Biceps Tendinitis

Biceps tendinitis can cause pain in the front of the shoulder and make lifting or reaching uncomfortable. We can help you find relief and regain comfortable movement.

Biceps Tendinitis

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Introduction

Biceps tendinitis is inflammation or irritation of the tendon that connects the biceps muscle to the shoulder. This condition often develops from overuse, repetitive overhead activities, or natural wear as we age. It can make daily tasks painful and limit shoulder function. Early treatment can reduce symptoms and prevent the condition from worsening.

What is the Biceps Tendon?

The biceps tendon attaches the biceps muscle to the bones of the shoulder. There are two parts to this tendon: the long head and the short head. The long head of the biceps tendon runs through the front of the shoulder joint and is more prone to irritation. When this tendon becomes inflamed, it can cause shoulder pain and weakness.

What Are the Symptoms of Biceps Tendinitis?

Common symptoms include:

Pain in the front of the shoulder
Tenderness when pressing on the upper biceps area
Pain that worsens with lifting, reaching, or overhead movements
Weakness or fatigue in the arm
Occasional clicking or catching sensations

Symptoms may develop gradually or appear after increased activity.

Treatments for Biceps Tendinitis

Most cases improve with non-surgical care, including:

Rest and activity modification to avoid painful movements
Ice and anti-inflammatory medications to reduce pain and swelling
Physical therapy to strengthen the shoulder, improve posture, and restore normal motion
Corticosteroid injections if symptoms do not improve with basic treatment

These treatments help decrease inflammation and protect the tendon as it heals.

Do I Need Surgery?

Surgery is only recommended when symptoms persist despite consistent therapy or if there is a significant tendon tear. Surgical options may include cleaning inflamed tissue, repairing the tendon, or repositioning the tendon to reduce stress. Your provider will help determine the best option based on your symptoms and activity level.

Recovery and Rehabilitation

Recovery depends on the severity of the tendinitis and whether surgery is required. Physical therapy plays a major role in restoring strength, flexibility, and proper movement patterns. Most patients return to their regular activities once pain has improved and shoulder strength is restored. Staying consistent with therapy and avoiding irritating movements helps ensure long-term recovery.

References

Nho SJ, Strauss EJ, Lenart BA, et al. Long Head of the Biceps Tendinopathy: Diagnosis and Management. J Am Acad Orthop Surg. 2010;18(11):645-656. doi:10.5435/00124635-201011000-00002.

Frank RM, Cotter EJ, Strauss EJ, Jazrawi LM, Romeo AA. Management of Biceps Tendon Pathology: From the Glenoid to the Radial Tuberosity. J Am Acad Orthop Surg. 2018;26(4):e77-e89. doi:10.5435/JAAOS-D-17-00085.

Caekebeke P, Meglic U, van den Bekerom MPJ, van Riet R. Evaluation of Clinical Tests for Partial Distal Biceps Tendon Ruptures and Tendinitis. J Shoulder Elbow Surg. 2022;31(3):532-536. doi:10.1016/j.jse.2021.10.012.