This loosens stiff shoulders from stress and repetitive strain.

12. Ear to Shoulder: Neck Side Stretch That Helps Shoulder Tension

Sit with a straight spine and tilt your head toward your right shoulder. Go as far as you can without straining or lifting your left shoulder. Deepen the stretch by using your right hand to pull your head down gently. Hold for 30 seconds. Repeat on the opposite side.

Tips and Modifications

Keep the opposite shoulder down. Use a light touch and avoid forcing the range. This eases neck tightness that often refers to tension in the shoulders.

13. Cross-Arm Stretch: Repeated Target for Rear Deltoid Mobility

Bring your left arm across the front of your body at about chest height. Support your left arm with the elbow crease of your right arm, or use your right hand to hold your left arm. Stretch out your shoulder and continue to face forward. Hold this stretch for 30 seconds. Repeat on the opposite side.

Tips and Modifications

Keep the shoulders level and chest neutral. Perform after sitting to reduce tightness that limits overhead movement.

14. Standing Arm Swings: Dynamic Shoulder Circulation

Stand with your arms by your side and palms facing your body. Swing your arms forward to bring them as high up as they will go without raising your shoulders. Lower your arms back down and bring them as far back as possible. Keep the rest of your body still. Continue for 1 minute.

Tips and Modifications

Use controlled rhythm rather than force. This dynamic drill increases blood flow and frees up a stiff shoulder joint.

15. Standing Arm Lifts: Breath-Linked Overhead Reach

Make fists and bring them in front of your hips. Inhale as you lift your arms overhead so your hands come together above your head. Lower back down to the original position. Repeat 10 times.

Tips and Modifications

Keep ribs soft and avoid shrugging. Use this to retrain coordinated shoulder and thoracic motion.

16. Wide-Legged Standing Forward Bend: Chest Opener With Forward Fold

Stand with feet wider than hip distance and toes facing forward. Interlace your hands behind your back and open your chest. Engage leg muscles and keep a slight bend in your knees. Hinge at the hips to fold forward, bringing your arms up and toward the sky. Allow your head to hang down and tuck your chin slightly. Remain in this pose for up to 30 seconds.

Tips and Modifications

If shoulder reach is limited, hold a strap between your hands. Keep the neck relaxed to avoid adding tension.

17. Thread the Needle: Targeted Shoulder and Thoracic Stretch

Come onto all fours with hands under shoulders and knees under hips. Lift your right hand slowly to the left with your palm facing up. Rest your body on your right shoulder and turn your head to the left. Make sure you are not sinking onto your shoulder. Hold for 30 seconds. Slowly return and repeat on the opposite side.

Tips and Modifications

Support the head with a folded towel if needed. This drill rotates through the upper back, which can free stuck shoulders.

18. Reverse Prayer Pose: Chest and Front Shoulder Opener While Seated

From a seated position, bring your left elbow up to the side of your head with your hand facing down your spine. Use your right hand to draw your left elbow over to the right as your hand moves further down your spine. If comfortable, bend your right arm and bring your right hand up to clasp your left hand. Hold the pose for 1 minute. Repeat on the opposite side.

Tips and Modifications

Keep the neck long and breathe slowly. If clasping is not possible, hold the wrist instead. This stretch opens the chest and helps counteract shoulder tightness tied to hunching.

19. Shoulder Rolls: Shoulder Mobility With Shoulder Blade Focus

Stand with feet hip-width apart. Let the arms hang down. Breathe in and lift the shoulders toward the ears. Move the shoulders back, squeezing the shoulder blades together. Exhale and drop the shoulders down. Move the elbows forward, feeling the stretch at the back of the shoulders. Repeat 10 times.

Tips and Modifications

Focus on scapular motion rather than large arm swings. Use this to break up stiffness from repetitive stress.

20. Pendulum Stretch: Gravity-Assisted Shoulder Movement

Stand with feet hip-width apart. Lean forward and look at the ground. Place the right hand on a table or chair for support. Let the left arm hang down. Swing the left arm gently in small circular motions, letting gravity do most of the work. Continue for 30 seconds to 1 minute. Change direction. Repeat on the other arm.

Tips and Modifications

Keep the torso still and let the shoulder relax. This is useful when shoulders feel jammed after heavy lifting or long computer sessions.

21. Ragdoll Pose: Forward Fold to Unload Neck and Shoulders

Stand with feet hip-width apart. Bend the knees slightly. Bend forward and try to touch your toes while keeping your stomach against your bent knees for lower back support. Place each hand on the elbow of the opposite arm. The crown of the head should point toward the floor. Let the head hang heavily, releasing tension in the neck and shoulders. Stay in the pose for 1 minute or longer.

Tips and Modifications

Keep the knees bent to protect the lower back. Rock gently side to side to find releases in the shoulder and upper back.

