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How to Put Bicep Tendon Back in the Groove?

Did you know that your shoulder discomfort can be associated with a slipped bicep tendon? It can be a significant challenge to treat, as your shoulder is made of many tiny pieces joined together. You have a greater risk of a slipped bicep ligament if the diagonal tendon loosens, is damaged, or is split. In this case, the tendon slides towards your upper body and gets blocked on the other side of the groove, causing pain and restricted movements. Therefore, this article will illustrate how to put the bicep tendon back in the groove. 

What is a Slipped Bicep Tendon? 

Out of the many vital parts of your shoulder, one is the bicep muscle. This muscle links to your humerus bone through the tendon. This shoulder part is regarded as the long–head. It is a thin structure that moves through a groove at your shoulder front before crossing the joint. 

Hence, your diagonal tendon shelters the groove and grips the bicep ligament. Sometimes, the soft tissue chains from the rotator cuff muscles that sustain the long head of the bicep ligament can be damaged. Hence, it causes the ligament to slip out of the position. 

How Does This Condition Cause Pain? 

If you suffer from this slipped bicep tendon condition, you would feel pain if you sleep on that side. Your movement will further roll the joint inwards, placing pressure on the ligament (where it is weak). Hence, you won’t be able to sleep on that side at night. 

A few times, the long-head of this tendon does not entirely shift from the groove, but the weak external rotators enable the humeral head to move inwards. And the ligament pushes against the damaged diagonal tendon, which leads to pain. 

What are the Signs of This Condition? 

The symptoms of the dislocated shoulder ligament condition include: 

  • A crash, pain, and weakness when moving your arm inwardly and outward 
  • Discomfort in your shoulder front 
  • Pain that travels down into your bicep muscles 
  • Similar condition when you damage your subscapularis tendon: 
    • Pain in the front shoulder and when you place the palms behind the backbone  
    • A transmittable pain in your front shoulder when you raise or lower the arm through a specific range of motion 

What Causes This Problem? 

Here are some of the scenarios which increase the risk of ligament dislocation: 

  • Engagement in rigorous sports activities, weightlifting, and bodybuilding 
  • Heavy Labour Work 
  • Low body strength and flexibility 
  • Skipping warm-up before exercise 

How Doctors Diagnose This Condition? 

Physical Examination 

When examined by a doctor, they may inquire about sensitivity and the bicipital casing and pain with interior rotation. 

In contrast, a particular diagnosis includes the actual translation of the bicep muscle outside its cover. Doctors actively rotate the forearms (by turning their palms up) while keeping the elbow at the side during diagnosis. 

A clunk (usually when the tendon slips over the groove) indicates dislocated muscle. Facts state that this diagnosis is typically infrequent as the tendon is very deep in the groove. 

Imaging Tests 

MRI

An MRI test allows imaging of the long-head of the bicep ligament. If the doctor observes degenerative changes, splits, or dislocation of the ligament within the bicipital groove, then you may be a victim of this. 

This dislocation specifies pathology and ripping off the upper subscapularis tendon that serves as a restraint in the bicep ligament’s normal development. However, MRI tests will not notice subluxation that occurs energetically. 

Ultrasound 

Doctors may also use ultrasound to diagnose this condition. It is a dynamic way to spot long-head bicep variability. When the doctor places the ultrasound probe in the bicep groove, they move the patient’s shoulder actively and passively to examine changes in the ligament position. 

How Can You Treat This Condition?

The treatment of this ligament displacement depends on the seriousness and symptoms. The treatment of this condition is very much similar to the long-head ligament pathology. 

Conventional Treatment 

While conservative treatment includes the use of chiropractic and changing lifestyle is sufficient for treatment. You can rest, try cold therapy and anti-inflammatory medicines to effectively treat this condition. And if you regularly follow stretching and strengthening workouts, it helps you recover even faster. 

Serious Condition 

However, if your condition is critical and you suffer from tendonitis without a rip, you may visit a specialist. Your doctor may suggest corticosteroid injections to relieve the pain and inflammatory symptoms. It will help the ligament to heal fast. 

Surgical Treatment 

If you have a rotator cuff or labral pathology, your doctor may suggest surgery. The standard surgical technique for this condition is “tenodesis”, where the doctors even out the long-head tendon within the groove. 

If doctors suggest you a tenodesis surgery, they may perform an arthroscopy to remove a part of the long-head of the tendon (from the region of instability). Then they may directly reattach it through drill holes, seam anchors, or seam into the bone or soft tissue. 

What Are the Risk Factors? 

Old Age

This condition is more widespread in older people than in young, as their biceps have been used much more. 

Heavy Activities 

Your tendon will be overburdened, if you are involved in heavy activities lifting heavy objects or weightlifting. Hence, it will have to undergo more wear and tear. 

Excessive Use of Shoulder

A sportsperson is at greater risk as he has to repeatedly use their shoulders. Usually, swimmers, throwing players, or tennis champs excessively use their biceps. 

Corticosteroid Medicines 

This medicine weakens the muscles and tendons.  

When to Resume Normal Activities? 

If you have undergone surgery, you may resume your upper extremity activities after three or four months. However, if the surgery has been performed for rotator cuff tendon tears, you may have to wait for six months at least before resuming your everyday routine. 

How Can You Prevent This? 

You know that this condition is usually caused due to degenerative changes or trauma. Hence, you cannot entirely prevent it. 

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