SLAP tear + rotator cuff tendinopathyRight shoulderInjury: February 2026Start: Week 23 of 2026 (2 Jun)18-week programme
Non-negotiables — every session, every phase
No dynos or straight-arm catches until Phase C Week 3 sequence is completed
Pain above 3/10 = stop the exercise immediately
No overhead extension into sharp pain — work to the edge of comfort only
Physio consistency from Week 1 (W23) is the single biggest variable
Phase A — Foundation Fix
Plan Wks 1–4 · Cal Wks 23–26 · 2 Jun – 29 Jun
Build the rotator cuff base that's been missing since February. Fast-tracked because 4 months of low-level adaptation give you a head start. The goal is symmetric strength and zero morning stiffness before moving on.
Exit gate — all must be true before Phase B
External rotation strength feels symmetric (right = left) · No morning stiffness after climbing · All Phase A exercises pain-free at prescribed load
Weekly Objectives
Plan wk
Cal wk / dates
Objective
Grade ceiling
Wk 1
W23 2–8 Jun
Establish physio appointment. Begin full band protocol 3×/wk. Pendulum swings daily. Baseline all external rotation pain scores. Climb 2× at 6b+–6c, preview every route.
6c
Wk 2
W24 9–15 Jun
Increase band resistance if Wk 1 pain-free. Add prone YTW with 1kg. Physio session 1: request scapular dyskinesis assessment and O'Brien's test. Focus on hip-to-wall technique on the wall.
6c
Wk 3
W25 16–22 Jun
Add cable face pulls. Begin isometric biceps holds. Test: slow controlled right-arm lock-off at mid-height on easy terrain — record pain score. Physio session 2.
6c
Wk 4
W26 23–29 Jun
Symmetry check week. Compare right vs left external rotation load. If symmetric and morning stiffness gone → green light for Phase B. Physio session 3 + gate assessment. Gate check
6c
A1 — Scapular Control (3× per week)
Wall Slides
Scapular
Back flat against wall, arms in goalpost (90°). Slide arms overhead while keeping the entire arm and back in contact with the wall. Deceptively hard when done correctly — any gap between arm and wall means compensation. Fix it before adding reps.
Lie face down on a bench. Y: arms diagonally overhead, thumbs up. T: arms straight out to sides. W: elbows bent, thumbs pointing back. Each letter isolates a different scapular stabiliser. No weight or 1kg max — this is coordination work, not load work.
Lie on your back, arm vertical above chest. Without bending the elbow, push the shoulder blade away from the ribcage — a small but precise movement. Trains serratus anterior, which pins your shoulder blade down and prevents winging under load.
Elbow pinned at your side, bent to 90°, light band. Rotate forearm outward without the elbow lifting. Targets infraspinatus and teres minor — the two muscles most critical for shoulder stability in climbing. This is your single most important rehab exercise right now.
Lie on your left side. Right elbow bent to 90°, upper arm against torso. Rotate forearm toward the ceiling using only the shoulder — not the torso. 1–2kg or gravity alone. The gold-standard infraspinatus isolation exercise. Slow and deliberate wins here.
Mirror of external rotation — elbow at side, band attached to your side. Rotate forearm toward belly. Targets subscapularis, the front rotator cuff tendon flagged in your scan. Keep the elbow pinned and the movement controlled — don't let the shoulder blade compensate.
Lie face down, arm hanging off bench. Lift to horizontal, thumb pointing up (scapular plane). Loads supraspinatus without the impingement risk of overhead raises. Add from Week 2 onward. Start with no weight — gravity at this angle is more than enough.
Cable at head height, rope attachment. Pull toward face with elbows flaring wide, finish with hands beside ears (external rotation). One of the best single exercises for shoulder health in climbers — trains posterior cuff and rear deltoid together. Light weight, perfect form, always.
Elbow at 90°, neutral grip (palm inward). Press forearm up against a fixed surface — table edge or your other hand — without moving. Loads the biceps anchor isometrically, which is the only safe way to work it in Phase A. Avoid all chin-ups, underclings, and supinated curls.
