If you are an active wheelchair user, you are probably aware of the risks of getting a shoulder injury and potentially a surgery. It is almost more common to have a shoulder surgery among athletes than not these days. Even pushing your chair on a regular day to get around puts pressure on your shoulders. If you add vigorous exercise where you try to push harder and faster, it adds a significant density on shoulders. You need to take good care of your shoulders and have a balanced work out method, in which you work not only your big muscles in your shoulder gridle, but also the smaller ones.