Biceps Tendinitis

 Understanding the Condition and Ultrasound-Guided Cortisone Injections at Alton Pain Clinic

Introduction

Biceps tendinitis is a condition that affects the tendon of the biceps muscle, often resulting in discomfort and reduced mobility in the front of the shoulder. The condition can develop gradually due to overuse, or occur after injury. At Alton Pain Clinic, clinicians offer ultrasound-guided cortisone injections as part of a personalised approach to managing symptoms associated with biceps tendinitis.

This blog explores the nature of the condition, potential causes, symptoms, diagnostic methods, and non-surgical treatment options, including how targeted injections may assist in managing discomfort.

Anatomy of the Biceps Tendon

The biceps muscle has two tendons that attach it to the bones in the shoulder. The long head of the biceps tendon runs through the bicipital groove of the humerus and attaches to the top of the shoulder socket (glenoid). The short head attaches to the coracoid process of the shoulder blade.

The long head of the biceps tendon is more susceptible to inflammation or degeneration due to its location and function.

Understanding Biceps Tendinitis

Biceps tendinitis refers to inflammation or irritation of the long head of the biceps tendon. This inflammation may cause pain in the front of the shoulder and is often aggravated by overhead activities or lifting.

In some cases, tendinitis can be accompanied by degeneration of the tendon (tendinopathy), and may progress to partial or complete tears if not managed.

Common Causes

Several factors can contribute to biceps tendinitis, including:

  • Overuse or Repetitive Motion
    Frequent overhead movements in sports or work (e.g., tennis, swimming, painting) can strain the biceps tendon.
  • Shoulder Impingement
    Compression of the tendon due to structural changes in the shoulder may lead to irritation and inflammation.
  • Age-related Degeneration
    With age, tendons may naturally weaken, becoming more vulnerable to wear and tear.
  • Rotator Cuff Disorders
    Biceps tendinitis often coexists with rotator cuff conditions due to shared anatomical spaces.

Symptoms

Individuals with biceps tendinitis may experience:

  • Pain in the front of the shoulder that worsens with activity
  • Tenderness over the bicipital groove
  • Weakness when lifting or rotating the arm
  • Clicking or snapping sensation in the shoulder
  • Discomfort that may radiate down the upper arm

Symptoms may vary in intensity and duration depending on the severity of the condition.

Diagnosis

Diagnosis typically involves a detailed clinical assessment by a clinician. The evaluation may include:

  • Physical Examination
    Testing for tenderness, strength, and range of motion.
  • Ultrasound Imaging
    A non-invasive method used at Alton Pain Clinic to visualise the biceps tendon and surrounding structures in real time.

Management Options

Treatment of biceps tendinitis often begins with conservative approaches. Options may include:

Rest and Activity Modification

Reducing repetitive overhead activities or heavy lifting can help decrease stress on the tendon.

Ultrasound-Guided Cortisone Injections at Alton Pain Clinic

When symptoms persist despite initial management, ultrasound-guided cortisone injections may be considered. At Alton Pain Clinic, these injections are administered by experienced clinicians using ultrasound imaging to enhance precision.

Key Features:

  • Real-Time Guidance
    Ultrasound allows clinicians to visualise the biceps tendon and guide the needle accurately to the affected area.
  • Targeted Delivery
    Medication is delivered precisely to the site of irritation, potentially assisting with inflammation control.
  • Minimally Invasive
    The procedure is performed in a clinical setting and usually takes a short time to complete.

While individual experiences may vary, some people may notice reduced discomfort and improved function following the procedure. This intervention is generally considered when other non-invasive options have not led to sufficient improvement.

Post-Injection Care

After the injection, individuals are typically advised to:

  • Avoid strenuous activity involving the injected shoulder for a short period
  • Follow any post-injection instructions provided by the clinician

Why Choose Alton Pain Clinic?

At Alton Pain Clinic, care is tailored to the individual. The clinic provides:

  • Experienced Clinicians
    Assessments and procedures are carried out by skilled professionals.
  • Ultrasound-Guided Precision
    The use of real-time ultrasound helps enhance the accuracy of procedures.
  • Individualised Care Plans
    Treatment is customised to each patient’s condition, lifestyle, and goals.

Conclusion

Biceps tendinitis can affect day-to-day function and quality of life, especially when activities involving the shoulder become painful. Early identification and targeted care can support symptom relief and help manage inflammation. At Alton Pain Clinic, ultrasound-guided cortisone injections form part of a broader approach that considers each person’s needs.

For more information or to explore options for managing biceps tendinitis, consider reaching out to Alton Pain Clinic for a consultation with one of our clinicians.

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