3 sets30 secNeutral grip
Avoid: chin-ups, underclings, supinated barbell curls — all dynamically load the SLAP anchor
Lean forward, left hand on table. Let right arm hang completely loose. Use gentle body sway — not arm muscle — to create small circles. Clockwise and counter-clockwise. Gravity decompresses the AC joint. Do this every morning and before every climb. 2 minutes, no effort.
Right arm across chest, supported at the elbow by the left hand. Gentle traction — feel a stretch at the back of the shoulder and AC joint. Never force. Helps decompress the posterior capsule and AC joint. Do this daily, especially after sessions.
Introduce controlled shoulder loading on the foundation built in Phase A. Expand climbing range carefully. The two specific targets are: overhead extension and lock-off progression — your two remaining provocation patterns.
Exit gate — all must be true before Phase C
Two-arm dead hangs pain-free · Lock-offs pain-free at multiple angles · Overhead reach to 150° without sharp pain · Physio and surgeon review completed (Week 10 = W32 = ~4 Aug)
Weekly Objectives
Plan wk
Cal wk / dates
Objective
Grade ceiling
Wk 5
W27 30 Jun–6 Jul
Add PNF diagonal patterns D1/D2 with theraband. Begin overhead range-of-motion protocol: unloaded overhead reach × 10 daily, pain-free range only. First two-arm dead hang test on 30mm+ edge — 5 sec, note any pain.
6c
Wk 6
W28 7–13 Jul
Progress dead hangs to 6 × 5sec/10sec rest if Wk 5 pain-free. Add lateral raises in scapular plane (2–3kg, 90° max). Overhead reach: increase daily reps to 15. Begin testing lock-offs at mid-height on wall.
6c+
Wk 7
W29 14–20 Jul
Overhead sub-protocol: add band pull-aparts overhead (very light). Dead hangs: progress to 8 sec hangs. Lock-offs: if mid-height pain-free across 3 sessions, begin lower position. Climb 3× this week if shoulder responds well.
6c+
Wk 8
W30 21–27 Jul
Overhead sub-protocol: introduce 2kg dumbbell overhead press — only if Wks 6–7 pain-free. Progress lock-offs to full range if tolerated. Add sloper traversing sessions for proprioception. Begin controlled deadpoints (bilateral, jugs only).
6c+
Wk 9
W31 28 Jul–3 Aug
Consolidation week — no new stimuli. Confirm all Phase B exercises are pain-free at current load. Grade test: attempt one 7a if feeling strong. Prepare data for surgeon review: pain log, movement symmetry notes, overhead ROM comparison.
7a test
Wk 10
W32 4–10 Aug
Surgeon review appointment. Bring pain log and this plan. Reduced climbing volume this week — rest before review. Gate assessment with physio. Decision point: conservative management confirmed or surgical pathway initiated. Surgeon review
Reduced
B1 — Progressive Loading (physio 2× per week)
PNF Diagonal D1 / D2
Cuff
Proprioceptive patterns that train the full shoulder chain together. D1: hand sweeps from hip to opposite ear. D2: hand sweeps from hip outward and up. Theraband, very slow tempo, 3 sec each way. These mimic functional climbing movement patterns better than any isolated exercise.
Arms slightly forward of body line (30° — the scapular plane). Raise to 90° maximum. Do not go overhead in this phase. This plane reduces impingement risk compared to a strict lateral raise. Targets supraspinatus and middle deltoid. 3–4kg, controlled descent.
Both hands on a 30mm+ edge or pull-up bar. Slight elbow bend — never fully locked. Start at 5 sec hangs with full rest between. This is a gate exercise that tests whether the SLAP can handle decompressive load. Build duration before frequency or load. Stop immediately if sharp pain in the shoulder rather than forearm.
5–8 sec on10 sec off6 repsLarge edge only
Gate exercise. Physio sign-off required before adding. Slight elbow bend always maintained.
