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Biceps tendinitis is an inflammation of the tendon that attaches the biceps muscle to the bones in the shoulder. This condition can cause pain and discomfort in the front of the shoulder and down the arm. In this guide, we will discuss the symptoms, diagnosis, and treatment options for biceps tendinitis, with a focus on how physical therapy can help you manage your symptoms and improve your shoulder function.

Understanding Biceps Tendinitis

Biceps tendinitis is often caused by:

  • Repetitive overhead activities, common in sports like baseball, swimming, or tennis
  • Age-related wear and tear on the tendon
  • Acute injuries, such as a fall or direct blow to the shoulder
  • Other shoulder conditions, such as rotator cuff tears or shoulder impingement, can also contribute to biceps tendinitis

Symptoms to Watch Out For

  • Pain in the front of the shoulder, which may radiate down the arm
  • Tenderness and swelling over the biceps tendon
  • Pain that worsens with overhead activities or lifting objects
  • A snapping or popping sensation in the shoulder (in some cases)

How is Biceps Tendinitis Diagnosed?

To diagnose biceps tendinitis, your healthcare provider will:

  • Perform a physical examination to assess the shoulder's range of motion, strength, and tenderness
  • Order imaging tests such as ultrasound or MRI to visualize the biceps tendon and identify any inflammation or tears

The Benefits of Physical Therapy for Biceps Tendinitis

Physical therapy is an effective treatment for biceps tendinitis. A physical therapist can help you:

  • Reduce pain and inflammation through modalities such as ice, heat, ultrasound, or electrical stimulation
  • Improve shoulder mobility and flexibility with gentle range-of-motion exercises and stretching
  • Strengthen the muscles around the shoulder joint, including the rotator cuff and scapular stabilizers, to provide better support and stability
  • Modify your activities and provide ergonomic advice to prevent further strain on the biceps tendon
  • Develop a personalized exercise program tailored to your specific needs and goals

What to Expect in a Physical Therapy Session

  • A comprehensive assessment of your shoulder function, range of motion, and strength
  • Hands-on techniques to mobilize your shoulder joint and soft tissues, to improve mobility and reduce pain
  • Tailored exercises to improve your shoulder strength, stability, and flexibility, including rotator cuff strengthening exercises, scapular stabilization exercises, and biceps-specific exercises
  • Education on proper posture and shoulder mechanics to protect your biceps tendon and prevent future injuries

Conclusion

Biceps tendinitis can be a painful and limiting condition, but with the right treatment, including physical therapy, you can manage your symptoms and improve your shoulder function. By working closely with a physical therapist and following a personalized rehabilitation plan, you can reduce pain, increase mobility, and return to your daily activities and sports with confidence.

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