Bicep Tendonitis
Definition
Biceps tendonitis is an inflammation of the long head of the biceps tendon, as well as its paratendon (the sheath surrounding the tendon). It often occurs as a result of overuse or chronic "wear and tear". Overuse can cause microscopic tears to form in the tendon. These tears trigger an inflammatory response, which causes pain.
Mechanism of Injury
As mentioned above this condition often occurs as a result of overuse. It can be caused by excessive overhead motions such as throwing or swimming. With these types of activities, there is excessive wear on the tendon, but other factors may contribute to the problem.
Symptoms
Pain related to biceps tendonitis is usually felt over the front of the shoulder, often with some radiation to, but not usually beyond, the elbow. Typically, the pain is aggravated by overhead activity and is worse at night. People may report a clicking or popping sensation in the affected shoulder.
Physical Therapy Intervention
Rec Center Physical Therapy can be the first line of defense for those suffering from biceps tendonitis which is usually treated conservatively. Treatment may include stretches, strengthening exercises, anti-inflammatory medications, rest or activity modification, and/or heat/cold therapy. In some cases a cortisone injection may be required to help decrease the pain and inflammation. Doctors and physical therapists that deal with people who have biceps tendonitis can help outline a treatment program.