Shoulder pain? You could be suffering from Biceps Tendonitis

Long head of biceps tendonitis is an inflammation or irritation of the upper biceps tendon. This strong, cord-like structure connects the upper end of the biceps muscle to the bones in the shoulder. Pain in the front of the shoulder and weakness are common symptoms of biceps tendonitis. They can often be relieved with rest and medication. In some cases, surgery is necessary to repair the tendon. The biceps tendons attach the biceps muscle to the shoulder.


Biceps tendonitis is inflammation of the long head of the biceps tendon. Biceps tendonitis usually occurs along with other shoulder problems. In most cases, there is also damage to the rotator cuff tendon. Other problems that often accompany biceps tendonitis include:

  • Arthritis of the shoulder joint
  • Tears in the glenoid labrum
  • Chronic shoulder instability
  • Shoulder impingement syndrome

Biceps tendonitis causes the tendon to become red and swollen.



In most cases, damage to the biceps tendon is due to a lifetime of overhead activities. As we age, our tendons slowly weaken with everyday wear and tear. This degeneration can be worsened by overuse — repeating the same shoulder motions again and again.

Swimming, tennis, and baseball are some sports examples of repetitive overhead activities. Many jobs and routine chores can cause overuse damage as well.

Repetitive overhead motion plays a part in other shoulder problems that occur with biceps tendonitis. Rotator cuff tears, osteoarthritis, and chronic shoulder instability are often caused by overuse.


  • Pain or tenderness in the front of the shoulder, which worsens with overhead lifting or activity
  • Pain or achiness that moves down the upper arm bone
  • An occasional snapping sound or sensation in the shoulder



After discussing your symptoms and medical history, your doctor will examine your shoulder. During the examination, your doctor will assess your shoulder for range of motion, strength, and signs of shoulder instability. In addition, he or she will perform specific physical examination tests to check the function of your biceps.

X-rays – Although they only visualize bones, x-rays may show other problems in your shoulder joint.

Magnetic resonance imaging (MRI) and ultrasound – These studies can create better images of soft tissues like the biceps tendon.



Chiropractic and Physical Therapy – Since biceps tendonitis rarely presents as a single entity a Chiropractor will perform a total shoulder and spinal examination to check for all weakness and tenderness in the shoulder muscles and tendons. Your Chiropractor may use Laser, Ultrasound, Deep Friction Massage, Trigger Point Therapy and spinal adjustments to treat the Kinematic chain which leads to Biceps Tendonitis.

Kinesio Tape – Chiropractors often use Kinesio Tape to treat patients suffering from Biceps Tendonitis with good results. When applied correctly by a Chiropractor or Physiotherapist this unique tape can help the body’s natural healing process while allowing support and stability to muscles and joints without restricting the body’s range of motion.

Rest – The first step toward recovery is to avoid overhead activity.

Ice – Apply cold packs for 15 minutes at a time, several times a day, to keep swelling down. Do not apply ice directly to the skin (use a thin cloth).


Surgical Treatment

If your condition does not improve with Chiropractic and Physio treatment, your doctor may refer you to an Orthopaedic Surgeon. Surgery may also be necessary if you have other shoulder problems. Surgery for biceps tendonitis is usually performed arthroscopically. During arthroscopy, your doctor makes small incisions around your shoulder. He or she then inserts a small camera and miniature instruments through the incisions. This allows your doctor to assess the condition of the biceps tendon as well as other structures in the shoulder.



After surgery, your doctor will prescribe a rehabilitation plan based on the procedures performed. You may wear a sling for a few weeks to protect the tendon repair.


Visit: where you can book an online appointment or call us on 043481166.


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