Biceps tendonitis, also known as bicipital tendonitis, refers to the inflammation or irritation of the tendon that connects the biceps muscle to the shoulder. This condition often causes pain, swelling, and limited movement, and can significantly affect your ability to perform daily activities or sports. 

At Palms Physiotherapy & Allied Health, we provide expert diagnosis and tailored treatment plans to help you manage and recover from biceps tendonitis.

Symptoms of Biceps Tendonitis

• Pain in the Front of the Shoulder: Often worsens with overhead movements or lifting.

• Swelling: Visible or palpable swelling in the upper arm or shoulder.

• Weakness: Reduced strength in the shoulder or elbow, especially when lifting or carrying objects.

• Tenderness: Sensitivity when touching the front of the shoulder or upper arm.

• Limited Range of Motion: Difficulty raising the arm or performing overhead tasks.

Causes and Risk Factors

Common Causes

• Overuse: Repetitive overhead motions, such as in swimming, tennis, or weightlifting.

• Aging: Tendons naturally weaken over time, increasing susceptibility to injury.

• Trauma: Direct injury to the shoulder or upper arm, such as a fall or sudden impact.

Risk Factors

• Sports: Activities involving repetitive overhead motions, like baseball or racquet sports.

• Occupation: Jobs that require frequent lifting or overhead work.

• Previous Shoulder Injuries: A history of rotator cuff issues or shoulder dislocations may increase the risk.

Diagnosis of Biceps Tendonitis

To accurately diagnose biceps tendonitis, our physiotherapists will perform:

1. Clinical Examination

   • Assessing the shoulder’s range of motion, strength, and posture.

2. Special Tests

   • Speed’s Test: A movement that helps identify biceps tendon involvement.

   • Yergason’s Test: A test used to assess for biceps tendon instability.

3. Imaging

   • X-rays: To rule out other conditions like arthritis or fractures.

   • MRI: To assess tendon damage, inflammation, or tears.

Treatment Options for Biceps Tendonitis

Conservative Management

1. Rest and Activity Modification

   • Avoid activities that cause pain, particularly overhead or repetitive motions.

2. Ice Therapy

   • Applying ice to reduce swelling and pain.

3. Medications

   • NSAIDs (Nonsteroidal anti-inflammatory drugs) to reduce inflammation and pain.

4. Physiotherapy

   • Stretching and Strengthening Exercises: To restore range of motion and strengthen surrounding muscles.

   • Manual Therapy: Techniques like massage or joint mobilizations to improve shoulder mobility.

   • Eccentric Exercises: To help the tendon heal and strengthen in a controlled manner.

   • Posture and Ergonomics: Education to reduce strain on the shoulder during daily activities.

5. Corticosteroid Injections

   • In cases of persistent inflammation, a corticosteroid injection may help reduce swelling and pain.

Surgical Management

In rare cases, surgery may be required if conservative treatments do not relieve symptoms. Common procedures include:

• Biceps Tenodesis: Reattaching the tendon to a different part of the shoulder.

• Biceps Tenotomy: Cutting the tendon to alleviate pain (this may result in a visible biceps deformity, though function is often preserved).

Rehabilitation at Palms Physiotherapy & Allied Health

Our rehabilitation programs focus on:

• Restoring Shoulder Strength: We help you regain muscle strength and joint function through progressive exercises.

• Pain Management: Tailored exercises and techniques to relieve pain and inflammation.

• Return to Activity: Guidance on safely returning to sports or daily tasks, with a focus on preventing re-injury.

Preventing Biceps Tendonitis

• Warm-Up Properly: Prior to sports or exercise, perform gentle stretches and mobility exercises.

• Strengthen the Rotator Cuff: Regular strengthening exercises for the shoulder muscles can help prevent strain on the biceps tendon.

• Avoid Overhead Movements: Be mindful of posture during activities that involve overhead lifting.

• Use Proper Technique: Ensure correct form during sports or exercise to minimize stress on the shoulder.

Why Choose Palms Physiotherapy & Allied Health?

At Palms Physiotherapy & Allied Health, our team of physiotherapists specializes in the treatment of musculoskeletal conditions, including biceps tendonitis. We provide evidence-based therapies tailored to your needs, ensuring a comprehensive approach to pain relief and recovery.

Australian Resources for Biceps Tendonitis

• Better Health Channel – Tendonitis (Tendinopathy)
  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/tendonitis

• Healthdirect Australia – Shoulder Injuries
  https://www.healthdirect.gov.au/shoulder-injury

• Australian Physiotherapy Association – Shoulder Pain
  https://australian.physio/shoulder-pain

Important disclaimer: This webpage contains general information only and is not intended to be relied upon as personal clinical advice. While we aim to keep information accurate and up to date, it may not reflect the most current research or your individual circumstances. Palms Physiotherapy & Allied Health does not accept liability for decisions made based on this information without an individualised assessment by an appropriately qualified health professional. If you have concerns, please contact us to book an assessment or speak with your GP/medical team.