Bicep Tendonitis: What It Is and How to Treat It

By Dr. Terrell Joseph, Board-Certified Orthopedic Surgeon Specializing in Shoulder & Elbow Care

Shoulder pain can be frustrating, especially when it limits your ability to lift, reach, or carry out everyday activities. One common cause of pain in the front of the shoulder and upper arm is bicep tendonitis, an inflammation of the tendon that connects the biceps muscle to the shoulder.

“Patients often come in thinking they have a shoulder injury, but the problem is actually related to the tendon itself,” says Dr. Terrell Joseph, board-certified orthopaedic surgeon at Vail-Summit Orthopaedics & Neurosurgery. “Recognizing the signs early is key to effective treatment.”

Let’s take a closer look at what bicep tendonitis is, the most common bicep tendonitis symptoms, and how it can be treated.

What Is Bicep Tendonitis?

Bicep tendonitis occurs when the tendon of the long head of the biceps becomes irritated or inflamed. This tendon runs from the top of the biceps muscle into the shoulder socket, helping stabilize the joint. Repetitive overhead movements, heavy lifting, or age-related wear and tear can all contribute to the development of upper arm tendonitis.

Athletes who swim, play tennis, or throw are especially at risk, as are people who perform frequent overhead work.

Common Bicep Tendonitis Symptoms

Identifying bicep tendonitis symptoms can help determine if you need to see a specialist. Patients often report:

• Pain or tenderness in the front of the shoulder or upper arm

• Discomfort when lifting, reaching overhead, or carrying heavy objects

• A snapping or popping sound in the shoulder

• Weakness in the arm during activity

“These bicep tendonitis symptoms often worsen with activity and improve with rest,” explains Dr. Joseph. “But if the pain lingers or limits daily function, it’s time to see a Bicep doctor for evaluation.”

How Is Bicep Tendonitis Diagnosed?

During an exam, a bicep doctor will evaluate your shoulder, test your range of motion, and may order imaging such as an MRI or ultrasound to confirm the diagnosis. It’s also important to rule out other shoulder conditions, like rotator cuff tears, that may cause similar pain.

Treatment Options for Bicep Tendonitis

The good news is that most cases of upper arm tendonitis can be treated without surgery. Initial treatment often includes:

• Rest and activity modification – Avoid repetitive overhead movements that aggravate symptoms.

• Ice and anti-inflammatory medications – Help reduce swelling and pain.

• Physical therapy – Strengthening and stretching exercises to restore function and prevent recurrence.

• Steroid injections – May be used in more persistent cases to reduce inflammation.

If conservative treatments don’t provide relief, surgical options may be considered. Surgery typically involves repairing or reattaching the tendon, allowing patients to return to pain-free movement.

Preventing Bicep Tendonitis

While not every case can be prevented, maintaining shoulder strength and flexibility reduces your risk of upper arm tendonitis. Proper warm-ups before activity, good posture, and avoiding repetitive stress can also make a big difference.

“Patients who commit to rehab and preventative exercises often find they come back stronger,” says Dr. Joseph.

The Bottom Line

Bicep tendonitis symptoms can disrupt daily life, but with the right treatment plan, recovery is very achievable. Whether through physical therapy, injections, or surgery, a bicep doctor can help guide you to lasting relief and restored function.

If shoulder pain is holding you back, contact Dr. Terrell Joseph at Vail-Summit Orthopaedics & Neurosurgery for a personalized evaluation and treatment plan.