Push-Ups: Don’t Miss Out


Pic: voteprime

The push up is one of the oldest exercises in the book, and for good reason. It works. People have used it throughout time to build strength, get a better physique and prove their manliness! The thing is, this exercise is simply one of the best you can do for your shoulder health. You are too advanced for push-ups? Take a step back, read this post and rethink your stance on the old push-up.

Why Push Ups?

Push-ups are one of my favourite exercises, here why:

  • Good compound exercise that targets the chest, shoulders and triceps.
  • There are many variations and progressions.
  • Can help you break through your bench press plateau.
  • Gets your abs and core going, think prone holds.
  • Uses lots of muscles in the upper body and trunk and consequently you will burn a fair few calories when performing sets of push-ups
  • It is an ultimate exercise for shoulder stability.
  • Looks pretty good if you can smash out 100!

These are all great reasons to get the push-up back into your training program, but the ultimate and most important reason, is shoulder stability. Shoulders are naturally very mobile joints. To keep your shoulder healthy, impingement and pain free you need to keep them stable. One bone has a lot of control over the stability of your shoulder, and push-ups do a great job at working the muscles that control this bone. The magic bone is your scapula. For those not familiar with anatomy, it’s otherwise known as your shoulder blade.


Pic: Charlietyack

The Importance Of Scapula Stability

The joint between your humerus (upper arm bone) and your scapula is called the glenohumeral joint. It is what is commonly known as the shoulder joint. As the scapula is half of your shoulder joint, it is pretty important to the health and functionality of this ultra mobile joint. If your scapula control is crap, your shoulder health will be a concern. It directly affects the shoulders ability to stabilise, and you are putting yourself at risk of many injuries if it is not functioning the way it should. Common injuries resulting from poor scapula function and therefore shoulder joint instability can include

  • Impingement- something gets stuck in your joint, muscles get inflamed and the joint doesn’t move smoothly, it’s a pretty small space in there and things can get impinged easily.
  • Rotator Cuff Injuries- Another major stabiliser of the shoulder that could be forced to overwork and you predispose yourself to overuse injuries or acute ones.
  • Labrum Tears- This is the cartilage lining your shoulder joint.

Serratus Anterior Is A Major Unknown Player

Hands up who has actually heard of this muscle? I can assure you that before taking anatomy I had no idea about it whatsoever.

serratus.jpg

Pic: Euskalanato

If you think about the scapula for a second and where it sits on the body, very few ligaments or structures join it to the rest of your skeleton. Therefore the muscle function around the bone is extremely important to the ability of the scapula to stabilise your shoulder.

Why Is This Muscle So Important?

Bench Press and rowing exercises both provide downward rotation (when you raise your arm it is upward rotation of the scapula, when you lower it, downward) of the scapula. Without training the serratus anterior, we can become ineffective at opposing this movement, which is upward rotation. There is a big imbalance, which often can go unnoticed. This is only one part of the beauty of this muscle. What the serratus anterior also does is keep the scapula correctly against the ribcage, basically stabilising it.

Unfortunately the serratus, kind of like the VMO in the knee, is one of the first things to turn off when there are shoulder problems present. We need to keep it active because a healthy serratus will:

  • Prevent Impingement- Provides upward rotation, when bench press and rowing exercises both promote downward rotation. We all know that a balanced program is a good program. More downward rotation tendencies and imbalances will mean less mobility and range when trying to put your arm overhead and hence lead to impingement in your shoulder.
  • Promote Stability- Keeps the scapula against the ribcage, and stops it from flying out in all directions. A stable scapula means a much more stable shoulder joint. You want this.

Wasn’t This Post About Push-ups?

Yes, yes it was. Although on the surface the bench press and the push-up seem to work the same muscles…chest, shoulder triceps, when you bench press, you don’t activate the serratus anterior. In fact, if you are performing the bench press properly, locking your shoulders, you are actually performing one of the opposing movements, scapula downward rotation. This is the same movement you get during most rowing exercises.

So, not only do push-ups give you great strength benefits, they also activate this highly important, unknown and very underrated muscle. The push-up also involves a variety of other shoulder stabilising muscles that will help your shoulder and body get injury free and strong.

Want More or Less Weight?

