Comprehensive Guide to Bicep Tendonitis: Symptoms, Treatment, and Prevention

Bicep tendonitis, also known as biceps tendonitis, is a common condition that affects the tendons connecting the biceps muscle to the shoulder and the elbow. In this blog, we will focus on biceps tendonitis at the shoulder. Look for a future post discussing biceps tendonitis at the elbow. Considering the biceps contribute to 10% of the total power in the shoulder, maintaining their health is crucial for overall arm strength and stability during daily activities and sports. This guide will provide an in-depth look at bicep tendonitis of the shoulder, including its symptoms, causes, treatment options, and prevention strategies. Whether dealing with this condition or looking to avoid it, this comprehensive guide will provide valuable insights and tips.

Understanding Bicep Tendonitis

Bicep tendonitis occurs when the tendons that attach the biceps muscle to the shoulder become inflamed or begin to degenerate. These changes can result from repetitive motions, overuse, or sudden injuries. The biceps tendons are crucial for the movement and stability of the shoulder, making their health vital for overall shoulder function.

Symptoms of Bicep Tendonitis

Recognizing the symptoms of bicep tendonitis is essential for early diagnosis and treatment. Common symptoms include:

• Pain and Tenderness: Pain often starts in the front of the shoulder joint and may radiate down the arm. Tenderness around the tendon is also common.
• Weakness: You may experience weakness in the affected arm, especially when lifting or rotating the arm.
• Swelling: Inflammation can cause swelling in front of the shoulder joint.
• Clicking, Popping, or Snapping: You might hear these sounds when moving your shoulder.
• Limited Range of Shoulder Motion: Stiffness and reduced range of motion can occur due to shoulder pain and swelling.

Causes of Bicep Tendonitis

Several factors can contribute to the development of bicep tendonitis:

• Overuse: Repetitive movements, especially overhead motions like throwing or lifting, can strain the biceps tendons.
• Age: Tendons naturally weaken with age, making older individuals more susceptible.
• Injury: Sudden trauma, such as a fall or direct blow to the shoulder, can cause tendon damage.
• Poor Posture: Incorrect posture, particularly during activities that involve arm movement, can lead to tendon strain.
• Medical History: Previous injuries, conditions such as arthritis, or a history of tendonitis can increase the likelihood of developing bicep tendonitis.

Treatment Options for Bicep Tendonitis

Treatment of biceps tendonitis typically involves a combination of nonsurgical treatments, such as rest and physical therapy. In some cases, medical interventions may be advised. Here’s how to treat bicep tendonitis effectively:

1. Rest and Ice: Resting the affected shoulder and applying a cold pack can help reduce inflammation and pain.
2. Physical Therapy: A physical therapist can provide exercises to strengthen the muscles around the shoulder, improving flexibility and reducing strain on the affected tendons.
3. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help offer pain relief and reduce inflammation.
4. Corticosteroid Injections: In some cases, steroid injections may be recommended to reduce severe inflammation.
5. Surgery: Surgical treatment may be necessary for severe cases if initial treatment does not resolve the issue. Surgery may be advised for isolated tendonitis, as well as with symptomatic degenerative or traumatic biceps tendon tears. Surgery can resolve symptoms and restore function.

Prevention Strategies for Bicep Tendonitis

Preventing bicep tendonitis involves adopting habits that reduce the risk of tendon strain and biceps tendon injury. Here are some effective strategies:

• Proper Technique: Ensure you use the correct technique during activities that involve shoulder movements, especially in sports and exercise.
• Strengthening Exercises: Incorporate exercises that strengthen the muscles around the shoulder to support the tendons.
• Warm-Up and Stretch: Always warm up before engaging in physical activity and stretch the muscles and tendons to improve flexibility.
• Gradual Progression: Increase the intensity and duration of activities gradually to avoid overuse injuries. Refrain from lifting heavy objects until your tendons have had time to adapt and strengthen.

Managing Bicep Tendonitis

Living with bicep tendonitis can be challenging, but there are ways to manage the condition effectively. One common question is “Can I still work out with a torn bicep tendon?” It’s crucial to consult with a healthcare professional, such as a sports medicine specialist, before continuing any physical activity. Sports medicine doctors can guide safe exercises and modifications to avoid further injury.

Additionally, knowing how to sleep with bicep tendonitis can make a significant difference in managing pain. Try sleeping on your back with the head of the bed elevated. You may also try sleeping with a pillow under your arm for support.

Feel Better. Move Better. Be Better

Bicep tendonitis is a manageable condition with the right approach to treatment and prevention. By recognizing the symptoms early, seeking appropriate treatment from your healthcare provider, and adopting preventive measures, you can maintain healthy biceps tendons and avoid future complications.

If you’re experiencing symptoms of bicep tendonitis, don’t hesitate to book an appointment with our orthopedic surgeons at Town Center Orthopaedics. We’re here to help you safely and effectively return to your active lifestyle.