Growth Factor Shoulder Training

A Complete Workout

Warning: This workout is gonna hurt. Get ready to use time under tension, multiple angles of attack, and a whole bunch of lactate.

Few Olympic Lifters Look Lean and Muscular

I love lifting big weights on the big basic lifts. But I can't ignore the fact that "pump" training also works when it comes to building muscle. Plenty of people have built a lot of muscle doing isolation work to a skin-bursting pump, including strength-oriented athletes.

But few Olympic weightlifters, despite hoisting monstrous weights over their heads, have what we'd call muscular bodies. They have solid legs, glutes, and lower back for sure. And some exhibit thick upper bodies.

But most look "solid" instead of lean and muscular. It's true that they use mostly their legs, hips, and trunk to lift the weights, but you'd still expect more muscle in the delts and arms from people who can lift 400-500 pounds over their heads.

Exceptions to the Rule

The exception to this seems to be the Chinese lifters, along with some other Asian countries with similar training systems. Despite being less genetically designed to carry a lot of muscle, their Olympic lifters are a lot more muscular than most other competitors.

This is especially true of the arms, shoulders, and back. If you look into their training you'll see that they actually do a lot of isolation work for higher reps on exercises such as lateral raises, triceps extensions, and biceps curls.

They also do plenty of rows, dips, and pull-ups for higher reps (8-10). They often go for 6 sets of 8-10 reps with short rest periods on several bodybuilding exercises at the end of their session.

Why would athletes who already train four hours a day or more do 30-45 minutes of additional daily work if it wasn't productive?

Well, they understand that muscle moves weight, and that if you have more muscle you can move more weight if your nervous system is effective at utilizing that muscle.

And I've learned through experience that volume builds muscle.

The Problem with Shoulders

Sure, getting stronger will help you get bigger. If you add 100 pounds to all your big lifts you'll surely have a lot more muscle mass. But it's not necessarily the fastest route, especially for muscles like the shoulders.

The shoulders are fragile. The shoulder joint is the least stable joint in the body and very complex. There are more than ten muscles that directly influence the way the shoulder moves, and that joint can move in pretty much every direction.

So it's very easy to become unbalanced and develop nagging and persistent shoulder aches, if not severe injuries.

That's the problem with relying only on the big basics: You stand a much better chance of developing strength imbalances that will ultimately impair your performance, comfort, and ultimately your size.

Furthermore, many strong muscles assist the deltoids. As such, it can become hard to stimulate the deltoids fully with only big lifts.

Sure, the delts receive some loading, but sometimes other muscles contribute disproportionately more and will grow faster. As they grow faster, the shoulders become proportionally weaker and harder to involve – the body will use the stronger muscles to do the job. Injury is then more likely.

This is why I like to use time under tension as well as multiple angles to develop the shoulders. In fact, I want to use as many different angles as possible when working the delts directly.

This will not only make the shoulder more functional and injury-proof, but it will also maximize size.

Constant Time Under Tension and Muscle Development

The research is clear: You can stimulate growth without the use of heavy loads by increasing the release of local growth factors during exercise.

This is the foundation of occlusion training as well as the constant-tension rep style. But the latter is the one that is of interest to us today.

When a muscle is contracting, blood flow into the muscle is restricted. Blood will rush in when the muscle relaxes – between reps if the muscle stops contracting and at the end of the set.

As long as the muscle is working and blood flow is restricted via muscular contraction, metabolites will build up in the muscle and this will lead to the release of local growth factors.

That's the basis of this training approach to the shoulders. This program will build muscle rapidly. When I use it after focusing only on the big basic lifts, my physical appearance changes almost instantly, almost like muscle is migrating toward the delts!

To maximize growth factor stimulation, the main thing to focus on is stimulating as much lactate build-up in the target muscle as possible. You need to have a high pain tolerance for this to work optimally!

Lactate accumulation through muscular work is maximized when the muscle is under tension for 45-70 seconds. This program is based on sets falling in that range. And since the shoulders have so much mobility, I prefer to use multiple exercises in each set to strengthen every angle of shoulder movement.

The program itself uses 5 supersets and you will do 3 sets of each, for a total time under constant tension of about 15 minutes. But each of these supersets will work great as a standalone, too. For maximum develop, use all five.

Superset 1 – Multi-Press Complex

Each set is made up of 6 different presses and we go from the weakest to the strongest, a concept known as mechanical drop sets.

The 6 exercises, done without any rest, are:

  • A. Seated Muscle Snatch (seated to avoid using the lower body) or Barbell Cuban Press
  • B. Behind the Neck Press, Snatch Grip (seated)
  • C. Behind the Neck Press, Clean Grip (seated)
  • D. Savickas Press (military press seated on the floor with extended legs and no back support)
  • E. Bradford Press (standing)
  • F. Push Press (standing)

The goal is to do 5 reps for each exercise, but don't freak out if you only get 3 or even fewer near the end. If that does happen, don't increase the weight the following session. Start conservative. By using constant tension, the fatigue and pain will quickly build up!

Do 3 sets of this exercise with about 90 seconds of rest between sets.

Important: You'll note that this superset/complex uses the behind the neck press, an exercise that has been made to be the work of the devil in recent times. People believe that it will potentially hurt the shoulders.

Well, that's true if you have zero shoulder mobility, but being able to press in that position is part of the normal shoulder function.

It's true that some people might have trouble with the behind the neck press, especially those with a severe "shoulder forward" posture, or immense bodybuilders with massive pecs and front delts.

