Long Head of Biceps Tendinopathy



Limp in Leap out Physiotherapy & Wellness in Belfield provides servicing to many near by Inner West suburbs including Belmore, Strathfield and Croydon park. See our weekly blog below if you are interested in new research, facts, general information or ideas.



The bicep muscle is made up of two heads and involves bending the elbow, as well as moving and stabilising the shoulder. The bicep muscle can have a number of different injuries to it but the injury we’ll go into today is the long head of the bicep tendinopathy. To give a little refresher, a tendinopathy is an overuse injury which affects the tendon of a muscle leading to pain when moving the tendon and will usually increase over an extended period of time with no mechanism of injury.


So let’s now talk about a bicep tendinopathy. This injury like all tendinopathy is an overuse injury which will lead to pain in the front part of the shoulder when at rest and with movement, especially overhead activities, as well as pain when pressing the bicipital groove, although this is the case for a number of different shoulder injuries. Bicep tendinopathies are conditions that very rarely arise on their own. In many cases, a bicep tendinopathy is a secondary injury to injuries such as rotator cuff tears, shoulder impingement and SLAP lesions.


So how do we treat it? Like all tendinopathies, it is important to unload the affected tendon. So staying away from activities such as lifting heavy objects, overhead activities and shoulder movements that rely on the bicep to compensate due to a different shoulder problem must be avoided. Once we have rested the bicep, we must slowly reintroduce this tendon to load. This can be done by performing a graded resistance program beginning with simple movements over the shoulder and elbow leading to more strenuous tasks involing high resistance through weights and cables.

This information can be used to gain a better understanding on use of biceps tendinopathy and rehabilitation. If you have anterior shoulder pain or think you are experiencing a bicep tendinopathy, book in for a consultation you can contact us via our Limp in Leap out Physiotherapy & Wellness contact us page, or book online here.

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Written by James


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