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Bicep tendinitis

Posted on 1/23/26 at 10:54 pm
Posted by Molliehawk1
Cenla
Member since Dec 2013
50 posts
Posted on 1/23/26 at 10:54 pm
I am 51 and have been unable to workout since the beginning of October due to bicep tendinitis. My Dr says rest is the best option. There are days my shoulder/bicep feels great and other days it hurts all day. Can anyone give some advice on how long I should continue to rest. At my age if I ain’t using it I’m losing it. Just ready to get back in the gym. Any advice is appreciated.
Posted by PrezCock
Florida
Member since Sep 2019
895 posts
Posted on 1/24/26 at 12:15 am to
When considering rest to treat tendinopathy it would have to be in the acute stage (tendonitis). Usually rest takes care of that and it resolves within a week or two.

You are saying October, and it is not the end of January. You are no longer in the acute phase of tendinopathy. You're Dr is wrong.

If it is still bothering you, after that time frame, then I would say you are in the chronic stage of tendinopathy (tendinosis).

I wrote this in another thread, but it is relevant to your question

quote:

There's a few things you can do. Most tendinopathies are non-inflammatory. Inflammation is the body's response to damage. It is the healing response. It's gotten a bad reputation because the body tends to go completely overboard.

You can go the non-inflammatory route. If it's acute, rest. If not, doing eccentrics and heavy slow resistance (HSR; tempo training 3-0-3) to rebuild those tendons. Use weights that you can feel your dysfunction with minimal pain (1-2/10).

Or you can go the inflammatory route (Rippetoe). Pretty much increase intensity and volume to induce/increase inflammation so the body can heal it.

Of course there's always medications/supplements like BPC or Cortisone injections. I find those have success rates at 50/50.


With all that being said, where do you feel the pain you are feeling and what motion, and in which manner of that motion, are you feeling that pain.

The more information you give us, the more we can help you.

I hope this helps.
Posted by YungBuck
Mandeville
Member since Dec 2017
3058 posts
Posted on 1/24/26 at 7:47 am to
quote:

eccentrics and heavy slow resistance (HSR; tempo training 3-0-3) to rebuild those tendons. Use weights that you can feel your dysfunction with minimal pain (1-2/10).


Research points to this as the best answer (now there’s debate on Eccentric vs HSR, did an Oxford debate while in PT school on it)
Posted by whit
Baton Rouge
Member since Sep 2010
11070 posts
Posted on 1/24/26 at 8:10 am to
I had this a few years ago. It lasted forever. It eventually went away. I just worked around it.
Posted by calcotron
Member since Nov 2007
10269 posts
Posted on 1/24/26 at 8:11 am to
I struggle with this a bit, avoiding curls has worked for the most part. It only flares up once a month or so. I still do pull-ups, but it doesn't bother them as much and I feel like it keeps the biceps worked enough to not really shrink away. Before the tendonitis "pain" I started getting cramps in that area more and more often. Not sure if related. I'm 47.
Posted by Wee Ice Mon
Member since May 2014
1870 posts
Posted on 1/24/26 at 7:51 pm to
quote:

Bicep tendinitis


Super annoying. I’m dealing with it on my left arm after finally getting past it on the right side last year. No curls and almost no back exercises. Straight arm lat pullovers is about it for back right now.

I can’t really say what helped my right arm heal. It nagged me for months and then it was gone as if it never happened.

I think i got the tendinitis when the whole “emphasize the stretch over the contraction” rage started with YouTube fitness people. I think it did more harm than good.
This post was edited on 1/24/26 at 7:55 pm
Posted by LemmyLives
Texas
Member since Mar 2019
14444 posts
Posted on 1/25/26 at 12:21 am to
quote:

My Dr says rest is the best option

Get a second opinion, and preferably find a doctor or PT that actually plays sports or works out. DRs whose only seemingly go to, "if it hurts when you do what you love, stop doing it for months," wasted a year of my lifting life. I don't think doctors like that understand their job: get you back to where you were ASAP.

Your Dr. should have probably also recommended stretching exercises, anti-inflammatories, ice/heat, and potential PT, but didn't. If there is a chiropractor near you that is more sports therapist than someone that only cracks and adjusts stuff, they may offer you better PT options.

Be aware, that if your doc is a part of a major medical system, they may be dictated by the system's "standard of care," to only be permitted to use certain therapies in many instances.
Posted by 632627
LA
Member since Dec 2011
14773 posts
Posted on 1/25/26 at 9:17 pm to
Had it in my right arm for a while several years back and it eventually went away. Been dealing with it now in my left arm for the past year or so. Thought it was a shoulder injury at first but my PT diagnosed it instantly.

Lifting slow, heavy and less reps keeps it in check. Too much volume leads to a flare up.
Posted by bayoumuscle21
St. George
Member since Jan 2012
5037 posts
Posted on 1/27/26 at 8:45 pm to
quote:

had this a few years ago. It lasted forever. It eventually went away. I just worked around it.


Same. Every time I do pull ups/ curls it “hurts” but I can easily get through it. I was resting and doing all the things and when it never got better I just started doing light weight for a couple sets and it slowly got better. Makes me side with the force inflammation argument for healing.
Posted by Guidrygolfnsport
Mandeville
Member since Sep 2021
29 posts
Posted on 1/28/26 at 1:47 pm to
is this at shoulder or elbow?
Posted by Molliehawk1
Cenla
Member since Dec 2013
50 posts
Posted on 1/29/26 at 9:33 pm to
Shoulder
Posted by PrezCock
Florida
Member since Sep 2019
895 posts
Posted on 1/30/26 at 5:08 am to
quote:


Shoulder


Get it checked out. There's a ligament that holds the biceps tendon in place at the shoulder. That can rupture and the tendon can pop out and cause inflammation.
Posted by Nighthawk504
NOLA
Member since Aug 2015
168 posts
Posted on 2/15/26 at 8:51 am to
Had this for over and year and hoped it would go away on its own but it never did. Went to a doctor who prescribed me strong anti-inflammatorys and those finally knocked it out. Should look into this.
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