When dealing with shoulder impingement, avoid resisted shoulder exercises with a pronated grip (palms facing down), as the tendons will be pinched in this position. The weakened rotator cuff is unable to maintain adequate space between the bones in the shoulder, causing the tendons to rub, which will aggravate symptoms. Exercises should be done in pain-free range of motion with proper form. It is more important to restore movement and increase endurance by doing higher repetitions than overloading with heavy weight. Make sure to emphasize deep breathing and take a 45 to 60-second break in between sets.