When the tendon in the upper biceps, also called the long head of the biceps tendon, becomes inflamed or irritated, the patient may be suffering from what is known as biceps tendonitis.
This condition affects the strong and cord-like tendon that serves as the link between the bicep muscle and the bones in the shoulder.
Patients usually present with pain as well as weakness in the front area of the shoulder. These symptoms can be addressed with biceps tendonitis therapy.
It is also not uncommon to see other shoulder problems when a person experiences biceps tendonitis. These problems include the following:
Arthritis in the joint of the shoulder
Tears in the shoulder socket or glenoid
Dislocation of the shoulder
Diseases that may cause inflammation in the shoulder joint
Age and overuse are the two most common causes of biceps tendonitis.
With years of use, tendons get progressively weaker and may be subject to tears. Overuse can significantly exacerbate this weakness and increase the likelihood of developing biceps tendonitis, especially when the same shoulder motions are repeated over and over.
A lot of jobs and activities also cause weakness in the shoulder joint. In sports, repetitive overhead motions can heighten the risk of developing biceps tendonitis over time. These motions include activities associated with tennis, baseball, swimming, and several others.
Such repetitive overhead motions not only increase the chances of an inflamed shoulder joint, they can also cause rotator cuff tears, chronic shoulder instability, and osteoarthritis.
The following symptoms are most commonly associated with biceps tendonitis:
Pain or discomfort along the entire arm bone
Occasional snapping sensations or sounds coming from the shoulder area
Tenderness or pain in the area in front of the shoulder that gets noticeably worse when the individual does overhead lifting or motions
Rest – Doctors may advise patients to first limit or completely avoid activities that cause pain.
Nonsteroidal anti-inflammatory medicines – Over-the-counter drugs like ibuprofen or naproxen are recommended to alleviate swelling and pain.
Steroid injections – Cortisone injections are usually recommended by doctors as powerful anti-inflammatory treatment. To learn more about the effectiveness of cortisone injections click here.
Repair surgery – In rare cases, the area where the biceps tendon attaches to the glenoid or shoulder socket can be repaired through surgery.
Biceps tenodesis – This is done by removing the painful part of the biceps tendon and reattaching the remaining tendon to the humerus or upper arm bone.
Tenotomy – When the damage to the tendon is too severe for the first two surgical options, doctors may recommend releasing the biceps tendon from its attachment to the glenoid completely.
Although this is not as invasive as the other two procedures, it can cause a Popeye bulge in the arm.
Traditional treatments for biceps tendonitis do not always work. Non-surgical options may alleviate pain for a time but symptoms may recur. Surgical options, on the other hand, are invasive and also do not guarantee lasting relief.
Steroid injections, for example, can cause more weakness to the injured joint. The tenotomy procedure, although not as invasive as the other two surgical options, can cause an unusual or Popeye bulge in the upper arm.
Instead of these uncertain traditional treatments that only aim to relieve pain and other symptoms, we recommend The Superior Method wherein the root cause of the condition is first identified in order to find a lasting solution.
Coined by our own Dr. Andrew Gorecki, the Superior Method addresses the root cause of the tendonitis to make sure that pain is eliminated and does not recur. We offer the following treatment options:
The most important element of healing is identifying the cause. The cause is a movement disorder somewhere else in the body that is creating more stress in the injured area than the tissue can handle. A full body movement assessment is the most important aspect in finding the true cause. This involves assessing how mobile and stable the areas above and below the injured tissues are. Once the dysfunctional areas are identified the physical therapist can then prescribe home treatments to fix the problem areas.
In order to improve motion in the dysfunctional areas that are causing the increased stress on the painful injured tissues the most effect way to make a change in the body is to have a physical therapist use their hands to facilitate the proper motion while you are moving at the same time. This helps improve the path the body takes in order to reduce stress and tenson on the injured area.
Using mechanical vibrations that seep into the muscle tissue, blood flow, tissue regeneration, and lymphatic flow are all improved. They also improve the lactic acid cycle, which can be a common cause of pain.
Find out which of these treatment options will get you lasting relief from your biceps tendonitis. Get into a 15-min call with Dr. Gorecki. He has helped countless patients in the last 15 years using the Superior Method of identifying the underlying cause of pain and addressing it with therapy.
To learn even more about Shoulder Problems click here.