As T Nation contributor Paul Carter has said, if your shoulders are healthy and have good mobility, they cause no issues. If your shoulders aren't healthy, perhaps from too much bench pressing, you won't be able to do behind the neck presses. It's not the other way around.

The behind the neck press is a more complete shoulder exercise. You get a stronger contraction in the lateral and rear deltoids. The military press hits the anterior deltoid hard but is less complete.

Furthermore, don't forget that due to the nature of this complex, you won't be using much weight, so the behind the neck presses won't be traumatic and will actually help you restore full shoulder function.

Superset 2 – Dumbbell Press Multi-Rom

This is similar to the good old 21 technique, which is also based on constant tension and lactate build-up, but we'll do sets of 5-5-10 instead of 7-7-7. That means:

  • A. 5 partial reps doing only the bottom half of the movement
  • B. 5 partial reps doing only the top half of the movement
  • C. 10 full reps

On the full reps you want to do the reps smoothly, not stopping at the top or bottom between the phases of the lift. Stop about half an inch before locking out to keep the deltoids under tension.

The partial reps will cause a rapid hypoxic state (lack of oxygen) and a rapid build-up of lactate, whereupon you do your full reps in that state.

Do 3 sets with about 90 seconds of rest in-between sets.

Superset 3 – Shoulder Circles/Scott Press/Press

I started using loaded shoulder circles when I did a lot of ring work in my own training. This is a highly underrated exercise and a great movement to prepare the whole shoulder joint for brutal work.

It does so by activating most muscles involved with shoulder movements, and because of that it also makes it an interesting hypertrophy tool since it can stimulate a lot of muscle. It's a great option to use as the first move in a pre-fatigue superset.

The second exercise is a Scott press, which is very similar to an Arnold press in that you're starting the movement with the arms in front of you and rotating them outward as you press up. The difference is that in an Arnold press, you press straight up once you rotate your arms, while the Scott press uses a more circular motion.

As a result, at the top the arm is inclined slightly forward, making the elbows project back further than the wrists. That circular motion hits the lateral portion of the delts more.

Once you're done with the Scott press, you finish your set with regular dumbbell presses but with a slight twist: you'll press while having the outside weight plate higher up than the inside one, and keep it that way for the whole pressing movement. This puts more stress on the lateral portion of the delt.

One set looks like this:

  • A. Shoulder Circles: 10 reps front-to-back
  • B. Shoulder Circles: 10 reps back-to-front
  • C. Scott Presses: 6-8 reps
  • D. Dumbbell Presses: 6-8 reps

Do 3 sets, resting for about 90 seconds between sets.

Superset 4 – Dumbbell Lateral Complex

This is my favorite medley/superset to isolate and annihilate the delts. It hits them from multiple angles, which is important for full development.

Four different variations are used, all done back-to-back without rest:

  • A. Top-Half Front Raise: (from parallel to the floor, to overhead) 4-6 reps
  • B. Lateral Raise: 4-6 reps
  • C. "Y" Lateral Raise with thumbs up: 4-6 reps
  • D. Outside-In Raise: 4-6 reps

Perform 3 sets, 90 seconds in between.

Superset 5 – Bus Driver/Front Raise

The first movement is the "bus driver" exercise where you hold a plate at arms length in front of you and rotate slowly. It's a hugely underrated movement.

The bus driver puts the whole deltoid group under constant tension and works angles that aren't normally trained in the gym. It's an excellent way to finish the shoulder workout and make the joint more resilient to injuries.

The second movement is the front raise using three different grips: narrow, shoulder-width, and wide.

Using the different grips makes this a mechanical drop set: When you can't do an exercise any more, you continue to do reps by changing the leverage. By taking a wider grip you shorten the resistance arm, which will make the movement a bit easier, allowing you to get more reps in without having to decrease weight.

The change in grip might also bring some new motor units into the mix, which is a benefit since the more motor units you recruit and fatigue, the more you'll grow.

  • A. Bus Driver: 6-8 reps per side
  • B. Front Raise: dumbbells about 1-inch inside shoulder-width, 6 reps
  • C. Front Raise: index finger in line with outside edge of deltoid, 6 reps
  • D. Front Raise: wide grip, 3-4" wider than shoulder width, 6 reps

We're shooting for 6-8 reps per side for the bus driver exercises and about 6 reps for each of the three grips on the front raise, but really the goal is to fatigue and to pump up the muscles as much as possible. If that goal is accomplished, it doesn't matter if you did 5 or 10 reps per position.

Important: When you do your barbell front raises, imagine rotating your elbows up instead of just lifting the arms up. This will increase the activation of the lateral head of the deltoid.

Maximize Results

Get ready to quickly put size on your delts, especially if you're someone who is used to heavy pressing work.

This program is based on maximizing local growth factor release as well a sending a ton of nutrient-rich blood into the muscle. This means that using Surge Workout Fuel (Buy at Amazon) before and during your workout to maximize the amount of anabolic nutrients in your blood will lead to even greater results.



I can verify that shoulders are fragile. Been pumping iron for 48 years. Just had my 4th shoulder replacement in 2 and a half years …4th one was done just the other day. I’ve ended up with 2 reversals. I was the fix for me. It takes the rotator cuff out of the picture and the delt takes over. Had left shoulder revision done last September and healing has been unbelievable … hoping for the same with my right side. With all these surgeries, I countine to the side of my body. Would rather only have one skinny side than two :joy: