Acute Phase Treatment and Management of Bicipital Tendinitis
Bicipital tendinitis typically develops where the long head of the bicep’s tendon traverses the bicipital groove of the humeral head. The primary objective in managing bicipital tendinitis during the acute phase is to alleviate pain and inflammation, facilitating the initial stages of tendon healing.
Introduction: Biceps tendinitis is inflammation of the tendon around the long head of the biceps muscle. Biceps tendinosis is caused by degeneration of the tendon from athletics requiring overhead motion or from the normal aging process. Inflammation of the bicep’s tendon in the bicipital groove, which is known as primary biceps tendinitis, occurs in 5 percent of patients with biceps tendinitis. Biceps tendinitis and tendinosis are commonly accompanied by rotator cuff tears or SLAP (superior labrum anterior to posterior) lesions.
Common causes: Bicipital tendonitis, also known as biceps tendinitis, is indeed characterized by inflammation or irritation of the long head of the bicep’s tendon. Several factors contribute to its development. Overuse or repetitive activities involving overhead movements, such as throwing sports or certain types of work, can strain the tendon and lead to inflammation. Poor posture or biomechanics during activities can also place undue stress on the tendon. Additionally, aging and gradual wear and tear can weaken the tendon, making it more susceptible to injury over time.
Future complications: Bicipital tendinitis, marked by inflammation of the biceps tendon, can lead to complications if not managed promptly. Common issues include chronic pain during arm movements, limited shoulder mobility due to swelling, and in severe cases, tendon rupture causing sudden weakness and discomfort. Shoulder instability and impingement syndrome are also risks, affecting overall shoulder function.
focus is on reducing pain, inflammation, and restoring function. Initially, therapy involves educating the patient on activity modification and rest to prevent further irritation of the tendon. Modalities such as ice packs and possibly ultrasound or electrical stimulation may be used to decrease pain and inflammation. Gentle range of motion exercises, focusing on pain-free movements, help maintain flexibility without aggravating symptoms. As pain subsides, progressive strengthening exercises for the shoulder and upper arm muscles are introduced to support the tendon and prevent future injury. Manual therapy techniques, such as soft tissue massage and joint mobilizations,
