๐Ÿ‹๏ธ Mike's Intermediate 4-Day Plan

Hospital gym ยท Left shoulder modified ยท Cardio-first ยท Friday = Row + Core + Stretch

3โ€“4 Days/Week 20 Min Cardio First Intermediate Squats ยท Lunges ยท Split Squats โœ“ Left Shoulder Modified Friday: Elliptical + Row + Core + Stretch

Schedule

Mon / Tue / Thu / Fri

Or 3 days: Mon / Wed / Fri

Session Length

55โ€“70 min

Cardio + strength + optional finisher

Cardio

20 min, always first

Elliptical primary; Row on Friday

Volume

3โ€“4 sets ร— 8โ€“12

Intermediate range; 75โ€“90 sec rest

Friday Anchor

Elliptical + Row

20-min elliptical โ†’ 2,000m row ยท Core circuit ยท 20-min stretch

Weekly Schedule

MON
Day 1
Push
TUE
Day 2
Lower
WED
Rest /
Walk
THU
Day 3
Pull
FRI
Day 4
Ell+Row+Core
SAT
Rest /
Active
SUN
Full
Rest

3-day option: Drop Day 2 and run Mon / Thu / Fri โ€” or drop Day 3 and run Mon / Tue / Fri. Friday always stays as row + core + stretch.

๐Ÿšด Cardio Guide

๐Ÿ” Elliptical
Primary โ€” Days 1, 2, 3
20 min moderate
๐Ÿšฃ 2,000m Row
Friday only โ€” after elliptical
500m easy โ†’ 1,500m at pace
๐Ÿ’จ Air Bike
Optional 5-min finisher
Days 1, 2, or 3 only
๐Ÿ”๏ธ Stair Master
Optional 5-min finisher
Days 1, 2, or 3 only

Elliptical protocol (all days): 3 min easy โ†’ 14 min moderate (resistance 7โ€“10, cadence 130โ€“145 SPM) โ†’ 3 min cooldown. Always first โ€” including Friday.
Row protocol (Friday only, after elliptical): 500m easy warm-up โ†’ 1,500m at 24โ€“26 strokes/min, RPE 6โ€“7. Engage legs on the drive.
Optional finisher (Days 1โ€“3 only): 5 min max effort on air bike or steady climb on stair master โ€” added after the last strength exercise if energy allows. Never on Friday.

โš ๏ธ Active Modifications

๐ŸŽฏ Training Principles

๐Ÿ’ช Day 1 โ€” Push

Chest ยท Shoulders ยท Triceps
MachineProtocolNotes
Elliptical3 easy โ†’ 14 moderate (res. 7โ€“10) โ†’ 3 cooldownUse arm handles to warm up shoulder
Optional 5-min finisher after strength: Air bike (max effort intervals) or stair master (steady climb). Add only if energy allows.
#ExerciseSets ร— RepsMusclesEquipment
1 Low-Incline Dumbbell Press Shoulder-Safe
Bench at 20โ€“30ยฐ. Neutral grip preferred. Full stretch at bottom, do not lock out at top.
4 ร— 8โ€“10 ChestAnt. DeltTriceps Bench + DBs
2 Cable Chest Fly (Mid-Height)
Cables at chest height. Arms slightly bent, wide arc inward. Squeeze chest at center.
3 ร— 12 PectoralsAnt. Delt Cable Crossover
3 Machine Overhead Press Specific Machines Only
Use the 1โ€“2 machines at your gym that feel comfortable for the left shoulder. Press to full extension, lower controlled. If anterior shoulder pain occurs on either machine, revert to landmine press.
3 ร— 10โ€“12 DeltoidsTricepsUpper Traps Overhead Press Machine
4 Cable Lateral Raise
Single arm. Cable at floor. Raise to shoulder height only โ€” no higher. Slight forward lean. Isolates lateral deltoid without overhead stress.
3 ร— 15 ea. Lat. Deltoid Low Cable Pulley
5 Triple-Grip Cable Tricep Drop Set No Overhead โ€” Shoulder-Safe
3 full drop sets. No rest between grips โ€” drop the weight immediately and switch attachment/grip. Rest 90โ€“120 sec between drop sets. Use high cable pulley throughout.
Grip 1Palm Down (Pronated) โ€” straight bar or EZ bar outer grip. Start at your heaviest working weight. 8โ€“10 reps.
โ†“ Drop 20โ€“25%
Grip 2Palm Neutral โ€” rope attachment, hands parallel (thumbs up). 10โ€“12 reps.
โ†“ Drop 20โ€“25%
Grip 3Palm Up (Supinated) โ€” straight bar, underhand/reverse grip. 12โ€“15 reps.
3 drop sets All 3 Tricep HeadsMedialLateralLong Head High Cable + Straight Bar + Rope
Tricep drop set tip: Have both attachments (straight bar and rope) staged on the cable before starting. The transition between grips should take under 10 seconds โ€” the no-rest protocol is what makes this effective. Grip 1 (palm down) is your heavy anchor; by Grip 3 (palm up) you should be near failure at 15 reps.
Left Shoulder Watch: Sharp pain (not muscle burn) in the front or top of the left shoulder during pressing = stop that movement. Monitor how the machine overhead press feels at the left shoulder specifically.

