What is the Biceps Tendon?

The long head of the biceps tendon runs through the front of the shoulder and helps stabilise the shoulder joint while assisting with lifting and rotational movements of the arm.

This tendon is commonly affected by inflammation, degeneration and tears, particularly in active individuals and with advancing age.

What are the Common Causes of Biceps Tendon Problems?

Biceps tendon problems may occur due to:

• Age-related wear and tear
• Repetitive overhead activities
• Sports injuries
• Heavy lifting
• Rotator cuff tears
• Shoulder instability

Biceps tendon problems often occur alongside other shoulder conditions such as rotator cuff tears or SLAP lesions.

What are the Common Symptoms of Biceps Tendinitis / Tear?

Patients commonly experience:

• Pain at the front of the shoulder
• Pain during lifting or overhead activities
• Clicking or catching sensations
• Weakness of the shoulder or arm
• Tenderness over the biceps tendon
• A visible "Popeye" bulge in cases of complete rupture

How is it Diagnosed?

Diagnosis is based on:

• Clinical examination
• X-rays
• MRI scan
• Ultrasound in selected cases

These investigations help identify inflammation, tendon tears and associated shoulder problems.

What are the Non-Surgical Treatments for Biceps Tendon Problems?

Many patients improve with conservative treatment, including:

• Rest and activity modification
• Ice application
• Anti-inflammatory medication
• Physiotherapy
• Ultrasound-guided injections when required

When is Surgery Recommended?

Surgery may be considered when:

• Symptoms persist despite treatment
• Significant tendon damage is present
• There is associated rotator cuff pathology
• The patient wishes to return to sports or heavy work

What are the Arthroscopic Treatment Options for Biceps Tendon Problems?

Depending on the condition of the tendon, treatment may include:

Biceps Debridement

Removal of damaged or inflamed tendon tissue.

Biceps Tenodesis

The tendon is reattached to the upper arm bone to relieve pain while preserving strength and function.

Biceps Tenotomy

The tendon is released from its attachment, providing pain relief in selected older or lower-demand patients.

These procedures are commonly performed using advanced arthroscopic (keyhole) techniques.

How is the Recovery after Biceps Tendon Surgery?

Typical recovery includes:

• Sling support: 3–4 weeks
• Physiotherapy: 6–12 weeks
• Return to office work: 1–2 weeks
• Return to sports and heavy activities: 3–4 months

Why Choose Dr. Anand Jadhav?

Dr. Anand Jadhav specialises in Shoulder Arthroscopy and Sports Injury Surgery, offering advanced treatment for:

• Biceps Tendinitis
• Biceps Tears
• SLAP Lesions
• Rotator Cuff Tears
• Shoulder Instability

His goal is simple: Relieve Pain • Restore Function • Return to Activity