
Stop Ruining Your Shoulders: The Sleeper Stretch Done Right
If you are an overhead athlete, a weightlifter, or just someone struggling to reach behind your back, you’ve likely heard of the sleeper stretch. It is the go-to prescription for fixing tight shoulders, specifically when you lack internal rotation.
But here is the hard truth: this movement is a double-edged sword. Done correctly, it unlocks range of motion that can save your rotator cuff. Done poorly—which is how most people do it—it cranks on the joint and exacerbates impingement. Let’s break down the mechanics, the modifications, and how to actually get the benefits without the bite.
Key Takeaways
- Primary Purpose: The sleeper stretch increases glenohumeral internal rotation (GIRD) by loosening a tight posterior capsule.
- Target Muscles: It focuses on the infraspinatus and teres minor (posterior rotator cuff).
- Safety First: The "Modified Sleeper Stretch" is superior to the traditional version for avoiding impingement.
- Sensation Check: You should feel a stretch in the back of the shoulder, never a pinch in the front.
- Frequency: Consistency beats intensity; perform lightly post-workout or after a warm shower.
What Does the Sleeper Stretch Do?
To understand the sleeper stretch benefits, you have to understand the anatomy of the shoulder capsule. Think of the capsule as a sleeve of tissue surrounding your shoulder joint. In athletes who throw or lifters who bench press often, the back part of this sleeve (the posterior capsule) gets thick and tight.
When the posterior capsule is tight, it pushes the head of your arm bone (humerus) forward and upward during movement. This creates friction against the rotator cuff, leading to impingement. The sleeper stretch internal rotation focus aims to lengthen that tissue, allowing the ball to sit centered in the socket.
Sleeper Stretch Muscles Involved
While this is primarily a capsular stretch, it also targets the external rotators. Specifically, you are stretching the:
- Infraspinatus
- Teres Minor
- Posterior Deltoid (secondary)
How to Perform the Side Lying Sleeper Stretch
The setup is everything. If you just lay down and crank your arm, you aren't stretching the muscle; you are grinding the bone.
The Setup
- Lie on your affected side on a firm surface.
- Extend your bottom arm straight out so your upper arm is perpendicular to your body (90-degree angle).
- Bend your elbow to 90 degrees so your fingers point toward the ceiling.
The Movement
Use your top hand to gently push the wrist of the bottom arm down toward the floor. Keep your shoulder blade tucked back and down. If the shoulder blade rolls forward off the floor, you have gone too far.
The Modified Sleeper Stretch (Do This Instead)
The traditional version described above forces the shoulder into a purely lateral position, which can pinch the supraspinatus tendon. The modified sleeper stretch is safer and more effective for 90% of people.
The Tweak: Instead of lying completely on your side (90 degrees), roll your body backward slightly, about 20 to 30 degrees toward your back. This places the shoulder blade in the scapular plane. From this position, perform the stretch. This small adjustment clears space in the joint, reducing the risk of sleeper stretch shoulder impingement while still hitting the sleeper stretch posterior capsule effectively.
Variations for Different Needs
Standing Sleeper Stretch
If getting on the floor is difficult, or you are at the office, you can replicate this against a wall. Place your forearm against a wall at shoulder height, bend the elbow to 90 degrees, and lean your body weight gently to induce internal rotation. This is less aggressive and great for maintenance.
Reverse Sleeper Stretch
Sometimes called the "bully stretch," this involves placing your hand behind your back (like being arrested) and using a towel or your other hand to gently pull the hand upward. This is an advanced progression for internal rotation.
My Training Log: Real Talk
I distinctly remember the first time I tried to fix my own internal rotation deficit. I had been bench pressing heavy for months and realized I couldn't reach up my back to scratch between my shoulder blades. I hit the floor for a standard sleeper stretch and immediately tried to force my palm to the ground.
Big mistake.
Instead of a relief-filled stretch in the back of my shoulder, I felt a sharp, warning-shot pinch right in the front of the joint—classic anterior impingement. It felt like I was jamming a wedge into a door hinge. I wasn't stretching the capsule; I was just mashing my humerus into my labrum.
The game-changer for me was the "towel roll" trick combined with the modified angle. I placed a small rolled-up hand towel under my armpit while lying on my side. This acted as a fulcrum to gap the joint slightly. The moment I added that towel and rolled my torso back 30 degrees, the sharp pinch vanished, replaced by a deep, dull ache in the rear delt area—exactly where it’s supposed to be. If you don't feel it deep in the back of the shoulder, reset. Don't chase the range of motion; chase the right sensation.
Conclusion
The sleeper stretch exercise is a potent tool for shoulder health, but it requires respect. It is not about how close you can get your hand to the floor; it is about isolating the posterior capsule without irritating the front of the joint. Start with the modified version, listen to your body, and never push through sharp pain.
Frequently Asked Questions
What does the sleeper stretch stretch?
It primarily stretches the posterior capsule of the shoulder joint and the external rotator muscles, specifically the infraspinatus and teres minor. This helps restore internal rotation range of motion.
Is the sleeper stretch dangerous for shoulder impingement?
It can be if done incorrectly. Traditional execution can compress the subacromial space. However, the modified sleeper stretch (rolling back 30 degrees) is generally safe and actually helps resolve impingement caused by GIRD (Glenohumeral Internal Rotation Deficit).
Is there a sleeper stretch PDF or guide I should follow?
While many physical therapy clinics offer a sleeper stretch PDF, the most important cue is visual alignment. Ensure your shoulder blade remains retracted and you utilize the modified scapular plane angle rather than relying solely on static images which often show the aggressive, traditional version.







