Trigger Point Release - Biceps Muscle Strain / Tendinitis
Bicipital tendinitis results from irritation and inflammation to the biceps brachii tendon, which lies on the front of the shoulder and allows elbow flexion and supination of the forearm.
Overuse can lead to inflammation and is a common affliction in golfers, weightlifters, rowers and those engaged in throwing sports.
Irritation of the tendon of the long head of biceps occurs as it moves up and down in the intertubercular (bicipital) groove of the humerus. Inflammation can be to the tendon itself or to the tendon sheath or paratenons.
The musculo-tendinous junction of biceps brachii is highly susceptible to injuries brought on by overuse, particularly following repetitive lifting activities.
Cause of Injury
Poor technique, particularly in weightlifting. Sudden increase in duration or intensity of training. Shoulder impingement syndrome.
Signs and Symptoms
Pain over the bicipital groove when the tendon is passively stretched and during resisted supination and elbow flexion. Pain and tenderness along the tendon length. Stiffness following exercise.
Trigger points in the biceps are commonly involved in this injury. Where the injury has occurred as a result of trauma or overuse, additional triggers may become active as part of the body's natural "protect and defend" mechanism.
These triggers and their affect on delivering pain signals and reducing range of movement are sometimes referred to as "holding patterns".
Complications if Left Unattended
Bicipital tendinitis, left without care and treatment, generally worsens as the biceps brachii tendon becomes increasingly irritated and inflamed. Movement and the ability to perform athletically without pain will be further hampered. Exercising without adequate healing and rehabilitation can lead to tearing of the tendon and tendon degeneration over time.
RICER regimen to relieve painful inflammation. Anti-inflammatory and analgesic medication. Then heat to promote blood flow and healing.
Rehabilitation and Prevention
The condition is self-limiting given rest and minimal medical attention. Following full recovery, exercises directed at improving flexibility, proprioception and strength may be undertaken. Thorough warm-up and stretching exercises and a steady athletic regimen that avoids sudden, unprepared increases in activity can help avoid this injury, as can attention to proper sports technique.
A full return to athletic activity may generally be expected given adequate time for tendon recovery and reduction of inflammation. However, the injury frequently recurs. Surgery is generally not required. Corticosteroid injections are sometimes used to reduce pain, though they must be applied cautiously as they increase the risk of tendon rupture.
About NAT Courses
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About Niel Asher Education
Niel Asher Education is a leading provider of distance learning and continued education courses.
Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.
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NAMTPT AWARD 2017
We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
Award Winning Instructors
Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.
If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.
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Niel Asher Technique
Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.
The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.
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Trigger Point Therapy Master Course
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