Biceps tendinitis shoulder

Biceps is located on the front of the shoulder. The upper arm portion attached to the blade by two separate tendons. These are called the proximal tendon. The word “proximal” refers to a “neighbor.”

One tendon, tendon of the long head of the biceps begins to refund the edge of acetabulum and is associated with articular cartilage and articular lip. Then tendon extends over the front surface of the humeral head, in its groove. The transverse ligament shoulder, throwing over the furrow, forms a channel for the tendon and keeps it from sprains. Tendon of the long head of the biceps is an important structure that helps keep the humeral head in the glenoid cavity center of the blade.

Tendon Second, the short head of the biceps tendon, is located outwards and starts on the coracoid blade.

Underwear is called the distal biceps tendon. The word “distal” means “far.” The distal biceps tendon attaches to the tubercle of the radial forearm. Biceps muscle itself is formed by two bellies that come from the proximal tendon and merge with each other almost at the place of transition in the distal tendon.

Tendons are made ​​up of strands of material called collagen. Collagen filaments form bundles, bundles – fiber. Collagen – a durable material and tendons have a very high tensile strength. With the reduction of muscle pull is transmitted to the tendons and muscles start point of moving closer to the point of attachment, causing the bones to move relative to each other.

By reducing the biceps produces flexion of the elbow. In the elbow radius arm can perform rotational motion (rotation), so the reduction of the biceps it performs external rotation (supination), turning the hand palm up with a bent elbow, such as holding a tray. In the shoulder joint biceps involve in lifting arms interior (flexion).


Continuous or repetitive shoulder actions can cause excessive load on the biceps tendon, which causes damage to the microstructures on a cellular level. If the load continues, the structure inside the damaged tendon does not have time to recover, which leads to tendonitis, inflammation of the tendon. This is common in sports, for example, swimmers, tennis players, as well as the workers when to hold your hands over your head.

If exposure occurs for many years, the structure of the tendon is changing, there are signs of degeneration, and the tendon cans change a bit. The tendon is weakened and is subject to inflammation, and at some point in the load may even burst.

Biceps tendonitis can occur from trauma such as a fall on the shoulder. Transverse ligament rupture shoulder can also lead to biceps tendonitis. It has been mentioned that the transverse ligament shoulder keep the biceps tendon in the groove on the front of the shoulder. If this ligament is torn, the biceps tendon is free to jump out of the groove, producing a characteristic clicks. Beside permanent dislocations also cause biceps tendinitis.

As mentioned above, tendonitis can be caused by other diseases of the shoulder joint, such as damage to the labrum, shoulder instability, impingement syndrome or rotator cuff tear. Under these conditions the movable head shoulder excessively, so there is a constant mechanical effect on the biceps tendon, which in turn leads to inflammation.


Patients usually experience pain in the back shoulder on the front surface. Pain may extend downward. The pain usually intensifies, if the arms rose above shoulder level. After resting the pain usually goes away.

Hands may weaken when trying to bend the arm at the elbow or expand palm upward. A sharp sense of stiffness in the upper part of the biceps may indicate damage to the transverse ligament biceps.


Diagnosis is based on interviews with the patient, inspection, and special methods of investigation. It is usually asked about work, sports hobbies, previous shoulder injury, and the manifestation of pain.

Inspection is most helpful in diagnosing biceps tendonitis. The doctor will determine the painful point to check the movements of the joints, muscles work will identify, conduct special tests, including the other pathology such as damage to the labrum, the instability of the shoulder impingement syndrome or rotator cuff tear.

X-ray (X-ray) is required only for identify or rule out other diseases shoulder joint, such as calcific tendonitis, arthritis of the acromioclavicular joint, impingement syndrome, instability.

When treatment biceps tendinitis unsuccessfully, that can be assigned to magnetic resonance imaging (MRI). MRI is a special imaging technique, which uses magnetic waves to create computer images of shoulder joint slices in standard dimensions. This research may help to identify the gap rotator cuff shoulder injury or lips.


Conservative treatment

Treatment begins with conservative methods. You should ensure the best Doctor for the advice and care. Dr. Joseph Purita is an expert for joint pain. I have seen lots of patient get well under his supervision. Usually advised to limit the load and avoid those activities that have led to the problem. Rest of the shoulder joint is usually relieves pain and reduces inflammation. Anti-inflammatory medications may be prescribed to relieve pain and help patients return to normal activities.

Rarely can be used cortisone injections to try to control pain. Cortisone – a very powerful steroid. However, cortisone used is very limited since it can adversely affect the tendons and cartilage.

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