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Shoulder Pain? Assessing & Programming for a 50-yr old client w/ Shoulder discomfort

Season 3 Episode 311 Published 2 months, 4 weeks ago
Description

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Shoulder pain doesn’t have to sideline smart training. We walk you through a clean, confidence-building process for working with a 50-year-old client who wants a full-body session with an upper-body focus, starting with a conversation that actually matters: what success looks like today and in six months. From there, we blend a tight shoulder screen with targeted soft tissue and a practical strength plan that respects biology and builds belief.

You’ll hear exactly how we ask about pain—acute or chronic, what flares it, what calms it—and then run quick checks: humeral flexion to the wall, cross-body reach, hand-behind-back lift-off, and a gentle scaption break test. When red flags are clear, we use focused holds on upper traps, pec minor, and infraspinatus, retesting immediately so the client feels a real change. That opens the door to a shoulder-friendly program: incline dumbbell pressing for range and comfort, face pulls for scapular control, and planks to connect trunk and shoulder. We balance it with pronated dumbbell rows, smart push-up progressions to restore scap motion, and accessories like lateral raises that won’t rob your main lifts of tension.

To tie it together, we lean on the CCA framework—core pattern, core pattern, accessory—cycling through three rounds of eight to twelve reps, adjusting loads for training age. We finish with landmine work: squats for lower-body integration, a reachy landmine press for shoulder mechanics, and anti-rotation to lock in control. Throughout, we model trainer engagement that goes beyond an iPad: tactile cues, spotting with intent, and coaching presence that justifies the investment.

Finally, we share a straightforward way to sell without the salesy vibe: recap wins, offer two clear package options, and handle objections with calm questions—not pressure. Not ready to commit? Keep the relationship alive with useful resources, check-ins, and a comped follow-up tied to a review or referral. If this approach helps you or your clients move better and feel stronger, subscribe, leave a review, and share this episode with a coach who could use a sharper shoulder plan.

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