Biceps Tendon Tear at the Shoulder
Are you looking for the best biceps tendon tear treatment in Hyderabad then consult the best doctor:
Tendons attaches muscles to bones. Biceps tendons attaches the biceps muscle to bones in shoulder and in elbow. If you tear the biceps tendon at shoulder, you may lose some strength in your arm and have pain when you forcefully turn arm from palm down to palm up. Many people can still function with a biceps tendon tear, and only need a simple treatments to relieve symptoms. If symptoms cannot be relieved by nonsurgical treatments, or if patient requires complete recovery of a strength, a surgery to repair the torn tender may be required.
Biceps tendon tears treatment may be either partial or complete.
- Partial tears. Many tears do not completely sever a tendon.
- Complete tears. A complete tear will split tendon into two pieces.
In many cases, torn tendons begin by fraying. As damage progresses, the tendon can completely tear and at times when lifting a heavy object.
The illustration shows a complete tear of long head at its attachment points into the glenoid. The long head of the biceps tendon is more likely to get injured. This is because it is vulnerable as it travels through the shoulder joint to its attachment point in socket. Fortunately, the biceps has two attachments at shoulder. The short head of the biceps rarely tears. Because of this second attachment, many people can still use their biceps even after a complete tear of long head. When you tear your biceps tendon, you can also damage other parts of shoulder, such as rotator cuff tendons.
There are two main causes of biceps tendon tears: 1. injury and 2. overuse.
If you fall hard on outstretched arm or lift something too heavy, you might tear your biceps tendon.
Many tears are the result of wearing down and fraying of tendon that occurs slowly over time. This naturally occurs as one ages. It can be worsened by an overuse – repeating shoulder motions again and again.
Now that you the causes of biceps tendon tear treatment then consult the best doctor:
Your risk for tendon tear increases with it:
- Age – Older people have put more years of wear and tear on their tendons when compared to younger people.
- Heavy overhead activities – Too much load during the weightlifting is prime example of risk, but many jobs require a heavy overhead lifting and put excess wear and tear on tendons.
- Shoulder overuse – Repetitive overhead sports, such as tennis or swimming, can cause more tendon wear and tear.
- Smoking – Nicotine use can affect nutrition in tendon.
- Corticosteroid medications – Using corticosteroids has been linked to increased muscle and weakens tendon.
Now that you got to know the risk factors then consult the best biceps tendon tear surgeon in Hyderabad.
- Sudden, sharp pain in upper arm
- Sometimes audible pop or snap
- Cramping of biceps muscle with the strenuous use of arm
- Bruising from the middle of upper arm down towards the elbow
- Pain or tenderness at the shoulder and elbow
- Weakness in shoulder and elbow
- Difficulty in turning the arm palm up or palm down
- Because a torn tendon can be no longer keep the biceps muscle tight, bulge in the upper arm above your elbow (“Popeye Muscle”) may appear, with the dent closer to the shoulder.
Now that you got to know the symptoms then consult the best biceps tendon tear surgeon in Hyderabad.
Medical History and Physical Examination
After discussing your symptoms and medical history, doctor will examine your shoulder. The diagnosis is often obvious for a complete ruptures because of deformity of the arm muscle (“Popeye Muscle”).
A biceps tendon tear is made more obvious by contracting a muscle (“Popeye Muscle”). Partial ruptures are less obvious. To diagnose a partial tear, the doctor might ask you to bend your arm and tighten the biceps muscle. Pain, when you use your biceps muscles, may mean there is a partial tear. It is also very important that doctor identify any other shoulder problems when planning your treatment. The biceps can also tear near elbow, although this is less common. A tear near elbow will cause “gap” in the front of the elbow. Your doctor will check your arm for the damage to this area. In addition, rotator cuff injuries, impingement, and tendinitis are some conditions that may accompany biceps tendon tear. Your doctor may order additional tests to help v and identify other problems in your shoulder.
• X-rays – Although x-rays cannot show soft tissues like biceps tendon, they might be useful in ruling out other problems that can cause shoulder and elbow pain.
• Magnetic resonance imaging (MRI) – These scans create better images of a soft tissues. They can show both partial and a complete tears.
For many people, pain from a long head of biceps tendon tear resolves over a period time. Mild arm weakness or arm deformity may not bother some patients, such as older and a less active people. In addition, if you have not damaged more critical structure, such as rotator cuff, nonsurgical treatment is a reasonable option. This can include:
• Ice. Apply cold packs for 20 minutes at a time, several times in a day to keep down swelling. Do not apply ice directly to your skin.
• A Nonsteroidal anti-inflammatory medications.
• Rest. To avoid heavy lifting and overhead activities to relieve pain and limit swelling. Your doctor might recommend using a sling for a brief time.
• Physical therapy. Flexibility and strengthening exercises will restore movements and strengthen your shoulder.
Surgical treatment for a long head of biceps tendon tear is rarely rarely needed. However, some patients who develop cramping of the muscle or pain, or who require complete recoveries of the strength, such as athletes or a manual labourers, may require surgery. Surgery may also be right option for those with a partial tears whose symptoms are not relieved with a nonsurgical treatment.
Procedure. Several new procedures have been developed that repair the tendon with a minimal incisions. The goal of the surgery is to re-anchor torn tendon back to the bone. Your doctor will discuss with you options that are best for your specific case.