Tendons are structures made of tissue that connect muscle to bones. Tendons can become irritated or inflamed causing a condition called tendinitis. Bicep tendinitis can occur in either one of the tendons that attach the biceps muscle to the shoulder bones. At the first signs of pain, swelling or stiffness it is important to seek treatment for bicep tendinitis to prevent this condition from becoming chronic.
R.I.C.E
In most cases bicep tendinitis is caused by repetitive overhead reaching motions, states the American Academy of Orthopaedic Surgeons. The first step in treatment is to rest the area by avoiding activities that exacerbate the symptoms. Using ice, elevation and compression can also calm any swelling. It is important to not work through the pain as bicep tendinitis can just get worse. Mild cases may just take a week or two to heal. A physical therapist can teach better ways of using the shoulder that will not strain the tendons.
Medication
If symptoms are severe a period of medication may be required. This can include anti inflammatory drugs, pain medication and steroid injections if oral medication is not effective. If bicep tendinitis causes muscle spasms muscle relaxants can be tried. Tendinitis that occurs with significant pain, swelling, redness or bruising may require weeks or months to heal. It will be necessary to return to activities slowly to avoid re-injuring the area.
Exercise
According to the University of Connecticut Health Center, as the symptoms of bicep tendinitis get better stretching and strengthening exercises can be done to help prevent future problems. A knowledgeable trainer can design a program to support participation in the activity that caused the tendinitis. Stronger and more flexible muscles will place less pressure on the tendon. In addition, it will be important to cross train to avoid overuse of the shoulder. For example, alternate swimming with walking or running to give the upper body a rest.
Surgery
If conservative treatment is not effective or if the tendon is completely torn surgery may be required. There are many types of surgery that can help and the procedure used depends on the severity of the injury and the level of activity the patient wishes to return to. Surgery can involved repairing minor tendon damage or in severe cases parts of the tendon may need to be removed.
