Biceps Tendonitis

11 min read

Biceps tendonitis is a condition that occurs when the biceps tendon becomes inflamed or irritated. The biceps tendon is a strong band of tissue that connects the biceps muscle to the shoulder joint. Biceps tendonitis can be caused by repetitive motions, such as lifting heavy objects, or by an injury to the shoulder joint. It is a common condition that can cause pain and discomfort in the shoulder and upper arm.

Causes of Biceps Tendonitis

Biceps tendonitis is usually caused by repetitive motions that put strain on the biceps tendon. This can include activities such as lifting heavy objects, throwing a ball, or using a hammer. It can also be caused by an injury to the shoulder joint, such as a dislocation or fracture. In some cases, biceps tendonitis can be caused by an underlying medical condition, such as arthritis or gout.

Diagnosis of Biceps Tendonitis

Biceps tendonitis is usually diagnosed by a physical examination. Your doctor will ask about your symptoms and medical history, and will examine your shoulder and upper arm. They may also order imaging tests, such as an X-ray or MRI, to look for any signs of injury or damage to the biceps tendon.

Prevention of Biceps Tendonitis

The best way to prevent biceps tendonitis is to avoid activities that put strain on the biceps tendon. If you must do activities that involve repetitive motions, make sure to take frequent breaks and use proper form. It is also important to warm up before any physical activity, and to stretch afterwards. Wearing supportive braces or splints can also help to reduce the risk of biceps tendonitis.

Symptoms

What Causes Biceps Tendonitis?

Biceps tendonitis is usually caused by overuse or repetitive motions of the arm. This can include activities such as throwing, lifting, or swimming. It can also be caused by a sudden injury, such as a fall or a direct blow to the shoulder. Other factors that can increase the risk of developing biceps tendonitis include age, poor posture, and weak shoulder muscles.

How is Biceps Tendonitis Diagnosed?

Biceps tendonitis is usually diagnosed through a physical examination. Your doctor will ask about your symptoms and medical history, and may also perform tests such as an X-ray or MRI to rule out other conditions. Your doctor may also order blood tests to check for inflammation.

How is Biceps Tendonitis Treated?

Treatment for biceps tendonitis usually involves rest, ice, and anti-inflammatory medications. Your doctor may also recommend physical therapy to help strengthen the muscles and tendons in the shoulder. In some cases, surgery may be necessary to repair the tendon.

Take the Biceps Tendonitis Assessment

Causes

Overuse

One of the most common causes of biceps tendonitis is overuse. This occurs when the biceps tendon is repeatedly strained, often due to repetitive motions such as throwing a ball or lifting weights. Over time, this can cause the tendon to become inflamed and painful.

Age

Age is another factor that can increase the risk of developing biceps tendonitis. As people age, their tendons become less flexible and more prone to injury. This can make them more susceptible to overuse injuries, such as biceps tendonitis.

Injury

Injury is another potential cause of biceps tendonitis. A direct blow to the shoulder or arm can cause the tendon to become inflamed and painful. This is especially common in contact sports, such as football and rugby.

Poor Posture

Poor posture can also increase the risk of developing biceps tendonitis. When the shoulders are rounded or hunched forward, the biceps tendon is placed under increased strain. Over time, this can lead to inflammation and pain.

Tight Muscles

Tight muscles can also increase the risk of developing biceps tendonitis. When the muscles around the shoulder are tight, they can put extra strain on the biceps tendon, leading to inflammation and pain.

Getting a Diagnosis

Physical Examination

The first step in diagnosing biceps tendonitis is a physical examination. During the exam, your doctor will check for tenderness, swelling, and pain in the shoulder and upper arm. They may also check your range of motion and strength in the affected area. Your doctor may also ask you to perform certain movements to assess your condition.

Imaging Tests

Imaging tests such as X-rays, MRIs, and ultrasounds can be used to diagnose biceps tendonitis. X-rays can help to rule out other conditions such as fractures or arthritis. MRIs can provide detailed images of the soft tissues in the shoulder, while ultrasounds can help to detect any fluid buildup in the area.

Blood Tests

Blood tests can be used to check for inflammation in the body. An elevated white blood cell count can indicate inflammation, which can help to confirm a diagnosis of biceps tendonitis. Your doctor may also order other tests to rule out other conditions.

Treatment

Once biceps tendonitis is diagnosed, treatment can begin. Treatment typically includes rest, ice, and anti-inflammatory medications. Physical therapy can also be used to help strengthen the muscles and tendons in the shoulder and upper arm. In some cases, surgery may be necessary to repair the damaged tendon.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor in detail. Be sure to mention any pain, swelling, or tenderness in the shoulder or elbow. Also, let your doctor know if you have difficulty moving your arm or if you experience any numbness or tingling in the affected area.

Medical History

Your doctor will want to know about your medical history, including any previous injuries or surgeries. Also, let your doctor know if you have any other medical conditions that could be contributing to your symptoms.

Treatment Options

Your doctor will discuss treatment options with you. These may include rest, physical therapy, medications, or surgery. Your doctor will help you decide which treatment option is best for you.

Follow-up Care

Your doctor will likely recommend follow-up care to monitor your progress. This may include regular check-ups, physical therapy, or other treatments. Be sure to ask your doctor any questions you have about follow-up care.

Prevention

Your doctor may also discuss ways to prevent biceps tendonitis. This may include stretching and strengthening exercises, avoiding activities that put strain on the shoulder or elbow, and using proper form when lifting weights. Be sure to ask your doctor any questions you have about prevention.

