The Long Head of the Biceps: One of the Biggest Pain Generators in the Shoulder
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In this episode of The Shoulder Blueprint Podcast, Dr. Caleb Davis and Dr. Justin Givens discuss one of the most common sources of front shoulder pain: the long head of the biceps tendon.
They explain the anatomy of the proximal biceps, the difference between tendinitis and tendinosis, how biceps pain overlaps with SLAP tears, rotator cuff pathology, and altered shoulder mechanics, and why this tendon so often becomes a major pain generator.
The episode also covers common symptoms, physical exam findings, MRI and ultrasound evaluation, nonoperative treatment with activity modification, therapy, and injections, plus a practical discussion of surgical options including tenotomy, tenodesis, and management of proximal biceps rupture.
If you have ever been told you have biceps tendonitis, a labral issue, or unexplained pain in the front of the shoulder, this episode gives a clear, practical overview of how shoulder specialists diagnose and treat these problems.