๐Ÿฆต Day 2 โ€” Lower Body

Quads ยท Hamstrings ยท Glutes ยท Calves
MachineProtocolNotes
EllipticalStandard 20-min protocolLow-impact warm-up โ€” good for knees before heavy leg work. Row is saved for Friday.
Optional 5-min finisher after strength: Air bike or stair master. Stair master is particularly complementary after leg day for active quad/glute flush.
#ExerciseSets ร— RepsMusclesEquipment
1 Barbell Back Squat
High or low bar โ€” your preference. Feet shoulder-width, toes slightly out. Squat to comfortable depth โ€” parallel or below if knees tolerate. Chest up, knees track over toes. Drive through full foot.
4 ร— 8โ€“10 QuadsGlutesHamstringsCore Squat Rack
2 Romanian Deadlift (Barbell)
Soft knee bend, hinge at hips, bar slides down thighs. Feel hamstring stretch at the bottom. Drive hips forward to return. Neutral spine throughout. Posterior chain counterbalance to the squat.
3 ร— 10 HamstringsGlutesLower Back Barbell
3 Leg Press
Feet shoulder-width on platform. Knee flexion to 90โ€“110ยฐ. Heels drive the push. Do not lock knees at top. Foot position: low = more quad, high = more glute.
3 ร— 12 QuadsGlutesHamstrings Leg Press Machine
4 Dumbbell Split Squat
Rear foot on bench (Bulgarian) or flat on floor. Front foot forward enough that shin stays vertical at bottom. Lower rear knee toward floor. Drive up through front heel. Swap for walking lunges every 2โ€“3 weeks for variety.
3 ร— 10 ea. QuadsGlutesHip Flexors DBs + Bench
5 Seated Leg Curl
Full ROM. Pause at full contraction. 3-second eccentric on the return. Seated preferred over lying for knee comfort.
3 ร— 12 Hamstrings Seated Leg Curl
6 Standing Calf Raise
Deep stretch at bottom, full rise at top. Slow and controlled. Calf strength supports knee joint stability.
4 ร— 15โ€“20 GastrocnemiusSoleus Calf Raise Machine

If pressed for time: Prioritize squat, RDL, and split squat. Leg curl and calves can be shortened or moved to Day 4.

Day 2 Tip: Walking lunges can swap in for split squats on any week โ€” same load and sets. Split squats give more stability; walking lunges add balance challenge. Rotate every 2โ€“3 weeks to keep adaptation fresh.
Knee Watch: Monitor both knees for swelling or increased stiffness within 4โ€“6 hours post-session. If one knee responds worse, reduce depth on that side before reducing load. Lateral knee pain during leg press = widen stance slightly.