We like to bench because we are lifting big weights. The strong guys out there may find they can do way too many reps. If you are starting out with strength training or are new to push-ups, you may find that they are simply too hard. The great news is that there are many progressions and variations to suit all levels.

Need Less Weight?

  • Do them on a bench or an elevated surface. Put your hands up on a bench (whatever height you need, it can be very high to start), and as you get stronger, slowly come down to the floor.
  • Get on your knees and do some push-ups. It is important that you try to keep the correct posture during these; they tend to make you want to slouch. Do these until you can progress to on your feet.

Need More Weight?

  • Elevated Feet is one of the first and most simple progressions you can make. Put your feet up on a bench and away you go.
  • Resistance Bands are another great progression. Place the ends of the bands underneath your hand, and run them over the top of your upper back. Check out the pic below. Shorten or lengthen the band for more or less resistance.
  • One Armed push-ups are a killer. They are great for shoulder stability and if you can do them you are doing all right!
  • Add weight to your back
    • Chains- Chuck them over your back.
    • Plate- Get someone to place a plate on your upper back and away you go.
    • Backpack- Put a backpack with some weights in it if you aren’t comfortable with the plate on your back
    • Vest- Get a weighted vest and wear it during push-ups

new-01.jpg

Other Progressions

  • Stability Ball push-ups have been shown to increase the activation of your triceps as a shoulder stabiliser and your abs. But not the serratus anterior. This is another way to perform the push-up and is a good variation for shoulder rehab.
  • Explode out of your push-ups. Speed is a great way to chance up an exercise. If you are pretty efficient with your push-ups, try some explosive ones where you are basically jumping off the ground with your hands.
  • After Bench Press add a set of push-ups. It’s a good overload and a way to help get your bench press better.

Are You Missing Out?

Push-ups are great for strength and shoulder health. If you have a few shoulder problems, sub the push-up in occasionally and feel the benefits of a stable shoulder. If you are simply conscious about injury prevention, doing the odd set of push-ups will do wonders. There is no need to cut out your bench press and totally rely on them. Keep in mind that shoulder stability is one of the keys to safe and effective lifting, and the good old push-up will really help to improve it.

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Comments

21 Responses to “Push-Ups: Don’t Miss Out”

  1. joe on March 3rd, 2008 10:54 am

    hey good post, what do you think of just doing random sets throughout the day? i think its called greasing the groove, i don’t know if thats a proper thing but i heard someone call it that.

  2. Renee Wise on March 3rd, 2008 11:03 am

    Thank you, thank you, thank you! I am going to get started today! I’m in PT for my shoulder and I have become so weak in this area. I will of course talk to the PT about it before I dive in but I’m sure it will be ok as long as it doesn’t hurt. I’m loving your sight. Could you talk about the titlted pelvis and exercises you could perform to help correct the problem.

  3. Lauren on March 3rd, 2008 11:11 am

    Yep it’s called greasing the groove. People use it commonly to increase their chin up ability. My take on it, generally, the more you do something, the better you will get. But, if you are going to do push ups randomly throughout the day, then do some chin ups too!

    I prefer the structured environment, where you can control what you are doing, the best results from push ups will come if you are doing proper sets of them. This is where you will get the most gains. However, greasing the groove for body weight stuff is very effective. Depends on your time and motivations.

  4. Lauren on March 3rd, 2008 11:14 am

    @ Renee

    No problems! I glad you like the site. The key here is for you to go slowly. Push ups will help you, but start on the lowest and easiest progression. Might even be better to start just holding that position on a raised bench. Good idea to go and speak to your trainer.

    I have put the pelvis tilt article on my list of things to do. Keep a look out for it!

    Cheers.

  5. joe on March 3rd, 2008 11:39 am

    am doing the 5×5 routine, but i want my push ups to be good at the same time, thats why i thought it may work using push ups.

    thanks for the help

  6. Lauren on March 3rd, 2008 12:11 pm

    No problems joe. Just remember if you want to do extra stuff, you need t0 make sure it fits into your program and you balance it out.

    Cheers.

  7. tanya on March 3rd, 2008 1:03 pm

    Thanks for reminding me about this. There was a time when I could barely do 1 - and for those people out there like me, I just started doing as many as I could in the morning as soon as I got out of bed and not even part of any workout routine. I improved dramatically.