B2 — Overhead Extension Sub-Protocol (your specific gap)
Unloaded Overhead Reach
Overhead
Stand tall, reach right arm overhead to the edge of your pain-free range. Hold 2 seconds, lower. No weight, no forcing. This is pure range-of-motion work — you're mapping where the shoulder tolerates load and expanding it incrementally. Do this every day in Weeks 5–6.
Hold a very light band with both hands overhead. Pull apart horizontally — band stretches as arms separate above your head. Trains the overhead position under minimal load. Start only when unloaded reach is completely pain-free. Light band — this is not a strength exercise yet.
3 sets12 repsVery light bandWk 7–8
Only after Wk 6 unloaded reach is pain-free at full range.
Seated, dumbbell in right hand at shoulder height. Press straight overhead — controlled, full range. 2kg only. This is the first true overhead loading exercise and the gateway back to overhead climbing moves. If this is pain-free for 2 weeks, you're ready for Phase C.
3 sets12 reps2kg onlyWk 8–10
Only if Wk 7 band pull-aparts are pain-free. Stop and hold at 2kg — no weight progression in Phase B.
Horizontal traversing on slopers at low wall height. Slopers require active shoulder stabilisation without loading the biceps anchor heavily — excellent proprioception work in a real climbing context. Add from Week 5. Stay low — not above your shoulder height on the traverse.
3–4 traversesLow wallPain monitor
Progressive Lock-offs
Climbing
Sequence: Week 6 = mid-height (elbow 90°) · Week 7 = add lower position if mid-height clean · Week 8 = add upper position. Three sessions pain-free at each angle before progressing. This sequence specifically tests SLAP stability across the full lock-off range. Keep tempo slow — no fast pulls.
Sequence by week3 sessions per angleSlow tempo
No straight-arm catches. No dynos until Phase C Week 3 sequence.
Bilateral Deadpoints to Jugs
Climbing
Both hands releasing simultaneously to catch a large jug. Not a full dyno — a controlled upward movement where both hands land together. This is the first dynamic move back. Choose your landing hold carefully (big jug, good position). Start Week 8 only.
Week 8 onlyJugs onlyBilateral landing
Both hands land simultaneously — not right hand dominant. No single-arm catches yet.
Phase C — Return to Performance
Plan Wks 11–18 · Cal Wks 33–40 · 11 Aug – 5 Oct
Re-establish full climbing capacity. Rebuild finger strength and power. Introduce dynos through a structured 4-step protocol. Target: 7a redpoint by Week 14, 7b projects by Week 18.
Surgeon decision feeds into this phase
If surgical repair is recommended at Week 10 review, Phase C is replaced by post-op protocol. If conservative management confirmed, proceed as planned. Do not start Phase C without the Week 10 review result.
Weekly Objectives
Plan wk
Cal wk / dates
Objective
Grade ceiling
Wk 11
W33 11–17 Aug
Begin band-assisted bilateral pull-ups — neutral grip, 3 sec descent. Introduce 7:3 repeaters on 20mm+ edge (two-arm only). Dyno protocol Step 1: controlled bilateral deadpoints to jugs only.
7a project
Wk 12
W34 18–24 Aug
Progress pull-ups to bodyweight if assisted is clean. Single-arm dead hang test: right arm, large edge, feet touching ground, 5 sec — record pain score. Dyno protocol Step 2: left-dominant single-arm deadpoints (right arm catches but left pulls).
7a project
Wk 13
W35 25–31 Aug
Begin one-arm negatives — right arm, 4 sec descent, 3×4. Build single-arm hang to 7 sec. Dyno protocol Step 3: bilateral dynos to jugs. First 7a redpoint attempt if shoulder responding well.
7a redpoint
Wk 14
W36 1–7 Sep
Target: 7a redpoint confirmed. Single-arm hang build to 10 sec. Consolidation — no new stimuli this week. Assess: is overhead extension now fully pain-free on the wall? 7a target
7a
Wk 15
W37 8–14 Sep
Dyno protocol Step 4: right-arm dominant catches on jugs. Begin 7a onsight attempts. Introduce weighted pull-ups if bodyweight is clean (2.5–5kg). Overhead press can progress to 4kg.