22. Eagle Arm Stretch: Cross Arm Wrap for Upper Back and Shoulder Flexibility

Stand with feet hip-width apart. Inhale and lift the arms to the sides. Exhale and swing the arms in toward the body. Allow the right arm to cross under the left. Cradle the left elbow in the crook of the right elbow. Bring the palms together if they reach. If palms do not touch, hold the backs of the hands together. Take three or four deep breaths. Release and repeat with the left arm under the right.

Tips and Modifications

Keep the shoulders down and away from the ears. This stretches the rotator cuff area and eases tightness that limits overhead mobility.

23. Side-Lying Thoracic Rotation: Floor-Based Rotation for Spine and Shoulder

Lie on your right side on a mat. Bend the knees slightly. Stretch the right arm straight ahead and place the left hand on top of the right. Keep your gaze fixed on the left hand. Reach your left hand up and rotate your left arm toward the floor behind your back, as if drawing an arch in the air. Keep knees and hips pointing to the right. Bring the left arm back over to meet the right hand. Repeat several times and switch sides.

Tips and Modifications

Move slowly and keep the lower body still. This restores thoracic rotation and reduces compensatory shoulder strain.

24. L Position Prone Shoulder Stretch: Cross Body Prone Rotation for Shoulder

Begin lying on your front. Gently reach the shoulder to be stretched under and across your body at shoulder height with your palm facing up. Allow the other arm to stretch straight overhead, forming an L shape with your arms.

Gently rotate into the stretch as if trying to square up the shoulder blades, increasing the pull felt in the back of the shoulder, reaching across the body. Hold and release this motion for several repetitions. Work in this position for 60 seconds or more on each arm.

Tips and Modifications

Keep breathing even and avoid forcing rotation. Use this to target posterior shoulder tightness and improve scapular control.

25. Half Crucifix Chest Stretch: Prone Roll Open for Chest and Front Shoulder

Begin in a face-down position with the side to be stretched, your arm fully extended out at shoulder height, palm down. The opposite arm is bent at 90 degrees at the elbow with the hand at shoulder height, ready to push into the stretch.

Gently press with the bent arm while rolling the weight of your legs over to create an intense opening stretch of the chest of the straight arm. Gently push in and out of the stretch, holding for a few seconds, then releasing and repeating. Explore this stretch for 60 seconds or more on each arm.

Tips and Modifications

Move the lower body slowly to control the intensity. This creates a deep chest opening that relieves front shoulder tightness from hunching and repetitive tasks.

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  • Why Are My Calf Muscles So Tight
  • Why Does My Knee Feel Stiff
  • How to Loosen Tight Muscles in Legs
  • What to Do for Tight Muscles
  • How to Loosen Tight Lower Back Muscles While Standing
  • Joint Stiffness in the Morning

How to Prevent Tight Shoulders

Lady Stretching - Why Are My Shoulders So Tight

Movement is the most effective way to prevent and relieve shoulder tightness. Sitting still for long hours lets the chest tighten, the shoulder blades drift forward, and the upper traps take on extra load. Break up long stretches of sitting with short bursts of movement.

Stand, reach overhead, roll your shoulders, or walk for two to five minutes every 30 to 45 minutes. Track breaks with a phone timer or a simple stretch checklist and make them nonnegotiable.

Use Heat Before Moving: Loosen Tissues for Safer Stretching

Warmth increases blood flow and relaxes muscles, so you can move with less pain. Try a warm shower, a bath, or a moist heating pad for 10 to 15 minutes before you stretch or exercise. 

Apply heat to the base of the neck and across the top of the shoulder blade to reach the deeper tendons and rotator cuff muscles. Keep the thermostat on your heating pad to a comfortable level and time it so your tissues are warm when you start your routine.

Modify Lifting Technique: Reduce Strain When Range of Motion Is Limited

Lifting overhead or behind your back can aggravate tight shoulders. Keep objects close to your body, use both hands, and bend at the hips and knees instead of forcing the shoulder into an awkward position. When lifting a box, hold it near your chest rather than reaching up or behind. Gradually expand your range of motion as your shoulder loosens.

Adjust Workouts: Protect Your Shoulder While You Rebuild Strength

Pushing moves such as push-ups and shoulder presses can flare shoulder pain if the muscles or rotator cuff are tight. Reduce resistance, switch to lower impact variations, or cut reps until mobility improves.

Replace heavy pressing with rows, scapular work, and light external rotation drills to strengthen the support system around the shoulder blade. Progress weights slowly and stops if you feel a sharp pinching that lingers after the set.

Sleep Position Changes: Reduce Nighttime Pressure on Sore Shoulders

Side sleeping can compress a tight shoulder and trap pain through the night. Try sleeping on your back or on the side that doesn't cause pain. Place a pillow under or behind the sore shoulder for gentle support and to stop the shoulder from rolling forward. Minor adjustments to your arm positioning can help reduce morning stiffness.

