Biceps Tendinitis
Biceps tendinitis is inflammation of the tendon that connects your biceps muscle to your shoulder. When this tendon becomes overused, strained, or injured, you may feel pain or weakness in the front of the shoulder—especially during movements involving lifting or rotation.
We specialize in diagnosing and treating biceps tendinitis so you can return to your normal activities without significant pain or discomfort.
All content on this page has been medically reviewed in-house by Dr. Pashuk.
What is Biceps Tendinitis?
OVERVIEW
Biceps tendinitis occurs when the long head of the biceps tendon (which travels through the shoulder joint) experiences inflammation or even tearing of the tendon. This can result in significant pain, decreased shoulder function and weakness.
- Chronic Overuse: Repetitive overhead motions (like throwing a ball or lifting weights) can damage the tendon.
- Age-Related Changes: Tendons become more stiff as we get older, making them more prone to inflammation and micro-injuries.
- Acute Injury: A sudden trauma or awkward movement can also inflame or tear the biceps tendon.
COMMON CAUSES
Certain factors increase the likelihood of biceps tendinitis:
- Sports Involving Overhead Movements – Baseball pitching, tennis serves, swimming, or CrossFit routines.
- Occupational Strain – Jobs requiring repetitive lifting, reaching, or carrying heavy objects.
- Shoulder Impingement or Instability – Existing shoulder issues, especially rotator cuff tears, can contribute to abnormal stress on the biceps tendon.
Symptoms of Biceps Tendinitis
When the biceps tendon becomes irritated or inflamed, you might notice:
- Shoulder or Upper Arm Pain – Often felt in the front of the shoulder and may progress down the biceps muscle.
- Weakness or Fatigue – Difficulty lifting objects, especially with your arms extended or overhead.
- Clicking or Popping Sensations – The tendon may snap or click as it moves within the shoulder joint.
Monitor Your Condition
If pain persists for more than a week or disrupts your daily routine—such as dressing, carrying groceries, or working—schedule an evaluation at our Trinity clinic. Early intervention can prevent further damage and speed your recovery.
The Florida Joint Diagnosis Process
Physical Examination
Our orthopaedic surgeons will assess the range of motion in your shoulder, look for tender spots, and test strength to determine whether biceps tendinitis is present.
Imaging Studies
Shoulder x-rays will be performed at your initial visit. A MRI may be ordered to better assess the biceps tendon, as well as evaluate for possible rotator cuff tears, shoulder impingement, or other conditions that occur with biceps tendinitis.
Determine Next Steps
Once a clear diagnosis is confirmed, we’ll discuss a personalized treatment plan to address inflammation, reduce pain, and restore normal function.
Treatment Options
NON-SURGICAL
Most cases of biceps tendinitis respond well to nonoperative measures aimed at relieving pain and inflammation:
- Rest & Activity Modification – Avoid aggravating activities such as repetitive overhead activities, heavy lifting, or sports movements that aggravate your symptoms.
- Physical Therapy – Targeted exercises to stretch and strengthen shoulder and arm muscles, improving mechanics and reducing stress on the tendon.
- Anti-Inflammatory Medications or Injections – NSAIDs or injections may help bring down swelling and ease pain.
SURGICAL
If pain remains severe or a significant tear is discovered, surgical intervention may be recommended:
- Biceps Tenodesis – The surgeon reattaches the damaged tendon to a different location to alleviate tension or impingement.
- Arthroscopic Evaluation & Repair – Minimally invasive surgery that allows direct visualization of the shoulder joint, repairing any tendon or structural issues.
- Post-Surgical Rehabilitation – A structured physical therapy program to restore strength, flexibility, and full function after surgery.
How to Prevent Rotator Cuff Injuries
Taking a few key steps can help reduce the likelihood of tendon inflammation or injury:
- Gradual Workout Progression – Warmup the shoulder and gradually increase weight or intensity to avoid overloading the biceps tendon.
- Proper Form & Technique – Work with a trainer or therapist to ensure you’re moving correctly in sports and daily tasks.
- Regular Stretching & Strengthening – Balanced shoulder exercises keep joints stable and tendons healthy.
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