#shoulderpain #shoulder #jointpain #chiropractic
Do you have shoulder pain?
Dr. Jawad corrects a 17 year old softball pitcher who subluxated her right biceps tendon during a game.
Biceps tendon subluxation/dislocation: In some people with rotator cuff tears, the biceps tendon may not be held in the groove in the upper arm. The tendon may snap out of the groove. When the tendon is unstable, we call it subluxation; when the tendon snaps out of the groove, we call it dislocation.
The biceps is a muscle on the front part of the upper arm. The biceps includes a “short head” and a “long head” that work as a single muscle.
The biceps is attached to the arm bones by tough connective tissues called tendons. The tendons that connect the biceps muscle to the shoulder joint in two places are called the proximal biceps tendons. The tendon that attaches the biceps muscle to the forearm bones (radius and ulna) is called the distal biceps tendon. When the biceps contracts, it pulls the forearm up and rotates it outward.
Long head of biceps tendonitis: A cause of shoulder pain?
Shoulder pain may be due to many causes such as rotator cuff tendinosis, shoulder joint arthritis and frozen shoulder. However, in some less common cases, the long head of the biceps can cause shoulder pain. So, can a long head of biceps tendonitis cause shoulder pain? And how do we separate it from other common causes?
What is the long head of biceps tendon?
The biceps muscle is a large muscle that sits at the front of the arm. Many people think that the biceps only acts on the elbow. However, the muscle and more specifically the tendon plays a role in helping the important rotator cuff tendons in the shoulder.
There are two tendons that attach the biceps muscle to the shoulder: the ‘long’ head and the ‘short’ head. The long head passes into the shoulder joint through a groove in the arm bone and then a hole in the rotator cuff. Finally, it attaches to the top part of the labrum.
Problems with the long head of biceps
Most problems with the long head of the biceps tendon present with pain at the front of the shoulder. In addition, clicking or snapping is common. Also, problems in the long head of the biceps are commonly associated with rotator cuff tendon problems. So, treating the rotator cuff tendon pathology is important as well.
Common problems of the tendon include:
Long head of biceps tendonitis: Tendon swelling and inflammation can cause pain at the front of the shoulder.
Biceps tendon rupture: With increasing damage, the tendon can be torn off completely from its attachment. The tendon retracts back into the arm causing a bulge in the biceps. When the biceps is flexed, it often looks like a ‘Popeye’ muscle.
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DR. JINAAN JAWAD
D.C., DACNB, FACFN, FIAMA, CFMP
Dr. Jawad is a board certified chiropractic neurologist and acupuncturist. He also is a diplomat for the American Chiropractic Neurology Board, Fellow of the American College of Functional Neurology as well as Fellow of the International Academy of Medical Acupuncture. He is a Certified Functional Medicine Practitioner.
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