Chiropractor assessing an athlete's shoulder by hand

Shoulder Pain When Lifting

Shoulder pain when lifting weights often shows up during pressing, pull-ups, kipping or overhead work. It can feel like a pinch at the front or top of the shoulder, or an ache after training. At ELATE in North Park, San Diego, Dr. Ashley Aguero, DC, looks at the shoulder, the mid-back and your programming together. Then she adjusts the plan so you can keep lifting.

Why it often happens

  • A jump in pressing or pulling volume, often in a new program or competition prep

  • Limited mid-back movement, so the shoulder does more work overhead

  • Grip width and elbow position in pressing and pull-ups

  • Fatigue in high-rep gymnastics and kipping work

  • Sleep and recovery during heavy weeks

Lifter locking out a loaded barbell overhead in a CrossFit gym

What we look at

  • Overhead reach and mid-back rotation and extension

  • How the shoulder blade moves as you reach and press

  • Your pressing and pulling patterns

  • Your training log

How we help

  • Hands-on care, including Sports Myofascial Therapy and adjustments

  • Mid-back mobility

  • Exercise swaps while we work, such as landmine pressing, neutral-grip work or strict rather than kipping

  • Strength progressions back to full overhead work, as in our return-to-sport pathway

We reinforce every visit with movement and training.

What you can try this week

  • Swap painful lifts for variations that feel fine

  • Cut kipping volume

  • Keep training lower body and the upper-body work that feels fine

  • Add easy mid-back mobility before pressing

Sports chiropractor's hands working on the shoulder and upper back

When to get checked sooner

Get assessed promptly, or see a physician, if you have:

  • Pain after a fall, or a feeling the shoulder slipped out

  • Sudden weakness lifting the arm

  • Numbness or tingling down the arm

  • Pain at night that wakes you

  • A visible change in the shape of the shoulder

Questions we get

Should I stop lifting?

Usually not. Most lifters keep training with swaps and load changes.

Is it my rotator cuff?

We'll tell you what we find after an assessment, and refer you if a medical exam or imaging makes sense.

Can I keep doing CrossFit?

Usually yes, with changes to the movements that hurt.

How long until I'm back overhead?

It depends on what we find and how you respond. We'll set clear steps.

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Further reading