๐Ÿ”™ Day 3 โ€” Pull

Back ยท Biceps ยท Rear Delts ยท Rotator Cuff
MachineProtocolNotes
EllipticalStandard 20-min protocolUse arm handles to pre-activate pulling muscles before strength work
Optional 5-min finisher after strength: Air bike (shoulder-friendly at moderate pace) or stair master. Skip if shoulders feel fatigued.
#ExerciseSets ร— RepsMusclesEquipment
1 Seated Cable Row (Neutral Grip)
V-bar or close-grip handle. Pull to lower chest/upper abdomen. Elbows drive back. Full stretch at front, full squeeze at back.
4 ร— 10 Mid BackRhomboidsLatsBiceps Low Cable Pulley
2 Lat Pulldown (Neutral or Wide Grip)
Lean back 10โ€“15ยฐ. Pull to upper chest โ€” not behind the neck. Elbows drive down and back. Neutral grip (parallel bar) reduces shoulder stress.
4 ร— 10 Latissimus DorsiTeres MajorBiceps Lat Pulldown Station
3 Chest-Supported Machine Row
Chest fully against pad โ€” eliminates lumbar loading. Retract shoulder blades before pulling. Full range of motion.
3 ร— 12 Upper BackRear DeltsTraps Chest-Supported Row
4 Cable Face Pull Rotator Cuff Priority
Rope at eye level. Pull to forehead โ€” elbows high and wide, finishing in "double bicep" position. Most important exercise for left shoulder long-term health. Control over load.
3 ร— 15โ€“20 Rear DeltInfraspinatusTeres MinorMid Traps High Cable + Rope
5 Rear Delt Fly (Machine or Cable)
Reverse pec deck setting, or cross-body cable pulls at shoulder height. Slight elbow bend. Focus on squeezing back of shoulder โ€” not traps.
3 ร— 15 Posterior DeltoidRhomboids Pec Deck (Reverse) or Cables
6 EZ-Bar Curl
Elbows pinned at sides. Full extension at bottom, full squeeze at top. EZ bar reduces wrist stress vs. straight bar.
3 ร— 10โ€“12 Biceps BrachiiBrachialis EZ-Bar
7 Hammer Curl (Dumbbell)
Neutral grip (thumbs up). Builds brachialis and brachioradialis โ€” arm thickness and forearm strength.
3 ร— 12 BrachialisBrachioradialis Dumbbells
Day 3 Tip: Face pulls are the single most important exercise in this plan for your left shoulder's long-term health. External rotators and rear delts are typically undertrained relative to pressing muscles. 15โ€“20 reps, moderate weight, full control.

