Biceps Tendinitis

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Biceps tendinitis is an inflammation or an irritation of upper biceps tendon. Pain in the front of a shoulder and weakness are very common symptoms of biceps tendinitis. They can often be relieved with the rest and medication. In severe cases, surgery may be needed to repair a tendon.

Biceps Tendon Pain Treatment in HyderabadAnatomy

To understand rotator cuff injury treatment let us know the anatomy of rotator cuff injury:
Your shoulder is a ball-and-socket joint made up of three bones such as: upper arm bone (humerus), shoulder blade (scapula), and collarbone (clavicle).

The biceps tendons attaches biceps muscle to a shoulder bone.
Glenoid. The head of your upper arm bone fits into a rounded socket in the shoulder blade. This socket is called as glenoid. The glenoid is lined with a soft cartilage called as labrum. This tissue helps as the head of the upper arm fit into the shoulder socket.
Rotator cuff. A combination of the muscles and tendons keeps arm centred in your shoulder socket. These tissues are called as rotator cuff. They cover the head of upper arm bone and attaches it to the shoulder blade.
Biceps tendons. The biceps muscle is in front of upper arm. It has two tendons that attach it to the bones in shoulder. The long head attaches to the top of shoulder socket (glenoid).
The short head of the biceps tendon attaches it to a bump on the shoulder blade called as the coracoid process.

Description

Biceps tendinitis is an inflammation of long head of the biceps tendon. In its early stages, the tendon becomes very red and swollen. As tendonitis develops, tendon sheath (covering) can thicken. The tendon itself often thickens or even grows larger.
The tendon in these late stages is often dark red in color due to inflammation. Occasionally, the damage to tendon can result in the tendon tear, and then deformity of arm (a “Popeye” bulge in the upper arm).

Normal shoulder anatomy.

Biceps tendinitis causes tendon to become red and also swollen.
Biceps tendinitis usually occurs along with many other shoulder problems. In most cases, there is also damage to rotator cuff tendon. Other problems that often accompany biceps tendinitis include are as :
• Arthritis of the shoulder joints
• Tears in glenoid labrum
• Chronic shoulder instability (or dislocation)
• Shoulder impingemention
• Other diseases that cause inflammation of tshoulder joint lining

Cause

In most cases, damage to biceps tendon is due to lifetime of normal activities. As we age, our tendons slowly weaken with the everyday wear and tear. This degeneration can be worsened by any overuse — repeating same shoulder motions again and again. Many jobs and routine chores can also cause overuse damage. Sports activities — particularly those that require repetitive overhead motions, such as tennis, swimming, and baseball — can also put people at risk for biceps tendinitis. The repetitive overhead motion may play part in other shoulder problems that occur with the biceps tendinitis. osteoarthritis, Rotator cuff tears, and chronic shoulder instability are often caused by the overuse.

Symptoms

• Pain or tenderness in front of shoulder, which worsens with overhead lifting or any activity
• Pain that moves down the upper arm of the bone
• An occasional snapping sound or sensation in shoulder

Doctor Examination

Physical Examination

After discussing symptoms and medical history, doctor will examine your shoulder. During the examination, your doctor will assess shoulder for range of motions, strength, and signs of any shoulder instability. In addition,doctor will perform specific physical examination tests to check function of your biceps.

Imaging Tests

Other tests that may help doctor confirm your diagnosis includes are as:
X-rays. Although they visualize bones, x-rays may show other problems in shoulder joint.
Magnetic resonance imaging (MRI) and ultrasound. These images can show soft tissues like the biceps tendon in greater details.

Treatment

Your orthopaedic surgeon will work carefully to identify any other problem in shoulder and treat them along with tendinitis.


Nonsurgical Treatment
Biceps tendinitis is typically first treated with very simple methods.
Rest. The first step toward recovery is to avoid activities that causes pain.
Ice. Apply cold packs for 20 minutes at a time, several times in a day, to keep the swelling down. Do not apply ice directly to skin.
A Nonsteroidal anti-inflammatory medicines.
Steroid injections. Steroids such as cortisone are also very effective anti-inflammatory medicines. Injecting

Shoulder Pain Specialist in hyderabad

steroids into the tendon can relieve pain. Your doctor will use these very cautiously. In rare circumstances, a steroid injections can further weaken already injured tendon, causing it to tear.
Physical therapy. Specific stretching and strengthening exercises can help restore range of motion and strengthen shoulder.

Surgical Treatment
If your condition does not improve with any nonsurgical treatment, your doctor may offer a surgery. Surgery may also be an option if you have other shoulder issues. During arthroscopy, your surgeon inserts a arthroscope and small instruments into your shoulder joint. Surgery for biceps tendinitis is usually performed arthroscopically. This also allows your doctor to assess the condition of the biceps tendon as well as the other structures in the shoulder.

Repair. Rarely, the biceps tendon can also be repaired where it attaches to shoulder socket (glenoid).

Biceps tenodesis. In some cases, the damaged section of biceps is removed, and remaining tendon is reattached to upper arm bone (humerus). This procedure is called as a biceps tenodesis. Removing the painful part of the biceps usually resolves symptoms and also restores normal function. In a tenodesis, the remaining tendon is attached to a humerus with a type of screw.

Tenotomy. In some cases, the long head of the biceps tendon may also be so damaged that it is not possible to repair or tenodese it. Your surgeon may simply elect to release damaged biceps tendon from its attachment. This is called as a biceps tenotomy. This option is very least invasive option.

Rehabilitation. After surgery, your doctor will prescribe a rehabilitation plan based on procedures performed. You may wear a sling for a few weeks to protect a tendon repair. Exercises to strengthen your shoulder will gradually be added to rehabilitation plan