Fitness 12 min read

Returning To Handstand Push-Ups

Check out this article to be guided and learn how to get back to handstand push ups progressively or how to achieve your first one!

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Dillon Caswell PT, DPT, SCS
Updated Published
RETURNING TO HANDSTAND PUSH-UPS
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Your guide

What you'll learn

Whether you are looking to add variability to your overhead pressing routine, achieve your first handstand push-up, or are a CrossFit Athlete needing to return to and build capacity in this skill; we will guide you! This is a challenging movement requiring commitment to achieve but as we know the greater the challenge the greater the reward! Follow along to learn how to work your way from the beginning all the way to mastering handstand push-ups!

Returning Or Attempting Handstand Push-Ups Checklist

You've reached the point where your shoulder pain is now gone and you're feeling pretty strong, well done! Next step, you want to get back upside down for the ole arm squat aka handstand pushup but are afraid to attempt or do not have a plan of how to achieve this goal.

If you did not come from rehabbing your shoulder and are just curious about how to do a handstand pushup or are skilled in this movement and want to improve your foundation to improve the skill further, no worries the main route is the same, the initial intersections to the main route are where the difference lies.

Before merging onto the main route let's hit the pre-trip checklist!

Pre-Reqs Before Returning To Handstand Push-Ups

Below we will discuss the prerequisites that are required prior to returning to handstand push-ups.

Mobility

If you don't have the mobility, you will forfeit appropriate stability, and at best your return to a handstand pushup is starting with a no rep and increased risk of a shoulder injury. Make sure this bag is fully packed before getting upside down, make your judge hang on to those no rep calls for other athletes!

Want To Learn How To Master Other Overhead Movements?

overhead crossfit performance program handstand push ups prehab guys

Overhead stability requires multiple moving body parts working together in synchrony. Without adequate motion, stability, strength, and power in the right places, you run the risk of exposing other body regions to excessive strain. As a result, you may be limiting yourself to reach your true performance potential as a fitness athlete. With that being said, addressing overhead stability requires a multi-dimensional approach, while taking out the guesswork and truly identifying your limiting factor to performance. We have blended science with our clinical expertise to provide you with the ultimate proven solution, we know it will help you too! Get started HERE!

Foundational Capacity

Once mobility is earned, lock it in long term by conditioning the shoulder complex and ensuring symmetrical overhead pressing symmetry. Are you allowed to have one arm outperform the other? Yes! However, if the difference is greater than 10 percent, you got some work to do. The benefit of the long sitting overhead press test with a kettlebell in a bottoms-up position is we can better look at shoulder stability vs strength. We also take the legs out of the equation to get a true test of what your core and pressing capacity is!

For vertical pressing, specifically a handstand pushup we need vertical forces. To achieve vertical forces, all the other horizontal and rotational forces need to cancel each other out via a balanced shoulder complex (read more here). Once those forces are able to cancel each other out we now turn our focus to symmetrical overhead pressing stability and later on strength. Research has shown the dominant arm to be 2.3x more likely to become injured compared to the non-dominant, we will revisit this point again and hammer it home later (Sayampanathan et al 2017).

Exercise 01 of 15

Exercise demonstration

Prone Y Endurance Assessment

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The Prone Y Shoulder Endurance Assessment is an assessment to evaluate lower trapezius muscle endurance. Please watch the video to get a visual demonstration of how to perform the test. Below you will find a description of how to do so.Lay on your belly on a table or bench. Use a weight that is 2 percent of your body weight (round up to the nearest pound as needed). Start a 1-minute clock and complete as many quality reps as possible of a unilateral Y. To complete this, start with your arm at the side hanging off the table, lift the arm towards the ceiling at a 135 degrees angle in reference to your trunk, and make sure to keep the elbow straight. Lift until your arm is parallel with the floor. Return with control to the start position and complete again until the minute expires. Rest and then repeat on the other side.Some rules to remember with this assessment. The test ends if and when (1) you are no longer able to move the weight with control. Make sure to check out the video showing some common compensations that occur during this assessment! Be sure to record your scores below!Prehab Goals & Normative Values: 30 reps each sidePrehab Goal: 30 reps each side with less than a 10 percent difference side vs side (L vs R)References:Paine R, Voight ML. The role of the scapula. Int J Sports Phys Ther. 2013;8(5):617-29.Reinold MM, Escamilla RF, Wilk KE. Current concepts in the scientific and clinical rationale behind exercises for glenohumeral and scapulothoracic musculature. J Orthop Sports Phys Ther. 2009;39(2):105-17.Take the assessment, write down your score, and track your progress throughout the program.

