Shoulder, inflammation and exercises.

It is well known. When you have a shoulder pain and the origin is a rotator cuff tendinosis or a shoulder impingement you have to do exercises. More specifically you have to do band work to strengthen the rotator cuff tendons (supraspinatus, infraspinatus and teres minor). I have followed this protocol with my patients hundreds of times.
But over the last years I have been thinking that maybe strengthening a tendon or joint that is inflamed may not be the best solution. Most of the problems in the shoulder in athletes are due to inflammation and it can be a better idea to let the inflammation go down first. Why not wait till you have no pain and start strengthening then? In the meantime you can do light mobility exercises, ice or heat and do massages treatments. I believe that after 4 or 5 days of doing this the shoulder will feel better and you will be able to do more exercises then.