    Great blog too :0)

  8. Lauren on March 3rd, 2008 1:24 pm

    That will definitely get you better at them! Cheers for the kind words.

  9. joe on March 3rd, 2008 1:49 pm

    i see, do you mean like push and pull moves. if i do a set of ten push ups, put a set of pull ups in too?

  10. Josh on March 3rd, 2008 2:16 pm

    I never thought of wearing a backpack. What an easy way to make it more difficult. Thanks! -Josh

  11. Harsh on March 3rd, 2008 2:41 pm

    Great post…
    Another variation for greater shoulder stability is iso-pushup hold…
    http://www.t-nation.com/article/most_recent/exercise_of_the_week_the_iso_pushup&cr=

  12. Cecily T on March 3rd, 2008 3:09 pm

    Could you maybe do a follow-up post about the proper positioning of your hands and elbows when you do a push-up? And how changing these affects different muscles? I’ve read stuff suggesting that you put your hands together with thumbs and fingertips touching, but also that the only ‘right’ way to do a push-up is with your hands planted directly below your shoulders. A pilates push-up and some yoga poses (from workout tapes) show that you keep your elbows in, but again, I’ve seen that you should have them ‘boxed out’ to have proper form.

    Thanks!

  13. Lauren on March 3rd, 2008 4:14 pm

    @ Josh
    Yep it’s a very simple solution. Looks a little strange but it works.

    @ Harsh
    Cheers, iso push up hold is probably the very first progression when you are trying to regain shoulder stability. Thanks for pointing it out, I should have included it.

    @ Cecily

    I’ll follow that up for you now! The only real change you get with altering the width of your hands is more triceps stress when they are close together. Same deal as with my bench press post, when you go wide, it’s just a little bit yucky for your shoulder. I can’t say exactly what the right way is, but I wouldn’t recommend push ups with different hand variations. i.e your fingers pointing in different directions. Vary the width of your hands, or the way you do the push up (weight etc), but the normal hand position is best for your shoulder and for results.

    You mentioned planted directly below your shoulders, I would think that you would want to be slightly wider than that for an ‘optimal’ pushup. However once again, it’s all about the individual!

    Oh and elbows in, is basically close rip, you’ll find you can’t get your elbows out when you are in a closer grip push up.

    Hope that helps!

  14. alex on March 4th, 2008 4:36 pm

    great post! people often underrate the value of push-ups and I do not know why. in my new contest you can win some push-up bars so check it out http://aitank.com/2008/03/03/a-contest-woot-for-free-stuff/

  15. Abhishek on March 5th, 2008 12:16 pm

    Great article! Not solely because of the anatomical details and explaination provided, but because of a simple reason… reminds people to go back to basics and do the simple things right ( which many of us overlook )

  16. Posture Exercises on March 6th, 2008 4:19 am

    Some local radio guys here in my area are trying to do 10 000 push ups each in the month of March. I’m curious to hear what they have to say after they finish, if they finish.

  17. Real Pushups vs Girly Pushups » Keep Up With Me on April 1st, 2008 1:17 pm

    […] Lauren lists the reasons why pushups are one of her favorite exercises. * Good compound exercise that targets the chest, shoulders and triceps. * There are many variations and progressions. * Can help you break through your bench press plateau. * Gets your abs and core going, think prone holds. * Uses lots of muscles in the upper body and trunk and consequently you will burn a fair few calories when performing sets of push-ups * It is an ultimate exercise for shoulder stability. * Looks pretty good if you can smash out 100! […]

  18. Jason on May 26th, 2008 10:31 am

    I liked this article also! I also wanted to make a second vote for writing the pelvis-tilt article - anxiously awaiting it!

    Jason

  19. Radovan III on June 18th, 2008 10:51 am

    Push ups are the best, iv been doing 60/70 per day for the last 3 months and iv gained 3 kilos of (at least I think) muscle on my shoulders and upper back. Iv never felt better…

  20. 5 Reasons to do Push-Ups « Happy Lists on July 14th, 2008 4:00 am

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  21. 10 Reasons to do Push-Ups « Happy Lists on July 14th, 2008 5:09 pm

    […] Laurens Fitness (it’s about shoulder blades) […]

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