Sample Overhead Stability Program Assessment Video

Exercise 02 of 15

Exercise demonstration

Long Sitting Overhead Press Capacity Assessment

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The Long Sitting Overhead Press Capacity Assessment is an assessment to evaluate symmetry in vertical pressing capacity and core stability in a sitting position. For this assessment, you will need a kettlebell. If you don’t have access to a kettlebell you can sub in a dumbbell. Select a weight that you can comfortably hold in a bottoms-up position. You will start by sitting on the floor with your legs straight out in front of you. Use the non-working arm to help you get the weight comfortably into the bottoms-up position. In the starting position make sure your shoulder is in scaption, or the elbow is at a 45-degree angle in relation to the midline of your trunk. Maintain the bottoms up position of the kettlebell and complete as many unilateral overhead presses as possible. Rest and then repeat on the other side. Some rules to remember with this assessment. The test ends if and when: you are no longer able to complete pressing motions, the kettlebell is unable to be maintained in a bottoms-up position, or your trunk is unable to maintain an upright stable position. Prehab Goals & Normative Values: Normative value is 30 sec each sidePrehab Goal: 45 secs-60 secs each side Take the assessment, write down your score, and track your progress throughout the program.

How To Assess & Improve Your Shoulder Overhead Mobility

In addition to shoulder mobility, our thoracic spine mobility is also an important component of a successful handstand push-up. If your mid back is feeling tight and/or stiff, check out this blog post for some awesome exercises you can easily implement into your routine!

READ: THE BEST MID BACK EXERCISES

mid back pain exercises handstand push ups the prehab guys

Foundational Vertical Pressing Strength

Once you have earned adequate and symmetrical shoulder stability we now can move along the training continuum to strength. As stated earlier, the dominant arm is more likely to get injured compared to the non-dominant arm. A long sitting heavy dumbbell 5 RM test is a very humbling and objective measure you can use to take your legs out of the equation and see if you have one side that is vertically pressing dominant (greater than 10 percent compared to the other side). If so, you can bet one side is outworking the other during your handstand push-ups and you will be constantly fighting the awkward not falling sideways off the wall into the other athletes!

Exercise 03 of 15

Exercise demonstration

Long Sitting Single Arm Overhead Press - Dumbbell

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  • HOW: Start in a long sitting position holding only one weight in one hand in front of your shoulder. Begin the exercise by keeping the rest of your body still and performing an overhead press.  Hold the overhead position for a moment (the weight should be in line with your ears), slowly lower the weight down and return to the starting position and repeat.
 
  • FEEL: This should feel like an upper body workout, specifically your deltoids, traps, triceps, and upper back muscles. You should feel your shoulder blade working a lot with this exercise. You will also feel your abs and lower body working to maintain optimal long sitting posture - avoid side-bending or tilting due to the off-set unilateral weight.
 
  • COMPENSATION: Do not excessively arch or bend your low back. Keep the rest of your body still as best as you can. Do not use momentum to move the weight, also focus on moving slowly, maintaining time under tension. Avoid excessive shrugging. Avoid leaning side to side. 

Sample Overhead Crossfit Performance Program Exercise Video

Once you have established your 5 RM for both sides and trained for that less than 10 percent difference, it's time to build up resiliency, strength, and endurance with vertical pressing. This happens before going upside down! Why? If you fail a rep you drop the dumbbell, if you fail upside down in a handstand push up you tumble onto your head and neck, one is for sure safer than the other.

Exercise 04 of 15

Exercise demonstration

Overhead Press - Dumbbell

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  • HOW: Start in a standing position holding weights or objects in each hand positioned in front of your shoulders. While keeping the rest of your body still, begin the exercise by pressing the weights/objects overhead. Pause for a moment, then slowly lower the weights down and repeat.
 
  • FEEL: This should feel like an upper body workout, specifically your shoulders and triceps. When the weights are overhead, they should relatively be in line with your ears.
 
  • COMPENSATION: Do not excessively arch or bend your low back. Do not use momentum to help with lifting the weights up overhead. Try to keep your chest up and the rest of your body still, avoid your elbows excessively flaring out.

