Biceps tendonitis is the inflammation of the biceps tendon, the tissue that connects muscle to bone in your upper arm. It causes pain in the upper arm and shoulder. It is more common in men in the age group of 40 to 60 years, and occurs during many sports activities such as tennis, baseball, weightlifting and kayaking, where overhead movement is involved.
Two separate tendons or heads in the upper arm, the long head and short head, converge to form a single muscle called the biceps muscle. It helps in the bending of the hand at the elbow. The long head passes through the shoulder joint and into the bicipital groove, which is a depression in the arm bone. When the tendon get inflamed due to stress or injury, as seen in bicipital tendinitis, it rubs against the joint or groove, causing pain.
The common causes of bicipital tendonitis include overuse of the arm and shoulder, especially in sports, inflammatory diseases like bursitis or arthritis, injury or infection.
Bicipital tendinitis is characterized by pain in the shoulder, which may travel to the forearm, tenderness at the region where the biceps contacts the shoulder, reduced shoulder movement, and a bulge in the biceps if a tendon ruptures.
On presenting with shoulder pain, your doctor will conduct a thorough examination of your shoulder to identify the site of inflammation and the movements that cause pain. X-rays and MRI scan may be suggested to confirm on the diagnosis.
First line treatment options include rest, ice, compression and elevation (R.I.C.E.) and Non-steroidal anti-inflammatory drugs (NSAIDs) to bring down the inflammation and pain. Your arm may be placed in a sling for comfort. Alternatively, an anesthetic and steroid is injected in your shoulder.
If conservative treatment does not provide relief, surgery is performed. Through surgery, the inflamed tissue can be removed (biceps debridement), the long head of the tendon can be cut so that it does not rub against the joint and groove (biceps tenotomy), or the tendon can be cut and reattached lower down the arm (biceps tenodesis).
Bicipital tendonitis can be prevented by modifying overhead hand activities with guidance from a physiotherapist.
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Houston Shoulder Specialists
Advanced Orthopedics and sports medicine has numerous Board Certified/Eligible physicians who are thoroughly educated in the latest treatment techniques both surgical and conservative. They are well versed in advances in shoulder treatments including arthroscopic rotator cuff and Bankart repairs, shoulder stabilization procedures, total shoulder replacement and reverse shoulder replacement.
Drs Elbaz and Brooks now perform Platelet-Rich Plasma (PRP) injections for the treatment of rotator cuff tendinitis, and biciptal tendonitis. PRP stimulates a more rapid healing of tendon, ligament, muscle and bone.
Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Shoulder Treatment options.
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Thank you for the opportunity to express how pleased I am with the excellent care of Stacy A. Bacon, M.D. I have confidence in her ability to care for me as she successfully partially replaced a broken hip 10 years ago, 2007. I also want to compliment Cheryl who set up the appointment. She represents Advanced Orthopaedics & Sports Medicine very well.
It’s been over 8 years since Dr. Bacon replaced by right ankle. I still can’t thank her enough for the years of pain free walking I have done since! And I’m still going strong! I had numerous breaks in my ankle due an auto accident, repaired/set by a different doctor, after multiple surgery’s, I was still limping, in great pain every day. Then I found Dr. Bacon, now, no more pain, NONE, and no more limping after this ankle replacement. I rave about her constantly and would recommend her to anyone who has a foot or ankle issue
I had been in so much pain with my back for years. It got so bad that I knew I had to do something. I went to Dr Mohr for help. I was so afraid to have spine surgery as I had heard so many horror stories. He and his staff were very informative. I was amazed at the new technology in spinal surgery. December 8, 2016 I had rods and pins put in my back. I am so happy I did now. I am healing really fast and the pain is going away as my body heals. Thank you Dr Mohr for you expertise and sensitive nature. You were understanding about my fear and helped assure me so I could receive the help I needed. You are an excellent Doctor.