Bicep Tendinopathy| Tendinitis | Tendinosis

💪🏼Today’s topic of interest is biceps tendinopathy.

🏸Those who perform repetitive overhead activities such as throwing, paddling, racquet sports, or contact sports are more susceptible to this injury.

💢The individual may feel a deep throbbing ache on the front of their shoulder and into the deltoid.

💤 Nocturnal symptoms are common, particularly when sleeping on the affected shoulder.

🔬 Chronic overload of the tendon leads to microscopic tears. With failed healing over the course of 3 months, the tendon begins to degenerate and turns into what we call “ tendinopathy”

✌🏼 There are two heads within the bicep. The long head is more susceptible to injury since the tendon travels all the way up the arm underneath a ligament and then takes a sharp turn across the head of the humerus, which eventually inserts onto the labrum.

😩If the individual has weak rotator cuff muscles, their bicep tendon is more susceptible to injury.

🤓The same can occur in opposite situation since the long tendon of the bicep actually helps to stabilize the shoulder by depressing the humeral head downwards when the arm is elevated. This creates space within the shoulder joint. Without this mechanism in place, an individual is more likely to suffer from shoulder impingement as a second diagnosis.

🏋🏽‍♂️Additional biomechanical risk factors for the development of biceps tendinopathy include repetitive shoulder or elbow flexion, improper lifting technique, shoulder girdle muscle imbalances and poor posture.

✔️Here’s one of the many tests I use to diagnosis this. The patient holds their elbow by their side, palm up, and tries to perform a resisted upper cut. The patient will experience pain or popping, which suggests bicep tendon involvement

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