Add Lumbar Support: Sit So Your Shoulders Can Relax

Sitting with poor low back support forces the upper back to round and the shoulders to hunch. Use lumbar support to keep your lower spine neutral. An ergonomic chair or a firm cushion behind the lower back encourages a taller rib cage and less shoulder elevation. Set seat height so your feet touch the floor and your forearms rest level with the desk.

Set Up an Ergonomic Workspace: Reduce Desk Job Shoulder Tension

Adjust your monitor so the top of the screen sits at eye level, and bring your keyboard and mouse close to avoid reaching. Keep your shoulders relaxed and your elbows near your sides. Use a chair with adjustable armrests or remove them if they force your shoulders up. Consider a standing desk for part of the day and alternate positions every hour.

Take Regular Movement Breaks: Simple Routines That Interrupt Stiffness

Use micro breaks to reset posture and reduce muscle knots. Try these quick moves every 30 minutes:

  • Shoulder rolls, ten reps forward and back
  • Neck side bends, five seconds each side
  • Scapular squeezes, ten repetitions

A 60-second walking break combined with arm swings will increase circulation and reduce trapped tension around the neck and shoulders.

Practice Better Posture: Small Daily Cues That Change How Your Shoulders Feel

Stand and sit with your chest open, shoulder blades gently drawn down and slightly together, and chin level. Use a sticky note or a phone alarm as a posture cue. When you feel shoulders rounded, take three deep breaths and reset your shoulders to the neutral position. These repeated resets retrain muscles and reduce chronic tightness.

Strengthen Supporting Muscles: Build Endurance Around the Shoulder Blade

Tight shoulders often result from weak scapular stabilizers and rotator cuff muscles. Add daily strength work that targets the mid back, lower traps, and external rotators. Examples:

  • Band external rotation
  • Prone Y raises
  • Seated rows

Maintain light resistance and focus on control and consistent breathing to enhance muscle balance and reduce trigger points.

Manage Stress and Tension: Reduce the Nervous System Contribution to Tightness

Mental stress raises baseline muscle tension in the neck and shoulders. Use breathing techniques, short mindfulness breaks, or progressive muscle relaxation to lower that tension. Try a 3-minute breathing break:

  • Inhale for four counts
  • Hold one
  • Exhale for six

Track how stress and shoulder tightness correlate and apply these tools when you notice a pattern.

Ask the Right Questions: Recognize Warning Signs That Need Professional Care

  • When does your shoulder feel tight?
  • Is pain sharp, constant, or waking you at night?

Loss of active range of motion, numbness, or weakness are signs to see a clinician. If your shoulder locks, displays sudden swelling, or you suspect rotator cuff injury or frozen shoulder, schedule an evaluation and a targeted rehab plan.

Small Daily Choices Change How Your Shoulders Feel

Pick one movement break, one ergonomic tweak, and one strength drill to try this week and track how your stiffness responds.

Related Reading

  • Why Do My Legs Feel Tight and Heavy
  • How to Loosen Tight Jaw Muscles
  • What Causes Stiff Neck
  • Why Does My Forearm Feel Tight
  • How to Loosen Tight Scalp Muscles
  • Can Tight Hips Cause Knee Pain
  • How to Loosen Tight Hips and Lower Back
  • How to Loosen Tight Forearm Muscles
  • Why Do My Hands Feel Tight

Improve Your Flexibility with Our Mobility App Today | Get 7 Days for Free on Any Platform

Pliability builds an extensive library of video sessions focused on mobility, flexibility, recovery, and pain reduction for performance-minded people and athletes. The app serves both beginners and trained lifters with clear coaching, progressive plans, and daily updated programs that adapt to how you feel.

Use the body scan to identify shoulder stiffness, limited range of motion, or asymmetries, and get a personalized plan on iPhone, iPad, Android, or on the website. Sign up and test it for seven days free.

How Pliability Maps the Cause to the Fix

Use the body scan to pinpoint whether the issue is thoracic stiffness, scapular control, rotator cuff mobility, or soft tissue tightness. Then follow progressive sessions that combine soft tissue work, targeted stretching, thoracic extension drills, and rotator cuff activation.

Videos show how to unload the shoulder joint safely, restore scapular upward rotation, and build external rotation strength to reduce impingement risk. Short recovery flows and longer mobility sessions fit before training, after workouts, or as standalone routines when pain limits activity.

How to Pair Mobility With Strength and Recovery

Treat mobility work as preparation and maintenance. Do shorter mobility sets before lifting to improve position and reduce compensations. Use longer sessions after heavy training to speed recovery and break up scar tissue or adhesions.

Pliability programs layer soft tissue, mobility, and strength cues so you rebuild control while increasing range of motion. Choose sessions that bias thoracic extension and rotator cuff stability.

Tracking Progress, Pain Reduction, and Long-Term Change

The mobility app logs your sessions, tracks improvements in range of motion, and updates programs when progress stalls. Use the body scan feedback and measurable drills, such as shoulder flexion or external rotation range, to see real gains. Combine consistent mobility practice with targeted strength work, sleep, and stress management to reduce muscle guarding and persistent tightness.

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