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Ruptures of one of the tendons of the biceps can occur mainly in people over the age of forty who already have some degenerative changes. In younger people surgery is generally considered but for the older population conservative treatment with mobility and strength training is usually preferred.

Inflammation of the long tendon of the biceps is a fairly common cause of shoulder pain. This tendon glides through a special groove in the humerus and the tendon can become inflamed. The patient will have tenderness over the front of the shoulder and bending the elbow will be painful. Physiotherapy treatment will involve the use of anti inflammatory modalities, strength training when appropriate and restoring mobility.