Bicep tendonitis is an inflammation or irritation of the tendon that connects the bicep muscle to the shoulder or elbow. It's a common condition that can cause pain, tenderness, and reduced function.
Where Does It Hurt?
Bicep tendonitis most commonly affects one of two areas:
- Proximal bicep tendonitis — pain at the front of the shoulder, where the long head of the bicep tendon attaches to the labrum
- Distal bicep tendonitis — pain near the elbow, where the bicep tendon attaches to the forearm
What Causes It?
Bicep tendonitis is typically an overuse injury. It can result from repetitive overhead motions, heavy lifting, or sports that place repeated stress on the bicep tendon. It can also be related to shoulder impingement, where the tendon gets compressed under other structures.
How to Distinguish It From Other Injuries
Bicep tendonitis is often confused with rotator cuff injuries or labral tears. A thorough evaluation by a physical therapist can help determine the true source of pain through specific clinical tests.
Treatment Approach
Treatment typically involves a period of activity modification, followed by progressive loading of the tendon. We also address any underlying movement dysfunctions that may be contributing to the problem — such as poor scapular control, shoulder mobility deficits, or posture issues.
— Dr. Caleb