Overview
The long head of the biceps tendon runs through the front of the shoulder and is a common source of anterior shoulder pain. It can become inflamed (tendinitis) or tear, sometimes producing a bulge in the upper arm (a 'Popeye' sign). It frequently accompanies rotator cuff and labral problems.
Common Symptoms
- Pain at the front of the shoulder
- Pain with lifting, reaching, or overhead activity
- A snapping or catching sensation
- A bulge in the upper arm after a complete tear
Causes & Risk Factors
- Overuse and repetitive overhead activity
- Age-related tendon degeneration
- Associated rotator cuff or labral injury
Treatment Options
- Activity modification, physical therapy, and anti-inflammatories
- Image-guided injection
- Biceps tenodesis (re-anchoring the tendon)
- Treatment of associated cuff or labral problems
Procedure we perform for thisBiceps Tenodesis →
Recovery & What to Expect
Many cases settle with therapy and injection over several weeks. When tenodesis is performed, a protected program restores comfortable motion and strength over 3-4 months.
This page is for general education and is not a substitute for a medical evaluation. Treatment recommendations depend on your individual diagnosis and goals. Kevin O'Donnell, MD serves Coral Gables, Miami, Brickell, Pinecrest, Coconut Grove.