Bicep Tendon Injury - Proximal?

[buckley187]

Hi Buckley,

You being a rock climber and your activity at the gym has probably contributed to the repetitive microtrauma of the biceps in the bicipital groove. In fact you have provided key points such as: not being able to mobilize your arm due to pain(intiatiating activites), a negative bunching up of the biceps in the distal arm which is evident in proximal biceps tendon rupture is a good sign. ( you may rule out rupture of the proximal part which is one of the clinical findings),activites that involve repetitive flexion of the shoulder and elbow,( rock climbing) and overloading of the biceps (bench presses eccentric contraction of your biceps)

This attachment best describes biceps tendinopathy and its treatment.


Hope this one helps!!

regards,
Charlize29

HI Charlize29,

Thank you very much for the info and word doc. I had a good read of it last night and it helped me understand my injury a bit more. I've done so much research on this injury on the net but there doesn't seem to be anything on how long an injury like this takes to recover? I understand that I have to be patient but it's hard for someone very active like me.

Anyway I'll keep going with the hot and cold treatment and I'm having physio twice a week now so I'm hoping within a few weeks I'll be sorted, considering it's been 7 weeks since the injury happened!

Like I say thanks for the doc and also for taking the time to write back and offer some advice and info.

I'll keep you guys posted and we'll see how it all goes.

One last thing I thought i'd mention; I'm only getting pain against resistance with my palm up? If I support my arm with my palm up and lift there is virtually no pain there... it's very odd and VERY annoying.

[charlize29]

Hi Buckely,

A positive Speed's test is when you move your arm ( shoulder ) in front of you or flex it with the elbow extended while the forearm is in a supinated position with resistance. That definitely puts a strain on your biceps tendon in the bicipital groove..yes it can be very annoying . Try not to do activites that aggravate the condition. Your patience will pay off soon so do not worry too much

Thanks also for presenting your case and goodluck to you. Get well soon!!
Please keep us posted ok....

Regards,
charlize29

[buckley187]

Morning guys,

See the physio again last night and he has advised that I need to just keep going with my stretching exercises and said that my shoulder capsule was very tight to start with. This is getting better. Last night my shoulder and bicep where sore after physio but this morning it's settled down a bit.

So he's said NO scan (MRI) for now just keep going with this treatment and ultrasound? He said it's pointless having an MRI when he already knows what the problem is!

Do you think he's right???

Another thing I haven't mention is that my left shoulder has never had the ROM my right shoulder has. In terms of flexibility. This is imrpoving but my tendon feels very similar to what it was say 2-3 weeks ago.. Is this normal?

I'm so impatient eh!

Please let me know your thoughts.

Many Thanks