Bicipital Tenosynovitis

Bicipital tenosynovitis—inflammation of the biceps tendon and sheath lining of the biceps muscle—can occur as a result of a sudden injury or a degenerative condition. The most common symptoms include pain during motion and tenderness when touched. Typical treatment for bicipital tenosynovitis includes rest, ice (for acute inflammation) or heat (for chronic inflammation), corticosteroid medication, physical therapy, and in some cases, surgery. Individuals who suspect bicipital tenosynovitis should restrict overhead motion and seek professional medical attention. Once inflammation and pain are minimized, most physical therapists will recommend routinely performing exercises that gently improve range of motion. This also prevent stiffness that can begin as a result of prolonged immobilization. Physical therapists also may implement phonophoresis (ultrasound) or iontophoresis (electrical repulsion) to deliver steroids to the inflamed tissue without an injection.