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Biceps Tendinopathy

    Biceps tendinopathy is the pain located in the musculotendinous junction of the upper arm. This condition is normally caused when other injuries to the shoulder have occurred. Most often, destabilizing injuries to the shoulder will lead to complications that can produce tendinopathy of the biceps tendon.

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    What is a tendon?

    A tendon is the part of the muscle that attaches muscle to the human body’s skeletal structure. It is an extremely strong fibrous tissue designed to transfer the force generated in our muscles to our bones, creating movement.

    Biceps Tendinopathy


    Tendinopathy is common in older individuals. Other common causes of biceps tendinopathy include:

    • Participating in athletic activities that put undue pressure on the biceps, like weight lifting or baseball;
    • Repetitive strain injuries are common in those who consistently use the biceps muscle while working or participating in sports;
    • Patients with rheumatoid arthritis may be more susceptible to tendinopathy;
    • Strain caused by an underlying condition like impingement syndrome or shoulder instability;
    • The tendon can weaken with age and rupture.

    Those who routinely perform activities that require repetitive overhead movements in work or sport are more likely to develop tendinopathy.

    Signs and Symptoms of Biceps Tendinopathy

    The following are some of the most common signs and symptoms of biceps tendinopathy:

    • Tenderness or pain in the upper arm over the tendon, which can move to the forearm or shoulder;
    • Pain or a burning sensation during activities, especially those requiring heavy lifting;
    • Weakness due to worsening of the inflammation;
    • Tightness or a limited range of motion;
    • Swelling of the tendon.

    In some cases, a visible lump in the lower biceps muscle may occur. Symptoms of tendinopathy typically appear gradually over time, though they can appear suddenly in people with tendinitis or a ruptured bicep.

    Treating Biceps Tendinopathy

    If you suspect that you have tendinopathy, a course of conservative treatment is usually recommended to begin that would include rest, ice, physical therapy, and non-steroidal medications to reduce any inflammation.

    If your symptoms persist, you made need to see your pain management physician. They may suggest steroidal medication or injections in conjunction with physical therapy. You will also require treatment for any underlying conditions. Surgery is rarely recommended for biceps tendinopathy but may be considered in rare cases.

    Medicine Intervenes

    Your pain management specialist may recommend you try the following:

    • Icing and rest;
    • NSAIDs (Non-Steroidal, Anti-Inflammatory Drugs);
    • Steroid injection to decrease inflammation;
    • Pain relievers to reduce discomfort;
    • Surgery to correct underlying pathology or the condition’s cause.

    If you’re interested in learning more about the biceps tendinopathy treatment options offered at Redefine Healthcare, contact one of our offices or use our convenient online booking system to make an appointment with an experienced board-certified and fellowship-trained physician.


    It’s critical that the patient gradually resumes daily activities once the pain and inflammation have subsided and motion and strength have been restored. The patient’s pain management specialist will provide instruction in daily activities or sports performance to prevent the recurrence of biceps tendinopathy.

    I have been a patient of Dr. Freeman’s for over 6 years. He has extensive knowledge and experience. His practice has grown since I first began going, but his very good at what he does.


    Page Updated on May 20, 2022 by Dr. Freeman (Pain Management Specialist) of Redefine Healthcare Dr. Eric D. Freeman

    Dr. Eric D. Freeman is a top-rated, best-in-class pain management doctor. He is a nationally recognized pain relief specialist and is among the top pain care doctors in New Jersey and the country. He is an award-winning expert and contributor to prominent media outlets.

    Dr. Eric D. Freeman has been recognized for his thoughtful, thorough, modern approach to treating chronic pain. He has been named a “top pain management doctor in New Jersey” and one of “America’s Top Physicians” for advanced sports injury treatments.

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