7a onsight
Wk 16
W38 15–21 Sep
Begin 7b project selection. Work routes in sections. Hangboard: introduce right-arm single hangs on 20mm edge (short duration). Normal periodisation from here — shoulder load managed like any healthy climber.
7b project
Wk 17
W39 22–28 Sep
Full project mode on 7b. Dyno protocol complete — all dynamic moves available. Continue pre-climb shoulder warm-up ritual as permanent habit. Assess: where are you vs original 7b onsight / 8a redpoint targets?
7b project
Wk 18
W40 29 Sep–5 Oct
Programme end review. Compare current capacity vs June baseline. Document what worked. Decide on ongoing maintenance protocol. If shoulder is fully asymptomatic — you're in normal training. If residual symptoms persist — return to surgeon. Programme end
Open
C1 — Strength Reintroduction
Assisted → Weighted Pull-ups
Strength
Start band-assisted, neutral grip (palms facing each other — kinder to the biceps anchor than supinated). 3-second controlled descent. Progress: Wk 11 assisted → Wk 12 bodyweight → Wk 15 add 2.5–5kg. Never sacrifice the descent tempo for weight.
Get to the top position with both arms (or step up). Lower slowly on the right arm alone — 4–5 second descent. Eccentric loading is the most effective stimulus for tendon remodelling. Start 3×4 in Week 13. Don't add weight — the slow tempo is the load variable here.
3 sets4–5 reps4–5 sec descentFrom Wk 13
Distinguish working discomfort (acceptable) from sharp pain (stop). These feel hard — that's correct.
7 sec hang, 3 sec rest × 6 = 1 set. Two-arm first for 3 weeks, then introduce right-arm singles from Week 14. Half-crimp position. Rebuilds contact strength and finger tendon stiffness lost during the protected phases. Do not start before Week 11.
The SLAP stability milestone. Right arm only, 30mm+ edge, feet lightly touching ground to reduce load. Start 5 sec in Week 12. Build to 10 sec by Week 14 before removing foot assistance. If this is consistently pain-free, the SLAP is coping under real load.
5→10 secBuild Wk 12–14Large edge first
Final gate before returning to hard single-arm moves. Don't rush this progression.
Both hands release simultaneously, both hands land on a large jug together. Controlled upward movement — not a true dyno yet. Choose the landing hold deliberately. 2–3 pain-free sessions before Step 2. Weeks 11–12.
Wk 11–12Jugs onlyBilateral
Step 2: Left-Dominant Single-Arm Deadpoints
Climbing
Right hand catches but left arm provides most of the pull. The right shoulder absorbs landing load but isn't the primary mover. This teaches the right shoulder to handle dynamic load in a protected way before it has to do it alone. Week 12.
Wk 12Left dominantJugs only
Step 3: Bilateral Dynos to Jugs
Climbing
Full bilateral dyno — both arms pulling, both hands catching. Large jug target. Equal load sharing. This is the first true dynamic move back. Choose your problem/route carefully — you want a predictable, makeable move, not a project attempt. Week 13.
Wk 13Jugs onlyEqual bilateral
Step 4: Right-Arm Dominant Catches
Climbing
Right arm catches with primary load. Start on jugs, progress to smaller holds over 2–3 weeks. This is the full return to all dynamic climbing moves. If this is clean and pain-free across 3 sessions — the programme has done its job. Week 15 onward.
Wk 15+Jugs firstProgress hold size
C3 — Pre-Climb Warm-up Ritual (permanent, every session)
10-Min Shoulder Warm-up
Cuff
Pendulum swings 1 min → Band external rotations × 15 → Band internal rotations × 15 → Face pulls or prone YTW × 12 → Cross-body stretch × 30 sec → Unloaded overhead reach × 10. This is not rehab anymore — it's maintenance. Don't drop it when you feel better. This is the difference between staying healthy and re-injuring.
10 minEvery sessionPermanent
Full 18-Week Timeline
2 Jun – 5 Oct 2026 · Cal weeks 23–40
Complete view across all three phases with dual week numbering, dates, and grade ceilings.