Why use dumbbells vs a loaded barbell? Research has shown deltoid and shoulder complex activity to be the highest when using Dumbbells in a standing position (Saeterbakken & Fimland, 2013). Furthermore, the dumbbells will help to provide you with further feedback on vertical pressing asymmetries compared to a loaded barbell. Also appreciate you are moving on from sitting to standing because we are working towards the end goal of a handstand push-up; it's time to get vertical and learn how to squeeze the butt, brace the core, control breathing, and press overhead simultaneously. The goal in this phase is to reach anywhere from 50-75% of your body weight with strict overhead pressing!

Exercise 05 of 15

Exercise demonstration

Overhead Press - Earthquake, Dumbbell

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  • HOW: Loop a band through a dumbbell or kettlebell. In a standing position, grab onto the band, bend your elbow, and position your hand in front of your shoulder. From here, press the band and weight straight up overhead. The slower you go the easier it will be. 
 
  • FEEL: You should feel your shoulder muscles working. 
 
  • COMPENSATION: Make sure you press the weight straight up overhead.

Sample Overhead Crossfit Performance Program Exercise Video

If you're looking to mix up your training a bit while still working towards a return to handstand push-ups you can use earthquake presses as accessory work!

Return To Handstand Push-Ups

Pre-trip checklist complete! Was it long? Yes! Was it worth it? Yes! If something goes wrong we revisit the pre-trip checklist and figure out the limiting factor and address it, meaning we don't get on the main route until the bags have been fully packed. If you do not take this path, it's not if; it's a matter of when you will be turning around to go pick up what was left behind.

Getting upside down is a skill within itself. It requires graded exposure to gain confidence and motor control. To get there we start by using Pike variations, headstands, wall walks, handstand holds, and then variations of handstand pushups. Typically, we will want to start each progression with isometrics and then move towards concentric/eccentric movements.

Exercise 06 of 15

Exercise demonstration

Pike Shoulder Tap - Legs Elevated

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  • HOW: Place your feet up onto an elevated surface with your toes pushing into the surface putting you into a plank position. From this position, walk your hands towards your feet one step at a time. Bring them as far back as you feel comfortable while keeping your legs straight raising your hips to the ceiling. Then, lift one arm up and slowly tap your opposite shoulder with that hand. Alternate tapping your shoulder with your hand for the prescribed amount of reps. 
 
  • FEEL: You should feel your core and shoulder muscles working. As well as a stretch in your hamstring muscles. 
 
  • COMPENSATION: Don’t shrug your shoulders when you are holding the pike position. Don’t bend your knees, keep them straight.

The pike position is great to begin the journey of getting upside down and having the arms support you! Spend as much time as necessary where you can comfortably complete pike handstand pushups with integrity and confidence. How many? If you're a CrossFit athlete we will use Diane as our benchmark; a couplet of Deadlifts and Handstand Pushups with a rep scheme of 21-15-9. or a total of 45 reps of each movement.

Exercise 07 of 15

Exercise demonstration

Pike Push Up - Legs Elevated

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  • HOW: Place your feet up onto an elevated surface with your toes pushing into the surface putting you into a plank position. From this position, walk your hands towards your feet one step at a time. Bring them as far back as you feel comfortable while keeping your legs straight raising your hips to the ceiling. Then, bend your elbows and perform a push up while maintaining the pike position.
 
  • FEEL: You should feel your core and shoulder muscles working. As well as a stretch in your hamstring muscles. 
 
  • COMPENSATION: Don’t bend your knees, keep them straight.

Next, you will begin to increase the demands of the handstand pushup by taking the hips from a flexed pike position to a hip extended or straightened position. This step can be a bit scary, luckily we can use graded exposure to decrease the fear and keep the hunger alive! We recommend using supersets of wall walks progressing to isometric handstand holds super setting with free-standing headstands. Why free-standing headstands? Athletes get used to quickly flicking their legs up and allowing the wall to catch them. This is a strategy to use, however, we like our athletes to own skills and show grace vs Kool-aid man slamming into the wall to get upside down.

Exercise 08 of 15

Exercise demonstration

Handstand Wall Walk

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HOW: Start with the bottom of your feet up against a wall with your chest and hips resting on the ground and your elbows bent. From this position, you are going to push the ground away from you as you walk your feet up the wall and walk your hands closer to the wall. Once you reach the point you feel comfortable with, slowly walk your feet down the wall and your hands away from the wall to return to the starting position.FEEL:You should feel your core, hips, glutes, back and shoulder muscles working to perform the wall walkCOMPENSATION: Walk your feet up the wall only as far as you feel comfortable with pushing through the shoulers, staying strong in the core, and not arching through your back.

