Biceps Tendinopathy Physical Therapy Treatment Principles: FPF Show Episode 135

By dpope2020

June 7, 2024

bicep, bicep tendonitis, bicep tendonitis exercises, bicep tendonitis treatment, biceps, biceps pain, biceps tendinopathy, biceps tendinopathy exercises, biceps tendinopathy physical therapy protocol, biceps tendon pain, biceps tendonitis, biceps tendonitis exercises, biceps tendonitis rehab, biceps tendonitis treatment, dan pope, fitness pain free, pain, physical therapist, physical therapy, physio, physiotherapist, physiotherapy, rehab, rotator cuff, Shoulder Pain

Biceps Tendinopathy Physical Therapy Treatment Principles: FPF Show Episode 135

To go along with today's episode I have a nice infographic to share...

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In today's video we go over Biceps Tendinopathy Physical Therapy Treatment Principles: 

Timeline:

  • 0:00 - Intro
  • 2:26 What does the medical literature say is effective for treating biceps tendinopathy?
  • 2:55 What specific physical therapy treatments are shown to be effective?
  • 6:33 What do experts on biceps tendinopathy recommend as physical therapy treatment?
  • 12:40 Can we treat biceps tendinopathy the same as rotator cuff related pain or subacromial pain?
  • 18:58 Anatomical considerations in the treatment of biceps tendinopathy
  • 20:13 What movements in the weight room tend to aggravate biceps tendinopathy
  • 24:29 The role of patient education and modifying lifestyle and training during physical therapy
  • 29:02 Guidelines for exercise modification during gym training. 
  • 30:12 How much pain is acceptable when weight training?
  • 33:54 How to create a progressive physical therapy program for patients
  • 38:13 Why training the rotator cuff is probably paramount in patients with biceps tendinopathy

So happy I can treat all of my problems with bicep curls....

- Dan Pope DPT,OCS,CSCS

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. McDevitt AW, Young JL, Cleland JA, Hiefield P, Snodgrass SJ. Physical therapy interventions used to treat individuals with biceps tendinopathy: a scoping review. Braz J Phys Ther. 2024 Jan-Feb;28(1):100586. doi: 10.1016/j.bjpt.2023.100586. Epub 2023 Dec 27. PMID: 38219522; PMCID: PMC10825607.

  2. McDevitt AW, Cleland JA, Addison S, Calderon L, Snodgrass S. Physical Therapy Interventions for the Management of Biceps Tendinopathy: An International Delphi Study. Int J Sports Phys Ther. 2022 Jun 1;17(4):677-694. doi: 10.26603/001c.35256. PMID: 35693861; PMCID: PMC9159730.

  3. Candela V, Preziosi Standoli J, Carbone S, Rionero M, Gumina S. Shoulder Long Head Biceps Tendon Pathology Is Associated With Increasing Rotator Cuff Tear Size. Arthrosc Sports Med Rehabil. 2021 Aug 27;3(5):e1517-e1523. doi: 10.1016/j.asmr.2021.07.013. PMID: 34712989; PMCID: PMC8527326.

  4. Churgay CA. Diagnosis and treatment of biceps tendinitis and tendinosis. Am Fam Physician. 2009 Sep 1;80(5):470-6. PMID: 19725488.

  5. Apple, A. E., O’Brien, M. J., & Savoie, F. H. (2017). Long Head of the Biceps Tendinopathy. Muscle and Tendon Injuries, 215–221. doi:10.1007/978-3-662-54184-5_20 

  6. Landin D, Thompson M, Jackson MR. Actions of the Biceps Brachii at the Shoulder: A Review. J Clin Med Res. 2017