Biceps Tendinosis Treatment in Nebraska

If you're feeling pain in the front of your shoulder, it might be biceps tendinosis. This condition can be hard to diagnose and is often mistaken for rotator cuff tendinosis or bursitis.

At Nebraska Hand & Shoulder Institute, our expert staff can accurately diagnose your shoulder pain. We offer the best treatment plan for biceps tendinosis.

Understanding Biceps Tendinosis

It's challenging to confirm biceps tendinosis. In the past decade, there's been a lot of focus on the biceps tendon, but the main problem is usually painful arc syndrome due to a prominent acromion. This may require acromioplasty for patients who still experience pain despite taking NSAIDs or changing their activity.

The main symptom is pain at the front of the shoulder, often felt when lifting the arm forward. This pain can result from bone impingement due to a prominent acromion, making it hard to tell apart rotator cuff tendinosis, bursitis, and biceps tendinosis.

The long head of the biceps tendon (LHBT) starts at the top of the glenoid, where it attaches to the glenoid labrum. The tendon passes through the bicipital groove, held by the transverse humeral ligament, before reaching the biceps muscle. Biceps tendon pain can be due to recent trauma causing rare dislocation or factors like age, activity, and impingement by a prominent acromion, often linked with a large, chronic rotator cuff tear.

In people over 60, the biceps tendon is often found to be ruptured and scarred in the bicipital groove. An isolated tear of the long head of the biceps tendon (LHBT) can be treated with medication until inflammation and pain subside. If the patient is okay with a Popeye deformity, there is no resulting loss of function.

Arthroscopy accurately diagnoses persistent pain from a non-ruptured biceps. The surgeon should be ready to treat a rotator cuff tear and biceps issues based on what is found during surgery.

Treatment for Bicep Tendinosis

At Nebraska Hand & Shoulder, we specialize in bicep tendinosis surgery to restore shoulder function and improve motion. Our team treats tendon injuries from wear, heavy lifting, and other causes, focusing on bicep tendon tears and upper arm bone problems.

We offer two main surgical options for bicep tendinosis:

1) Tenodesis: This procedure involves anchoring the tendon into the upper arm bone using a screw, providing stability and alleviating pain. It's particularly effective when the tendon is frayed beyond 30%.

2) Tenotomy: This option involves cutting the tendon to relieve pain, although it may occasionally result in a 'Popeye deformity' depending on the arm's contour.

Complementing our surgical interventions, Nebraska Hand & Shoulder provides targeted physical therapy programs to ensure optimal recovery and restore range of motion. Whether you're dealing with a bicep tendon tear or other tendon injuries, our comprehensive approach aims to return you to your daily activities with minimal discomfort and maximum efficiency.

Take the First Step Towards Pain Relief Today

Don't let bicep tendinosis limit your life any longer. At Nebraska Hand & Shoulder Institute, our dedicated team is committed to providing personalized care and effective treatment solutions. With our advanced surgical techniques, we're here to help you regain function and reduce pain.

Schedule your appointment today to start your journey toward recovery. Let us assist you in achieving a more active and pain-free lifestyle. Call now to take the first step towards relief.

Severe Biceps Tendonitis

50% of bicep rotten

MRI of Bicep Tendonopathy

Shredded bicep

Trimmed bicep

Decayed bicep