Extremities & Joints
Biceps Tendinopathy
Pain at the front of the shoulder along the biceps tendon.
Also called: Bicipital tendinitis, Biceps tendon pain.
The long head of the biceps runs through a groove at the front of the shoulder. Irritation there produces a well-localized ache that is often aggravated by lifting or reaching forward.
It can occur on its own but more often accompanies other findings in the shoulder, since the tendon shares space and load with several other structures around the joint.
Why this matters
It frequently accompanies other shoulder findings rather than appearing alone, which is why the whole shoulder complex is examined rather than treating a single tender spot.
Lifting, carrying, and reaching forward are the movements most often affected, and identifying the aggravating pattern helps guide what activity changes might help in the short term.
The brain & nervous-system connection
Where the nervous system fits in
Load tolerance depends on how the rest of the shoulder is sharing the work, which is a coordination question rather than a purely local one.
Because muscle activation around the shoulder is coordinated by the nervous system, an evaluation considers how the shoulder blade and surrounding muscles are functioning together, not the tendon alone.
What we look at
We look for patterns, not a single test
- Detailed health history and consultation
- NeuroInfiniti Stress Response Evaluation
- Posture and movement
- Balance and coordination testing
- Eye movement or neurological screening when appropriate
- Grip or motor-function testing when appropriate
- Palpation and spinal function
- Other examination procedures based on the individual
Not every person receives every test. What we perform depends on your history, your age and what the examination shows as we go.
Scope of care
What this does — and doesn't — mean
What we do
- • We evaluate chiropractic and musculoskeletal function.
- • We look at nervous-system-related functional findings that fall within our scope.
- • We assess movement, balance and coordination findings.
- • We measure stress-response patterns with the NeuroInfiniti evaluation.
- • We make individualized chiropractic care recommendations and re-measure over time.
What we don't claim
- • We do not diagnose, treat or cure diseases.
- • Chiropractic care is not a treatment for dementia, Alzheimer's disease or other neurological diseases.
- • Chiropractic care is not a replacement for medical care, testing or medication.
- • No outcome is promised. Results vary from person to person.
Common questions
- Will I be adjusted on the first visit?
- Generally no. The first visit is an evaluation visit. Dr. Geran reviews the findings and makes recommendations at the follow-up visit.
- Do I need imaging before I come in?
- Not usually. If your history or examination suggests imaging is needed, we will say so and help arrange the right next step.
When medical evaluation may be needed
Some symptoms need medical evaluation first. If anything in your history or examination suggests that, we will say so and help point you in the right direction.
Related at Foothills Chiropractic
- Joint Pain & Staying Active — Shoulders, hips, knees, ankles — extremity function matters as much as the spine.
- Achilles Tendinopathy — Pain and stiffness in the Achilles tendon, usually load-related.
- Ankle Instability — A repeatedly rolling or unreliable ankle, usually following earlier sprains.
- Ankle Pain — Pain or restriction at the ankle, often after an old injury.
Think Foothills Chiropractic might be right for you?
Start Here walks you through what the process looks like, so you can decide whether taking the next step makes sense for you.