๐ŸŒ€ Day 4 โ€” Friday: Full Body + Core + Stretch

~80 min ยท Elliptical โ†’ Row ยท Lighter loads ยท Core circuit ยท 20-min stretch
OrderMachineProtocolNotes
1stEllipticalStandard 20-min protocol (res. 7โ€“10, 130โ€“145 SPM)Always first โ€” non-negotiable. Full warm-up before any other work.
2nd2,000m Row500m easy โ†’ 1,500m at 24โ€“26 s/min, RPE 6โ€“7Friday addition after the elliptical. Engages the full posterior chain โ€” legs on the drive, not just arms. No air bike or stair master on Friday.
#ExerciseSets ร— RepsMusclesEquipment
1 Romanian Deadlift
70โ€“75% of Day 2 load. Same technique. Focus on form and mind-muscle connection rather than load. Recovery-promoting, not a PR day.
3 ร— 10 HamstringsGlutes Barbell or DBs
2 Neutral-Grip Cable Chest Press Shoulder-Safe
Cables at mid-chest height. Press forward and slightly together. Very shoulder-friendly pressing pattern. Or use machine chest press at low incline.
3 ร— 12 ChestTriceps Cable Crossover or Machine
3 Single-Arm Dumbbell Row
Knee and hand on bench. Row dumbbell to hip โ€” not shoulder. Elbow drives back and up. Full stretch at bottom. Good for addressing side-to-side asymmetries.
3 ร— 12 ea. LatsMid BackBiceps Dumbbell + Bench
4 Goblet Squat or Leg Press
Goblet squat: dumbbell at chest, squat to full depth โ€” form reinforcer, easy on lower back. OR leg press at 90โ€“110ยฐ ROM, 70% of Day 2 load. Choose based on how knees felt earlier this week.
3 ร— 12โ€“15 QuadsGlutes Dumbbell OR Leg Press
#ExerciseReps / TimeTargetCue
1Dead Bug10 ea. sideDeep CoreTVAOpposite arm/leg lowers slowly. Low back stays pressed to mat. Exhale each rep.
2Plank Hold45โ€“60 secAnti-ExtensionForearms. Posterior pelvic tilt. Don't let hips sag or pike.
3Pallof Press (Cable)12 ea. sideAnti-RotationObliquesCable at chest. Press out, hold 1 sec, return. Body does not rotate.
4Cable Woodchop (High to Low)12 ea. sideObliquesRotationCable high. Rotate diagonally down. Arms fairly straight. Pivot rear foot.
5Bird Dog10 ea. sideLumbar StabilizersOpposite arm + leg. Hold 2 sec. Spine stays neutral throughout.
6Side Plank30โ€“45 sec ea.Lateral CoreQLForearm on mat, hips stacked off the floor.
Lower Body โ€” ~10 minHips ยท Hamstrings ยท Quads ยท Calves
Kneeling Hip Flexor Stretch
โฑ 60 sec each side
Lunge position, back knee on mat. Shift hips forward. Squeeze rear glute. Reach arm up for deeper stretch.
Supine Hamstring Stretch
โฑ 60 sec each side
Lying on back. Pull leg toward ceiling with strap or belt. Keep opposite leg flat. Dorsiflex foot (toes toward you) for sciatic nerve floss option.
Figure-4 Piriformis Stretch
โฑ 60 sec each side
Lying on back. Cross ankle over opposite thigh. Pull lower thigh toward chest. Feel deep in the hip/glute. Key for knee tracking.
Standing Quad Stretch
โฑ 45 sec each side
Stand on one leg, pull heel to glute. Keep knees together, pelvis neutral. Use wall for balance if needed.
Calf / Achilles (2 positions)
โฑ 45 sec each side
Straight leg (gastrocnemius) then bent knee (soleus). Tight calves alter patellar tracking โ€” both positions matter.
Seated Groin / Adductor
โฑ 45 sec
Soles of feet together (butterfly). Elbows gently press inner thighs. Lean forward from hips, not spine.
Upper Body + Shoulder โ€” ~6 minLeft shoulder priority
Cross-Body Shoulder Stretch
โฑ 60 sec each side (hold left longer)
Pull arm across chest at shoulder height. Other hand at elbow โ€” not wrist. Feel posterior capsule stretch. Don't shrug.
Doorway / Cable Chest Stretch
โฑ 60 sec
Arms at 90ยฐ against doorframe or holding cable behind you. Step forward until chest opens. Keeps pectorals from pulling shoulder forward.
Lat Stretch
โฑ 45 sec each side
Grab a fixed bar or cable machine with one hand. Let body hang or lean away. Feel the full length of the lat.
Neck Side-Tilt + Rotation
โฑ 30 sec each direction
Slow, controlled tilts and rotations. Stop if any tingling or radicular pain.
Spine + Total Body โ€” ~4 minDecompress ยท Mobilize ยท Recover
Thoracic Extension (Foam Roller)
โฑ 60โ€“90 sec
Roller perpendicular to spine at mid-back. Support head, arms crossed. Extend gently. Walk up 2โ€“3 positions. Do NOT roll the lumbar spine.
Cat-Cow
โฑ 10 slow cycles
Hands and knees. Arch up (cat), drop belly and lift head (cow). Breathe in on cow, out on cat. Resets spinal neutral.
Child's Pose
โฑ 60 sec
Knees wide, arms extended forward, forehead to mat. Breathe deeply. Decompresses lumbar spine. Best single cooldown exercise.
90/90 Hip Stretch
โฑ 60 sec each side
Sit with front and back legs each at 90ยฐ. Lean gently over front shin. Excellent for hip internal/external rotation. Skip if knee position is uncomfortable.
Friday Philosophy: The row warms up the entire posterior chain before lifting. Lighter weights on compounds, thorough core work, and a full stretch protocol all serve one goal โ€” coming back next week healthier. Don't rush the stretch. It's the most undervalued 20 minutes in strength training.
โœ… Phase 1: Weeks 1โ€“3 โ€” Calibrate
  • Week 1 is a calibration week โ€” find working weights at 3โ€“4 reps in reserve
  • Focus on movement quality, especially squat depth and shoulder positions on press
  • Log every weight and rep count โ€” this is your baseline for progressive overload
  • Note any joint pain (not muscle burn) and adjust โ€” substitution may be needed
  • Rest 90โ€“120 sec between compound sets; 75 sec between isolation work
๐Ÿ“ˆ Phase 2: Weeks 4โ€“8 โ€” Progressive Overload
  • Add weight when you complete all sets at top of rep range with 2 reps in reserve: +5 lbs machines / +2.5 lbs dumbbells
  • Add a 4th set to squat and cable row โ€” your two primary compound movers
  • Tricep drop sets: increase the starting (palm-down) weight as grip 3 becomes easy at 15 reps
  • Cardio: increase elliptical resistance by 1โ€“2 levels; target faster 2,000m row split time on Fridays
  • Optional finishers: begin incorporating air bike or stair master on 1โ€“2 days per week
๐Ÿš€ Phase 3: Weeks 9โ€“12 โ€” Strength Focus
  • Shift squat, RDL, and cable row to 5โ€“8 rep range at higher load (3โ€“4 sets); keep accessories at 12โ€“15 reps
  • Consider a deload at Week 10: same movements at 50% load, 2โ€“3 sets โ€” allows connective tissue recovery
  • Left shoulder reassessment: if machine overhead press has been consistently pain-free, cautiously test a light dumbbell OHP as a further progression option
  • Squat progression: if knees have tolerated depth well through Week 8, load more aggressively (+5โ€“10 lbs/week while form holds)
  • After Week 12: evaluate adding a 5th day or splitting upper pull into a dedicated back day

๐Ÿ“Š Signs It's Working

๐Ÿฉบ When to Modify or Pause