Inflammation Of Biceps Long Head






This elbow injury Biceps tendonitis is an inflammation of the long head of the biceps tendon, as well as its paratendon (the sheath surrounding the tendon). It often occurs as a result of overuse or chronic “wear and tear”. Overuse can cause microscopic tears to form in the tendon. These tears trigger an inflammatory response, which causes pain.  is more likely to affect weight lifters who over do the biceps curls. People who do a lot of writing such as students can also be prone to this elbow injury. Very simply the tendon of the biceps muscle inserts into the inside of the elbow and can become inflamed if it is overused.


As mentioned above this condition often occurs as a result of overuse.

It can be caused by excessive overhead motions such as throwing or swimming.

With these types of activities, there is excessive wear on the tendon, but other factors may contribute to the problem. The long head of biceps tendon is normally held in its groove by the transverse humeral ligament. If the ligament is injured or stretched the long head of biceps tendon may slide abnormally resulting in irritation of the tendon. The bicipital groove (the groove in the head of the humerus or upper arm bone) itself may also be deformed. If it is too shallow or has rough edges it can also cause irritation of the tendon.


  • A thickening and redness over the biceps tendon.
  • Pain or discomfort when you bend the arm against resistance.
  •   Pain or discomfort on the inside of the elbow when you write.


In light cases with only minimal tenderness medical examination is not necessarily required. In case of more pronounced pain and in lieu of progress a medical examination should be carried out to ensure the correctness of the diagnosis and to commence the correct treatment. Ordinary medical examination is often sufficient to form the diagnosis, but if uncertainty exists, it should be supplanted by ultrasound, which is the most suited examination for shoulder injuries (article) ( Ultrasonic image).


The treatment consists of relief and slow rehabilitation of the biceps muscle and the other muscles around the shoulder. Only in cases of total rupture of the biceps muscle should surgery be considered, the vast majority are treated with rehabilitation. If no progress is made with relief of the tendinitis, medical treatment may be considered in the form of rheumatic medicine (NSAID) or draining of the fluid in the tendon sheath and injection ofcorticosteroid in the tendon sheath, which must be performed with ultrasound guidance. Since the injection of corticosteroid is part of a long-term rehabilitation of a long-term injury, it is often necessary that the rehabilitation period stretches over several weeks, to reduce the risk of recurrences and ruptures. Naturally the tendon can not sustain maximum load after only a short rehabilitation period. 


At Physioline, all the members of the rehabilitation team work together so as to provide proper care and the therapy in order to:

  • Pain relief
  • Reduce stiffness
  • Reduce swelling
  • Strengthening of muscle
  • Regain full range of motion
  • Complete rehabilitation
  • Sports specific training

Visit Physioline for the Consultation and treatment