Exercise 09 of 15

Exercise demonstration

Headstand

Handstand Push-Ups

Finally, it's time to put everything you have been working on to the test! Before you get upside down, let's talk about the last coaching cue. Think of how you brace your core when you are completing a strict overhead press or when squatting. We want that nice braced core position with glutes squeezing the help maintain core integrity leading to an efficient force transfer during the actual push-up! Using a weightlifting belt as a tactile cue can be helpful when first learning!

LISTEN: SHOULD YOU BE USING A WEIGHTBELT?

weightlifting belt prehab guys podcast handstand push ups

Exercise 10 of 15

Exercise demonstration

Handstand Push-Up

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HOW: Begin in a standing position facing a wall then bring your hands down to the ground as you push up into a handstand position with your heels on the wall. From this position, slowly lower yourself down by bending your elbows until you feel your head carefully touch the ground. Push yourself back to the starting position by straightening your elbows. FEEL: You should feel your core, hips,glutes, back and shoulder muscles working to perform the handstand push-up motion.COMPENSATION: Do not excessively arch your back when performing this exercise. Push through your shoulders and engage your glutes and core to maintain a stable position.

Advanced Drills: Handstand Push-Ups

Earlier we talked about the importance of near-symmetrical vertical pressing and utilizing the above-mentioned overhead press tests to identify limb dominance. Now, that you are upside down and pressing the brain may want to go back to old patterns and use the dominant arm. We know if we add volume on top of this we can be looking at future injuries. Below are a few drills you can use the fully own near symmetrical pressing in the handstand push-up movement!

Exercise 11 of 15

Exercise demonstration

Handstand Push-Up Asymmetry Assessment

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The handstand pushup aka the “arm squat” shares the same fundamentals as an actual squat: equal weight distribution between each anchored extremity. The problem is how do you know you have equal weight distribution through your arms during a handstand push-up? Instead of guessing, we can assess! By using a scale and setting up a plate that is equal height as the scale you can do handstand push-up and see how much weight is being placed on one side, switch the scale and assess the other side!Set up a bathroom scale near the wall while also using a plate or mats to match the height of the scale. One hand will be placed on the scale, the other hand on the mat or plates as you kick up onto the wall. Once up on the wall in a handstand complete 2-3 reps of a strict handstand pushup. You can use your phone to record the scale or glance at it as your doing the rep to see how much force is being put into the scale. Next, take a rest break 1-2 minutes or as long as you need. Then, you will perform this assessment on the other side.Prehab Goals & Normative Values:The goal is to have less than a 10 percent asymmetry between each side. As you progress you may wish to complete more reps and see if the numbers change under fatigued conditions.Take the assessment, write down your score, and track your progress throughout the program.

Exercise 12 of 15

Exercise demonstration

Handstand Push-Up Asymmetrical

View exercise instructions
HOW: Begin with one hand on the ground and one hand elevated on a plate/small elevated elevated surface with a wall in front of you. Push yourself up into a handstand position with your heels on the wall behind you. From this position, lower yourself down into a push-up position by bending your elbows, tapping your head in a controlled manner on the ground. Return to the push-up position by straightening your arms. FEEL: You should feel your core, hips, glutes, back and shoulder muscles working to perform the handstand push-up motion. Use the asymmetry to play into any deficit you may be experiencing. COMPENSATION:Do not excessively arch your back when performing this exercise. Push through your shoulders and allow your body to adjust to the deficit you have provided it.

Last Stop: Kipping Handstand Push-Ups

If your using handstand push-ups for variability in your overhead pressing training, stick to strict and skip to the closing thoughts. If you're a CrossFitter or Fitness athlete we need to talk about the kipping handstand push-up and integrity under fatigue. The kip now transitions the handstand pushup down the training continuum to a power-based movement.

Exercise 13 of 15

Exercise demonstration

Handstand Push-Up - Kipping

View exercise instructions
HOW:Start with your hands on the ground facing a wall and push up into a handstand position with your heels against the wall. Once stable, lower down by bending your elbows until your head gently taps the ground and then use your hips to drive yourself up to the beginning position as you straighten your elbows.FEEL:You should feel your core, hips, glutes, back and shoulder muscles working to perform the handstand push-up motion.COMPENSATION: Do not excessively arch your back when performing this exercise. Use your hips to assist with returning to the starting position. Master the strict handstand push-up before attempting this exercise.

