4 Upper Body Strength Exercises to Prevent Pain and Imbalances

Strengthen These Overlooked Muscles for a Balanced Upper Body

By Coach E

4 Upper Body Strength Exercises to Prevent Pain and Imbalances

When it comes to upper body strength exercises, most people focus on the obvious – bench presses, biceps curls, and shoulder presses. But what if your pain or lack of mobility isn’t due to weak major muscles but rather small, often-overlooked stabilizers? If you’ve been dealing with nagging pain, imbalances, or limited range of motion, it’s time to strengthen four neglected muscles that can transform your movement patterns and keep you pain-free.

What Are These Neglected Upper Body Muscles?

These lesser-known muscles are critical for upper body strength and stability but often get left out of traditional workout routines. The four key muscles we’re focusing on are:

  • Subscapularis – A rotator cuff muscle that stabilizes and internally rotates the shoulder.
  • Brachialis – A powerful elbow flexor that sits underneath the biceps.
  • Pronator Quadratus – A deep forearm muscle responsible for pronation (rotating the palm downward).
  • Wrist and Finger Extensors – A group of muscles that counteract gripping and wrist flexion, essential for balance and injury prevention.

Let’s dive into the exercises that will wake up these muscles and restore balance to your upper body.

Strengthen the Subscapularis for a More Stable Shoulder

The subscapularis is the only rotator cuff muscle that performs internal rotation. A weak subscapularis can lead to imbalances in the shoulder joint, increasing the risk of pain and instability.

Exercise: 3-Way Subscapularis Isometrics

This simple yet powerful isometric exercise activates the subscapularis through three different positions.

3-Way Subscapularis Isometrics - upper body strength exercises

  • Belly Press
    • Stand tall with your scapula slightly retracted.
    • Place your palm on your belly and push in while focusing on internal rotation.
    • Maintain the contraction for a few seconds before relaxing.
  • Shoulder Press
    • Place your hand on your opposite shoulder.
    • Press down while maintaining internal rotation, engaging the subscapularis.
    • Keep tension in the muscle as you hold, then release.
  • Hand Behind Back Lift
    • Place your hand behind your back and attempt to lift it away.
    • Focus on the rotational movement rather than just lifting the hand.
    • Hold briefly before returning to the start position.

Practicing this exercise regularly will enhance shoulder stability and improve mobility. Aim for 2-3 sets, performing each position with control and focus.

Activate the Brachialis for Stronger Elbows

Unlike the biceps, the brachialis is a single-joint muscle that only flexes the elbow. Strengthening it ensures balanced elbow function and can reduce strain on the biceps.

Exercise: Brachialis Curl

Brachialis Curl

  • Hold a dumbbell in a supinated position (palm facing up).
  • As you curl, gradually pronate your wrist (rotate palm downward).
  • Squeeze at the top, focusing on flexing the elbow rather than engaging the biceps.
  • Lower slowly while maintaining pronation.

By shifting the emphasis away from the biceps, this variation allows the brachialis to take over, promoting stronger and more balanced elbow mechanics. Perform 2-3 sets of 8-10 reps per side with a controlled tempo.

Strengthen the Pronator Quadratus for Injury Prevention

The pronator quadratus helps rotate the forearm and plays a role in grip strength. Weakness here can contribute to golfer’s elbow and wrist pain.

Exercise: Banded Pronation Drill

Banded Pronation Drill

  • Attach a resistance band to a secure object and hold it with your palm up.
  • Slowly rotate your forearm so your palm faces down while straightening your elbow.
  • Hold at the end range, actively trying to pronate further.
  • Return to the start position under control.

This drill effectively strengthens the pronator quadratus while reducing excessive strain on the medial elbow. Incorporate 2 sets of 4-6 reps per arm for optimal results.

Balance the Wrist and Finger Extensors to Counteract Gripping

Most activities – lifting weights, typing, carrying groceries – place excessive demand on wrist flexors. To prevent tennis elbow and carpal tunnel syndrome, you need strong extensors.

Exercise: Web Shooter Extensions

Web Shooter Extensions - upper body strength exercises

  • Start with your fingers curled into a fist and your wrist fully flexed.
  • Gradually unfurl your fingers, extend your wrist, and straighten your elbow.
  • At full extension, actively spread your fingers wide.
  • Hold briefly before returning to the start position.

This movement strengthens the wrist and finger extensors, helping to balance out the forearm’s flexor-dominant activity. Perform 2 sets of 4-6 reps per hand, ensuring a slow and controlled execution.

Restore Strength and Move Pain-Free

By strengthening these neglected muscles, you’ll improve joint stability, reduce pain, and enhance movement efficiency. Whether you’re an athlete, a gym-goer, or someone looking to move pain-free, integrating these exercises will help prevent compensation patterns and chronic injuries.

If you’re experiencing elbow, wrist, or shoulder pain, it’s time to go deeper than just stretching or foam rolling. Strengthening these neglected muscles is key to lasting pain relief.

👉 Follow the Elbow & Wrist Pain Solution program for expert guidance.

👉 Assess your shoulder function to uncover imbalances before they turn into pain.

By adding these exercises into your routine, you’ll build real functional strength that keeps you moving without pain. Get started today!

About the Author

Eric Wong (aka Coach E) is the founder of Precision Movement and has a degree in Kinesiology from the University of Waterloo. He's been a coach since 2005 and spent his early career training combat athletes including multiple UFC fighters and professional boxers. He now dedicates himself to helping active people eliminate pain and improve mobility. He lives in Toronto (Go Leafs Go!) with his wife and two kids and drinks black coffee at work and IPAs at play. Click here to learn more about Eric.

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