Biceps Tendinitis Physical Therapy

This article examines how physical therapy can help alleviate bicep tendinitis. Biceps tendinitis—also called bicipital tendinitis—is a common shoulder condition that occurs when the tendons of the biceps muscle become irritated or inflamed. These tendons attach the biceps to the shoulder joint, and when overused or stressed, they can cause significant pain and functional limitations. This condition frequently affects athletes, manual laborers, and individuals who perform overused overhead activities.

Causes of Biceps Tendinitis

Biceps tendinitis usually develops gradually, often due to repetitive strain or biomechanical issues. Common causes include:

1. Overuse

Repeated overhead actions—such as throwing, swimming, painting, or lifting—place constant stress on the biceps tendon.

2. Aging

Tendons naturally weaken with age, making them more prone to inflammation and microtears.

3. Rotator Cuff Dysfunction

Weakness or tears in the rotator cuff alter shoulder mechanics, increasing strain on the biceps tendon.

4. Improper Technique

Incorrect lifting technique or poor sports form contributes significantly to tendon irritation.

5. Underlying Shoulder Conditions

Arthritis, shoulder instability, or previous injuries increase susceptibility.

Symptoms of Biceps Tendinitis

People with biceps tendinitis commonly experience:

1. Pain in the Front of the Shoulder

A deep, aching pain that worsens with overhead activities or lifting.

2. Arm Weakness

Difficulty lifting objects or performing overhead motions.

3. Tenderness

Painful pressure along the biceps tendon groove near the front of the shoulder.

4. Swelling and Inflammation

Visible swelling and warmth may occur around the shoulder.

5. Reduced Range of Motion

Difficulty rotating or lifting the arm fully.

Activities That Commonly Aggravate Biceps Tendinitis

Certain movements worsen symptoms, including:

• Overhead sports like baseball, tennis, volleyball, and swimming

• Weightlifting, especially pressing or pulling exercises, with poor form

• Repetitive lifting tasks in work environments

• Overhead home activities such as painting or drilling

Physical Assessment and Diagnosis

Healthcare professionals use multiple techniques to confirm biceps tendinitis:

1. Clinical Examination

The clinician checks tenderness, inflammation, and movement limitations.

2. Imaging

X-rays rule out bone issues, while ultrasound or MRI helps identify tendon inflammation or tears.

3. Strength Evaluation

Assessing arm strength helps determine the extent of tendon involvement.

4. Provocative Tests

Specific tests used to diagnose biceps tendinitis include:

• Speed’s Test – Pain during resisted shoulder flexion indicates tendon irritation.

• Yergason’s Test – Pain with resisted forearm supination and external rotation suggests bicipital involvement.

5. Palpation

Direct pressure along the bicipital groove can reveal inflammation and tenderness.

Physical Therapy Treatment for Biceps Tendinitis

Physical therapy is one of the most effective non-surgical treatments for biceps tendinitis. A personalized rehab plan typically includes:

1. Rest & Activity Modification

Avoiding painful movements and reducing overhead activity.

2. Cold & Heat Therapy

• Ice reduces inflammation.

• Heat increases blood flow and reduces stiffness.

3. Stretching & Strengthening

Exercises focus on improving flexibility and restoring muscle balance in the shoulder area.

4. Manual Therapy

Soft tissue release, trigger-point therapy, and joint mobilization help reduce tension and improve mobility.

5. Posture & Movement Retraining

Correcting posture and biomechanics prevents strain on the biceps tendon.

6. Physical Therapy Modalities

Ultrasound, electrical stimulation, or laser therapy may reduce pain and inflammation.

Exercises for Biceps Tendinitis

Here are some commonly prescribed physiotherapy exercises:

1. Biceps Stretch

Extend the arm backward with the palm facing down to gently stretch the tendon.

2. Isometric Biceps Hold

Press the hand against a wall or resistance without moving the elbow.

3. External Rotation with Band

Strengthens rotator cuff muscles to enhance shoulder stability.

4. Scapular Stabilization

Exercises such as rows can help shoulder blade squeezes to improve upper-back strength and posture.

5. Controlled Range of Motion

Pendulum swings, wall climbs, and assisted elevation exercises help restore mobility safely.

People Also Ask: Biceps Tendinitis Physical Therapy

Can physical therapy help biceps tendonitis?

Yes. Physical therapy is one of the most successful treatments for biceps tendonitis. It reduces pain, restores strength, corrects faulty movement patterns, and improves tendon healing. Early treatment leads to faster recovery.

What is the fastest way to heal bicep tendonitis?

The fastest recovery involves:

• Rest

• Ice

• Anti-inflammatory medications (as advised)

• Structured physiotherapy

• Correcting posture and lifting technique

• Using modalities like ultrasound or TENS

• Avoiding repetitive overhead activities
  

How do you rehab biceps tendonitis?

Rehabilitation includes:

1. Rest and modified activity

2. Ice therapy

3. Strengthening of the biceps, rotator cuff, and shoulder stabilizers

4. Stretching and mobility work

5. Manual therapy

6. Gradual return to activity with proper biomechanics
   Consistency is essential for full recovery.

Read more

1. Shoulder Mobilization Techniques and their Benefits
2. Shoulder and Elbow Pain: Causes and Physiotherapy Exercises
3. Cervical Radiculopathy Physical Therapy Techniques
4. 6 Effective Physiotherapy Exercises for Shoulder Pain Relief
5. How do you fix a weak shoulder?
6. Can Rotator Cuff Tears Heal Without Surgery?

About the Author

Dr. Ajay Shakya, MPT, Certified Manual Therapist
Dr. Shakya is an experienced physiotherapist with over 10 years of expertise in neurological and orthopedic rehabilitation. He specializes in personalized treatment programs that promote long-term recovery and functional wellness.

This article is intended for informational purposes only and does not replace professional medical advice.