Anterior shoulder pain – Proximal biceps tendonitis
Intro: Tendonitis of the proximal biceps tendon involves inflammation of the tendon of long head of biceps muscle. This condition is caused by repetitive motion (overhead especially) or overuse. There may be degeneration of the tendon (tendinosis) as well.
Symptoms: Tenderness over front of shoulder and pain on certain motions.
Treatment: Physical therapy and medications. A steroid injection near the tendon may help provide relief. Regenerative treatment such as plasma rich platelet (PRP) injection, which promotes healing of the tendon, is another treatment modality for this condition. Surgeries such as arthroscopic tenodesis (repairing tendon) or tenotomy (cutting tendon) may be considered in refractory cases.