The kip is used to allow more reps to be completed in a shorter duration of time, it adds complexity to the handstand push-up skill and requires further coordination and agility. Another point to consider is it allows you to overreach your current pressing capacity. Think of a push press or jerk vs a strict overhead pressing. Adding those powerful hips into the equation allows you to get more weight overhead compared to strict pressing.

The takeaway here is again to not skip steps! If you don't have a strict handstand pushup you should not be kipping. Strict strength is the armor that will protect you from injury when busting out kipping handstand push-ups in competition and will also make you more efficient with the skill! As stated by (Cormie et al 2011), "a fundamental relationship exists between strength and power, which dictates that an individual cannot possess a high level of power without first being relatively strong".

The last factor to discuss is integrity under fatigue! In workouts or competitions, handstand pushups are going to at least be coupled with another movement. Your body is attempting to clear lactic acid via the lactate shuttle but if deadlifts are coupled with handstand pushups it makes it really hard to clear (learn more about this from Chris Hinshaw). What we are left with is fighting through the fatigue, reaching new athletic potential, and attempting to maintain the integrity of the skill with everything in our body is saying stop! Learn more about fatigue and overhead stability in this podcast

Closing Thoughts

Handstand push-ups add great variability to your overhead pressing routine while testing your coordination, motor control, and strength. The destination of achieving the full handstand push-up is incredible but make sure your bags have been fully packed and you did not skip steps along the journey! Once you have developed the skill of a handstand push-up look for new challenges to keep your routine fresh and keep progressing towards the outcome you want. Ready for the extra challenge?

Exercise 14 of 15

Exercise demonstration

Handstand Push- Up - Strict, Deficit

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HOW: Begin with two plates on the ground up against a wall to perform the exercise in a deficit position. Start with your hands on the plates and push up into a handstand position with your heels against the wall. Slowly lower yourself down by bending your elbows until your head gently taps the ground and push up through your shoulders by straightening your elbows to return to the starting position.FEEL: You should feel your core, hips, back and shoulder muscles working to perform the handstand push-up motion.COMPENSATION:Do not excessively arch your back when performing this exercise. Keep your core engaged and heels against the wall for added stability. Be sure to master the strict handstand push-up before attempting this exercise.

Exercise 15 of 15

Exercise demonstration

Handstand Push-Up - Paralletes

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HOW: Start with the paralletes bar up against a wall and push up into a handstand position so that your heels are on the wall behind you. Once stable, lower down by bending your elbows until your head touches the ground gently. From this position, use your hips to assist in pushing up to the beginning position by straightening your elbows while performing the hip drive. FEEL: You should feel your core, hips, glutes back and shoulder muscles working to perform the handstand push-up motion.COMPENSATION: Do not excessively arch your back when performing this exercise. Use your hips to assist with returning to the starting position. Be sure to master the deficit handstand push-up before attempting this exercise.

Become A More Efficient Overhead Athlete!

overhead crossfit performance program handstand push ups prehab guys

The overhead strength demands in a CrossFit program will be sure to test your character. You are making the choice to respond vs react to the overhead challenges this sport creates by owning this movement pattern! First by gaining full access to overhead positions by using strengthen to lengthen concepts for those powerful Lats and Pecs. In the next 4 weeks, you also earn foundational core strength and start to access authentic overhead positions using bottom-up positions of the kettlebell.

ABOUT THE AUTHOR

Dr. Dillon Caswell, PT, DPT, SCS

[P]Rehab Audio Experience Host & Head of Programs

Author portraitDillon is a Sports Physical Therapist, performance coach, and adjunct professor residing in Syracuse, NY whose passion is providing holistic solutions to improve all aspects of human performance. Along with working with clinical athletes across the lifespan, he provides on field coverage for youth and semi-professional teams.

After his undergraduate studies at Syracuse University, he earned his Doctorate in Physical Therapy from SUNY Upstate Medical University, where he now serves as an Adjunct Professor. He is the founder and owner of AP3T: Action Potential Performance Physical Therapy practicing wellness, prevention, and solution-based health care. In his free time, he enjoys family dinners, playing with his dog, and competing as a CrossFit athlete.

Dillon honors the opportunity to join the [P]rehab guys to influence and educate in a people first system!

DISCLAIMER – THE CONTENT HERE IS DESIGNED FOR INFORMATION & EDUCATION PURPOSES ONLY AND IS NOT INTENDED FOR MEDICAL ADVICE.