Causes of Biceps Tendinopathy? - Health Tips Star – Best Information Healthcare

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Thursday, May 9, 2019

Causes of Biceps Tendinopathy?


The main cause of biceps tendinopathy is the overuse of the long biceps portion. Mainly, it is due to the repetitive and frequent movement of placing the arms above the shoulders.

Biceps tendinopathy is a condition that affects the tendon of this muscle. In general, it does not lead to serious consequences. The most common is that it is detected when a person experiences pain with just moving the arm.

There are many factors that favor the appearance of biceps tendinopathy. Among them are sports activity, work activity that involves regular use of strength in the arms and age. Although it is unusual, this problem can lead to rupture of the tendon if not addressed properly.

It is estimated that biceps tendinopathy is one of the main causes of pain in the shoulder. It starts with an inflammation that causes pain, but over time it can lead to chronic damage, in which there is partial or total rupture of the tendon.

The biceps and its tendons
The biceps is the muscle that is located in the upper arm. The distal tendon joins the lower one from the biceps to the elbow. For its part, the proximal tendons attach that muscle to the shoulder.



The tendons are connective tissues, endowed with great resistance. The proximal tendons are two: the short portion and the long portion. These are attached to the shoulder blade at various points. They help hold the upper arm area in the shoulder cavity. In the same way, they facilitate its movement.


The biceps is involved in several movements. It participates in the supination of the forearm, that is, in the movement through which the palms are turned upwards. Also in the flexion of the elbow. It also helps to stabilize the shoulder joint.

What is biceps tendinopathy?
The pathology of the biceps includes a wide range of injuries, which can arise both in the shoulder and in its insertion in the elbow. Biceps tendinopathy occurs when there is inflammation in the long portion of the proximal tendons.

The most common is that the biceps tendinopathy is associated with some pathology of the shoulder. The most frequent is the rotator cuff injury. The latter corresponds to the set of muscles and tendons that line the head of the humerus. It allows raising and rotating the arm, in addition to giving stability to it.

The condition causes severe pain in the anterior part of the shoulder. Usually, it appears when the arm is raised above the shoulder. However, this condition makes it very painful to perform daily activities, such as putting your arm in a shirt, throwing a ball, sleeping on the affected area, etc.

Causes of the disease
The most common cause of biceps tendinopathy is overuse, either because of a work or sports activity, or because there is a concomitant condition. The most frequent are inflammatory diseases, rotator cuff injuries, sequelae of previous injuries, traumatisms, subacromial shock or compromise syndrome.

Sometimes, the head of the humerus is abnormally lifted and displaced forward. This causes secondary damage to the long portion of the biceps. A conflict then arises between the long portion of the biceps and the acromion. This generates a picture known as impingement or subacromial compromise, which causes biceps tendinopathy.


All of the above gives rise to inflammation, edema or small breaks. If the problem progresses, chronic degeneration occurs. This leads to the alteration of the normal pattern of collagen in the tendon. Eventually, it could lead to a partial or total rupture of it.

The prevention of biceps tendinopathy
The main way to prevent a biceps tendinopathy is to avoid all those activities that involve placing the arms above the head too frequently. In sports activities such as baseball and tennis, these types of movements are very common.

When it is not possible to refrain from performing these movements, it is appropriate to perform exercises to strengthen the muscles of the shoulder and upper arm. If the shoulder muscles are well developed, the arm will not lose stability and, therefore, will be less prone to injuries.

Another measure of prevention is to perform these types of movements with an appropriate technique. Strange or uncomfortable postures subject the shoulder to excessive stress, which ends up triggering problems such as biceps tendinopathy. If the pain appears, the activity should be suspended until there is a medical review.

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