Bicep Tendonitis

Do you have shoulder pain that won’t go away? It could be bicep tendonitis, a common yet often misunderstood condition that affects many active individuals.
If you’re struggling with upper arm or shoulder pain, Paspa Physical Therapy in Manhattan, New York, offers expert, one-on-one care to help you heal. Our experienced physical therapists don’t rely on aides or trainers. Contact us today!
What is Bicep Tendonitis?
Bicep tendonitis (biceps tendinitis) is inflammation or irritation of the long head of the biceps tendon, the fibrous tissue that connects the biceps muscle to the bones in the shoulder. This tendon attaches to the shoulder joint at the glenoid (socket) of the shoulder blade. Overuse, repetitive motions, and strain can lead to microtears and inflammation, causing pain and limited movement.
Bicep tendonitis is especially common in athletes, manual laborers, and individuals who frequently lift overhead or engage in repetitive arm movements.
Symptoms of Bicep Tendonitis
Bicep tendonitis typically presents with several distinct symptoms, which may develop gradually:
- Aching or throbbing pain in the front of the shoulder
- Tenderness near the upper arm bone or shoulder joint
- Pain that worsens with overhead motion or lifting
- Weakness in the arm or difficulty rotating it
- A snapping sound or sensation in the shoulder
The discomfort may radiate down the upper arm and feel worse during physical activity or at night, making it hard to sleep on the affected side.
What Causes Biceps Tendonitis?
The most common cause of biceps tendonitis is overuse of the shoulder or arm, particularly during repetitive lifting or overhead motions. Athletes involved in swimming, baseball, or tennis, as well as individuals who frequently use tools or lift weights, are at higher risk of developing biceps tendonitis.
Age-related wear and tear can also contribute. As we get older, the tendons lose elasticity and become more prone to inflammation and injury. Poor posture, shoulder instability, or impingement (where the tendon gets pinched between the upper arm and shoulder blade bone) can exacerbate the issue.
Physical therapy is often recommended to treat these issues early and effectively. At Paspa Physical Therapy, patients benefit from one-on-one treatment sessions tailored to their unique condition and lifestyle.
What Are the Complications of Biceps Tendonitis?
When left untreated, biceps tendonitis can lead to serious complications, including:
- Chronic pain in the shoulder and upper arm
- Reduced range of motion and strength
- Partial or complete tears in the biceps tendon
- Development of shoulder impingement or rotator cuff injuries
- Difficulty performing daily tasks or participating in sports
A damaged biceps tendon can significantly affect quality of life, especially when combined with other shoulder issues.
How is Biceps Tendonitis Diagnosed?
A physical therapist or healthcare provider will typically begin with a medical history and physical exam, evaluating pain levels, range of motion, and shoulder strength. Imaging tests like MRI or ultrasound may be ordered to assess inflammation or rule out tears in the upper biceps tendon or nearby tissues.
Accurate diagnosis is crucial to developing an effective recovery plan. At Paspa Physical Therapy, evaluations are performed by experienced physical therapists, not recent graduates, ensuring precise assessment and tailored care.

What is the Treatment for Bicep Tendonitis?
Treatment for bicep tendonitis usually begins with conservative methods, including:
- Rest and Activity Modification: Avoiding activities that worsen symptoms
- Ice Therapy: Reducing inflammation and swelling
- Anti-inflammatory Medications: NSAIDs to relieve pain
- Physical Therapy: Strengthening and mobility exercises
In more severe cases, corticosteroid injections or even surgical intervention might be considered, especially if there is a torn or ruptured tendon. However, most patients improve significantly with non-surgical care.
At Paspa Physical Therapy, treatment plans are individualized and include access to a full gym and private treatment rooms for optimal recovery in a comfortable, professional setting.

Bicep Tendonitis Physical Therapy Exercises
Physical therapy is the primary treatment for bicep tendonitis, focusing on reducing pain and inflammation, improving range of motion, and strengthening the arm and shoulder for pain-free use. At Paspa Physical Therapy, you’ll receive expert one-on-one care and personalized exercise plans to support your recovery.
Some of the exercises a physical therapist may guide you through include:
- Biceps Curls: Build upper arm strength using light weights and strict form to avoid strain.
- Standing Biceps Stretch: Improve flexibility by extending your arms behind you while keeping your shoulders relaxed.
- Shoulder Flexion and Elbow Flexion: Help restore your vertical reach and elbow movement through slow, controlled lifting and bending motions.
- Internal and External Rotations: Performed lying down or using a doorway for support, these enhance shoulder mobility and joint stability.
- Forearm Twists: Increase arm flexibility with gentle wrist rotations.
- Shoulder Circle Crossovers: Promote coordination and range of motion by combining circular arm movements with controlled crossing motions.
Always perform these exercises gently and under supervision. If you feel pain, stop and consult your physical therapist to adjust your program. Paspa’s experienced therapists ensure each movement is done safely and effectively, no aides, just direct professional support.
Get Expert Help for Bicep Tendonitis
If you’re experiencing shoulder pain, weakness, or limited motion, don’t wait. Early intervention can prevent long-term damage. Paspa Physical Therapy provides expert, personalized care to help you heal from bicep tendonitis and get back to doing what you love.
Located in Manhattan, New York, Paspa Physical Therapy offers one-on-one sessions with highly experienced physical therapists in a private and fully equipped facility. Whether you’re an athlete or simply want to move without pain, our team is here to support your full recovery. Contact Paspa Physical Therapy today and schedule your evaluation.
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