Located on the front of your upper arms, your biceps are composed of two muscles — a “long head” muscle and a “short head” muscle — that work as one. Tendons keep the biceps attached to your arm bones. The proximal biceps tendon connects the shoulder joint to the biceps. The distal biceps tendon attaches the muscle to your ulna and radius (forearm bones). Inflammation or irritation of the bicep tendons is call bicep tendinitis.
You may need to see a bicep tendinitis doctor in NYC if you experience a deep, throbbing pain in your shoulder joint that does not go away with home treatments. Bicep tendinitis pain often worsens if you move the shoulder, or you may hear a clicking noise and experience pain if you move your shoulder. Be aware that bicep tendinitis is often accompanied by a rotator cuff tear or superior labrum anterior to posterior lesions (SLAP), which necessitates more complex treatment methods that could involve arthroscopic surgery.
Performing repetitive overhead motions, sports activities such as baseball, tennis or swimming and simple overuse/wear and tear are the primary causes of bicep tendonitis. Shoulder joint trauma or arthritis may also contribute to the development of bicep tendinitis.
Your doctor may have you complete several tests to determine if you are suffering from bicep tendinitis. For example, Speed’s Test involves you holding your arm out, elbows slightly bent and palms up, while your doctor presses down on your arm. If you feel pain in a certain area of your shoulder during this test, this may indicate bicep tendinitis. Yergason’s Test has you bending your elbow about 90 degrees (right angle) while gripping your doctor’s hands. If you feel pain in a particular area of your shoulder while your doctor is pressing on your arm, you may be diagnosed with bicep tendinitis.
To further enhance an accurate diagnosis, your doctor may order a CT scan, MRI scan or ultrasonography of your upper arm and shoulder that shows detailed images of the bicep’s interior and neighboring structures.
Conservative management prescribed by a bicep tendinitis doctor in Jersey City includes resting the arm and shoulder, applying ice, taking NSAIDs for pain and possibly using corticosteroid injections to help minimize inflammation.
If these treatment methods fail to resolve bicep tendinitis after several months, a bicep tendinitis surgeon in NYC can remove inflammatory tissue within the tendon. During bicep tendinitis surgery, your doctor will also inspect the bicep tendon for tears. If found, these tears can be repaired at that time. Sometimes, a tendon may also need to be shortened or lengthened, depending on whether additional problems exist. In a few extreme cases, the entire bicep tendon may have to be separated from the shoulder joint (tenotomy). Both non-surgical and surgical treatments for bicep tendinitis have excellent success rates and rarely are complications indicated.
Receive professional treatment for your bicep tendinitis by calling Regional Orthopedic today to schedule an appointment with a bicep surgeon in Staten Island.