Biceps Tendonitis

Diagnosis/Definition

Results from overuse microtrauma of the biceps tendon unit secondary to repetitive flexions and/or supination.

Initial Diagnosis and management

• History and physical examination.
• Rest of the affected muscle-tendon bone unit
• Ice compression.
• NSAIDs
• Adults - 200 to 400 milligrams (mg) every four to six hours as needed for up to 2 weeks. Example: Ibuprofen
• Take tablet or capsule forms of these medicines with a full glass (8 ounces) of water.
• Do not lie down for about 15 to 30 minutes after taking the medicine. This helps to prevent irritation that may lead to trouble in swallowing.
• To lessen stomach upset, these medicines should be taken with food or an antacid
• Elevation and support
• Appropriate restrictions of activity.

Ongoing Management and Objective

• Rest is individualized depending upon severity
• Flexibility and strengthening exercises
• Ice for 10 to 15 mins with hourly reapplication.
• Elevate arm frequently with compressive wraps.

Indication a profile is needed

• Any limitations that affect strength, range of motion, and general efficiency of upper arm, shoulder girdle, and upper back, including cervical and thoracic vertebrae.
• Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that may prevent hand-to-hand fighting and disqualifies for prolonged effort.
• Defects or impairments that require significant restriction of use