Mississauga Chiropractor Presents: Bicipital Tendinopathy

Tags: , , , ,

Categories: Lecture Series

Here’s another blog from a Mississauga Chiropractor…

Helen-Logo-Black

Bicipital Tendinopathy is the inflammation of the long tendon & tendon sheath of the biceps brachii.  It is often caused by overhead sports, gymnastics, weightlifting & pitching in baseball (cocking the baseball will impinge the long tendon of the biceps.

 

Etiology:

2 common types of irritation:

a)  Impingement – anterosuperior (much like rotator cuff tendinopathy)

 

b) Subluxating Tendon – anterior in the bicipital groove (due to a lax or ruptured transverse ligament

 

Prevention:

a)      Warm-up properly, but avoid overstretching anterior GH capsule

b)      Wear protective equipment when playing a sport

c)      Using proper biomechanics & conditioning

d)      Avoid overuse activities – especially abduction & external rotator

 

History:

a)      Repeated overhead/throwing activities or lifting

b)      Previous glenohumeral dislocation or instability

c)      Increased pain with biceps stretch – worse with shoulder extended

d)      Increased pain with pressure on bicipital groove

e)      Popping with flexion/abduction/external rotation of the shoulder

 

Management:

a)      PRICE in acute stage (protect, rest, ice, compression, elevation)

b)      Electrotherpay:  ultrasound/IFC/TENS to anterior shoulder

c)      Active Release Technique (ART), soft tissue therapy; trigger point therapy to biceps/pectorals/deltoids/rotator cuff

d)      Rehabilitation Exercises to strengthen the rotator cuff muscles (avoid shoulder shrug exercises); pain-free biceps strengthening

e)      Ice after treatment

 

Prognosis:

a)      Often pain diminishes in 1-2 weeks; if chronic, it may take 4-8 weeks

 

 

 

 

Leave a Reply