Doctor evaluating patient symptoms for Biceps Tendonitis (Shoulder) diagnosis at Mountain Spine & Orthopedics
Condition/Condition Details

Biceps Tendonitis (Shoulder)

Biceps tendonitis in the shoulder causes inflammation of the long head of the biceps tendon, leading to pain in the front of the shoulder and upper arm.

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About Biceps Tendonitis (Shoulder)

Biceps tendonitis is inflammation of the long head of the biceps tendon, which runs through the shoulder joint and attaches to the top of the glenoid socket. This condition commonly occurs in conjunction with shoulder impingement or rotator cuff tears, as the biceps tendon passes through the same space as the rotator cuff. At Mountain Spine & Orthopedics, our shoulder specialists understand that biceps tendonitis can cause significant pain and limit overhead activities. We use comprehensive evaluation including physical examination and advanced imaging to identify the condition and develop a personalized treatment plan.

Biceps tendonitis often results from repetitive overhead activities, shoulder impingement, or age-related degeneration. The inflammation can cause the tendon to become irritated, thickened, or even tear. Early diagnosis and treatment are essential to prevent progression to more serious tendon damage.

What Are the Symptoms of Biceps Tendonitis (Shoulder)?

Patients with biceps tendonitis typically experience pain in the front of the shoulder that may radiate down the upper arm, pain with overhead activities or lifting, and tenderness over the biceps tendon. Many patients notice the pain is worse with specific movements like reaching or lifting. Some individuals experience clicking or snapping sensations in the shoulder.
Biceps Tendonitis (Shoulder)
Biceps tendonitis in the shoulder causes inflammation of the long head of the biceps tendon, leading to pain in the front of the shoulder and upper arm.

Are There Specific Risk Factors for Biceps Tendonitis (Shoulder)?

Risk factors include repetitive overhead activities (sports like swimming or tennis, occupations like painting or construction), shoulder impingement, rotator cuff tears, advancing age, and previous shoulder injuries.

Diagnosing Biceps Tendonitis (Shoulder)?

Diagnosis involves a comprehensive physical examination including specific tests like Speed's test and Yergason's test that stress the biceps tendon. X-rays can reveal bone spurs or other structural issues. MRI or ultrasound can visualize the biceps tendon and identify inflammation, thickening, or tears. We offer complimentary MRI reviews to accurately assess your condition.

Treatment for Biceps Tendonitis (Shoulder)?

Non-Surgical Treatment Options

Initial treatment includes rest from aggravating activities, anti-inflammatory medications, and physical therapy to strengthen the rotator cuff and improve shoulder mechanics. Corticosteroid injections into the biceps tendon sheath can provide significant pain relief.

Surgical Treatment

When conservative treatment fails or when the tendon is severely damaged, our surgeons may perform biceps tenodesis to reattach the tendon lower on the arm, or arthroscopic debridement to remove damaged tissue. This can be done as part of rotator cuff repair or as a standalone procedure.

Does Biceps Tendonitis (Shoulder) Cause Pain?

Biceps tendonitis pain typically worsens with overhead activities and can become constant if left untreated. The pain often disrupts sleep, especially when lying on the affected side. Early treatment can prevent the condition from progressing to tendon tears.

What Can Patients Do to Prevent It?

Quick Facts

  • Avoid repetitive overhead activities without proper rest
  • Strengthen rotator cuff and scapular stabilizer muscles
  • Address shoulder impingement early to prevent biceps involvement
  • Use proper lifting techniques and body mechanics
  • Practice shoulder flexibility exercises regularly
  • Seek prompt treatment for shoulder pain

Schedule a Consultation Today

If you're experiencing pain in the front of your shoulder, schedule a consultation with Mountain Spine & Orthopedics today. Same-day and next-day appointments are available. Take advantage of our complimentary MRI review to get a precise diagnosis and personalized treatment plan.

Locations Offering Evaluation

Our board-certified specialists offer biceps tendonitis (shoulder) evaluation and treatment at locations across Florida, New Jersey, New York, and Pennsylvania. Schedule a consultation at a clinic near you.

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Frequently Asked Questions

What is biceps tendonitis in the shoulder?

Biceps tendonitis is inflammation of the long head of the biceps tendon where it passes through the shoulder joint. It commonly occurs with rotator cuff problems, impingement, or from repetitive overhead activities. The tendon can also fray or rupture.

What are the symptoms of shoulder biceps tendonitis?

Symptoms include anterior shoulder pain that worsens with overhead activities, tenderness in the bicipital groove, pain with resisted shoulder flexion or elbow supination, and sometimes an audible snapping sensation. Night pain is common.

Can biceps tendonitis heal without surgery?

Yes, most cases respond to rest, physical therapy, and anti-inflammatory medications. Avoiding aggravating activities and strengthening the rotator cuff reduces stress on the biceps tendon. Corticosteroid injections provide relief but should be used cautiously due to rupture risk.

What happens if the biceps tendon ruptures?

Proximal biceps ruptures cause a "Popeye" deformity with the muscle belly bulging in the upper arm. Most ruptures, especially in older patients, are treated non-surgically with minimal functional loss. Young, active individuals may benefit from tenodesis surgery.

How long does biceps tendonitis take to heal?

Mild cases improve in 4 to 6 weeks with rest and therapy. Chronic or severe tendonitis may require 3-6 months of treatment. If conservative measures fail or the tendon is severely damaged, surgical options include tenotomy or tenodesis.