Phase A — Foundation FixPlan Wks 1–42 Jun – 29 Jun · Cal W23–26
Plan wk
Cal wk
Week objective
Grade
Wk 1
W23 · 2–8 Jun
Book physio. Begin full band protocol 3×/wk. Pendulum swings daily. Climb 2× at 6b+–6c, preview every route. Baseline pain scores.
6c
Wk 2
W24 · 9–15 Jun
Increase band resistance if pain-free. Add prone YTW 1kg. Physio session 1: scapular dyskinesis + O'Brien's test. Hip-to-wall technique focus on wall.
6c
Wk 3
W25 · 16–22 Jun
Add cable face pulls. Begin isometric biceps holds. Test slow controlled right-arm lock-off at mid-height. Record pain score. Physio session 2.
6c
Wk 4
W26 · 23–29 Jun
Symmetry check. Compare right vs left ER strength. Morning stiffness assessment. Physio session 3 + Phase A gate check. Gate A
6c
Phase B — Load & TestPlan Wks 5–1030 Jun – 10 Aug · Cal W27–32
Plan wk
Cal wk
Week objective
Grade
Wk 5
W27 · 30 Jun–6 Jul
Add PNF D1/D2. Overhead ROM protocol begins: unloaded reach ×10 daily. First two-arm dead hang test on 30mm+ (5 sec).
6c
Wk 6
W28 · 7–13 Jul
Dead hangs 6×5sec if Wk 5 clean. Add lateral raises scapular plane 2–3kg. Overhead reach 15 reps/day. Lock-offs at mid-height on wall.
6c+
Wk 7
W29 · 14–20 Jul
Add overhead band pull-aparts (light). Dead hangs to 8 sec. Lock-offs: progress to lower position if mid-height clean across 3 sessions. Climb 3× if shoulder responds.
6c+
Wk 8
W30 · 21–27 Jul
2kg overhead press if Wks 6–7 clean. Lock-offs full range. Sloper traversing. First bilateral deadpoints to jugs.
6c+
Wk 9
W31 · 28 Jul–3 Aug
Consolidation — no new stimuli. Confirm all Phase B exercises pain-free. Attempt one 7a if strong. Prepare pain log and movement notes for surgeon.
7a test
Wk 10
W32 · 4–10 Aug
Surgeon review. Bring pain log + this plan. Reduced climbing volume. Gate B assessment with physio. Decision: conservative confirmed or surgical pathway. Surgeon
Reduced
Phase C — Return to PerformancePlan Wks 11–1811 Aug – 5 Oct · Cal W33–40
Progress to bodyweight pull-ups. Single-arm hang right: 5 sec test. Dyno Step 2: left-dominant single-arm deadpoints.
7a project
Wk 13
W35 · 25–31 Aug
One-arm negatives 3×4 (4 sec descent). Single-arm hang to 7 sec. Dyno Step 3: bilateral dynos to jugs. First 7a redpoint attempt.
7a redpoint
Wk 14
W36 · 1–7 Sep
Target: 7a redpoint confirmed. Single-arm hang to 10 sec. Consolidation week. Overhead extension fully pain-free check. 7a target
7a
Wk 15
W37 · 8–14 Sep
Dyno Step 4: right-arm dominant catches on jugs. 7a onsight attempts. Weighted pull-ups begin (2.5–5kg). Overhead press to 4kg.
7a onsight
Wk 16
W38 · 15–21 Sep
Begin 7b project selection. Work in sections. Right-arm single hangs on 20mm edge (short). Normal periodisation from here.
7b project
Wk 17
W39 · 22–28 Sep
Full project mode on 7b. All dynamic moves available. Pre-climb warm-up ritual as permanent habit. Assess vs 7b onsight / 8a targets.
7b project
Wk 18
W40 · 29 Sep–5 Oct
Programme end review. Compare to June baseline. Decide maintenance protocol. If fully asymptomatic → normal training. If residual symptoms → return to surgeon. End