Treatment

Rest

Rest is one of the most important treatments for biceps tendonitis. It is important to give the tendon time to heal and to avoid activities that may aggravate the condition. This may mean taking a break from sports or other activities that involve repetitive motions of the arm.

Ice

Applying ice to the affected area can help reduce inflammation and pain. Ice should be applied for 15-20 minutes at a time, several times a day. It is important to wrap the ice in a towel or cloth to avoid damaging the skin.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs, such as ibuprofen or naproxen, can help reduce inflammation and pain. It is important to follow the instructions on the package and to talk to a doctor before taking any medication.

Physical Therapy

Physical therapy can help strengthen the muscles and tendons in the arm, as well as improve range of motion. A physical therapist can also provide exercises to help reduce pain and improve flexibility. It is important to follow the instructions of the physical therapist to ensure the best results.

Corticosteroid Injections

Corticosteroid injections can be used to reduce inflammation and pain. These injections should only be used as a last resort, as they can cause side effects such as thinning of the skin and weakening of the tendons.

Surgery

In some cases, surgery may be necessary to repair the tendon. Surgery is usually only recommended if other treatments have failed to provide relief. It is important to talk to a doctor to determine if surgery is the best option.

Drugs & Medications

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are the most commonly prescribed medications for biceps tendonitis. They work by reducing inflammation and pain. Commonly prescribed NSAIDs include ibuprofen, naproxen, and aspirin. These medications can be taken orally or applied topically.

Corticosteroids

Corticosteroids are powerful anti-inflammatory medications that can be injected directly into the affected area. They can provide fast relief from pain and inflammation, but they can also have serious side effects, so they should be used with caution. Commonly prescribed corticosteroids include prednisone and methylprednisolone.

Platelet-Rich Plasma (PRP) Injections

PRP injections are a newer treatment for biceps tendonitis. They involve injecting a concentrated solution of platelets and growth factors into the affected area. This can help to reduce inflammation and promote healing. PRP injections are usually done in a series of three to five treatments.

Surgery

In some cases, surgery may be necessary to treat biceps tendonitis. Surgery can involve repairing the tendon or removing the damaged tissue. Surgery is usually only recommended if other treatments have failed to provide relief.

Conclusion

Biceps tendonitis can be a painful and debilitating condition, but it can be treated with rest, physical therapy, and medications. NSAIDs, corticosteroids, PRP injections, and surgery are all potential treatments for biceps tendonitis. Talk to your doctor to determine the best treatment for your condition.

Diet

What to Eat

When you have biceps tendonitis, it is important to eat a diet that is rich in anti-inflammatory foods. These include:

  • Fruits and vegetables, especially those high in antioxidants, such as berries, spinach, and kale
  • Whole grains, such as oats, quinoa, and brown rice
  • Healthy fats, such as olive oil, avocados, and nuts
  • Lean proteins, such as fish, chicken, and beans

It is also important to stay hydrated by drinking plenty of water throughout the day. This will help keep your body hydrated and reduce inflammation.

What to Avoid

When you have biceps tendonitis, it is important to avoid foods that can increase inflammation. These include:

  • Processed foods, such as chips, crackers, and cookies
  • Refined carbohydrates, such as white bread and pasta
  • Sugary drinks, such as soda and juice
  • Red meat and processed meats, such as bacon and sausage
  • Trans fats, such as margarine and shortening

It is also important to avoid alcohol, as it can increase inflammation and slow down the healing process.

Conclusion

Eating a healthy diet is an important part of managing biceps tendonitis. Eating a diet that is rich in anti-inflammatory foods and avoiding foods that can increase inflammation can help reduce pain and promote healing. If you have any questions about what to eat or avoid, it is best to speak to your doctor or a registered dietitian.

Lifestyle

Rest and Ice

Resting the affected arm and applying ice to the area can help reduce inflammation and pain. Try to avoid activities that involve repetitive motions of the shoulder and upper arm. If you must use the arm, take frequent breaks and use ice afterwards. Ice should be applied for 15-20 minutes at a time, several times a day.

Stretching and Strengthening Exercises

Stretching and strengthening exercises can help reduce the symptoms of biceps tendonitis. Stretching exercises should focus on the shoulder and upper arm muscles. Strengthening exercises should focus on the shoulder and upper arm muscles, as well as the core muscles. It is important to start slowly and gradually increase the intensity of the exercises as your strength and flexibility improve.

Posture

Maintaining good posture can help reduce the symptoms of biceps tendonitis. Poor posture can put extra strain on the shoulder and upper arm muscles, leading to increased pain and inflammation. Make sure to sit and stand with your shoulders back and your chest up. Avoid slouching or hunching over.

Ergonomics

Ergonomics is the study of how people interact with their environment. Making sure your workstation is ergonomically correct can help reduce the symptoms of biceps tendonitis. Make sure your chair is at the correct height and your computer monitor is at eye level. If you use a mouse, make sure it is positioned correctly and your wrist is in a neutral position.

Conclusion

Biceps tendonitis can be a painful and debilitating condition. Fortunately, there are several lifestyle changes you can make to help reduce the symptoms. Resting the affected arm, applying ice, stretching and strengthening exercises, maintaining good posture, and making sure your workstation is ergonomically correct can all help reduce the symptoms of biceps tendonitis.