Injury Guide · Shoulder
Bicep Tendonitis: What Causes It and How to Treat It
Bicep tendon pain basics with load management, smart strength work, and postural tweaks.
What is it?
General background on bicep tendonitis: what causes it and how to treat it. The examples below are shared across this body area and have not been individually reviewed for this condition. Ask a qualified physiotherapist or GP about suitable care.
Common symptoms
- Pain or pinch lifting overhead
- Night pain lying on the shoulder
- Clicking with reaching or loading
Common causes
- Weakness in rotator cuff or scapular control
- Overhead load spikes or poor posture
- Limited thoracic mobility
Example movements
Scapular Wall Slide
Retrains upward rotation and control.
Example routine: 12 reps x 2–3 sets, daily
Cues: Keep ribs down; slide slowly without shrugging.
External Rotation with Band
Strengthens the rotator cuff to centre the joint.
Example routine: 12 reps x 3 sets, 3x/week
Cues: Elbow by side, light resistance, smooth tempo.
Thoracic Extension over Roller
Opens thoracic spine to reduce shoulder pinch.
Example routine: 45–60s x 2, daily
Cues: Support your head and breathe easily.
Red flag symptoms
- Severe or worsening pain that does not ease with rest
- Numbness, tingling, or weakness spreading into the limb
- Loss of bladder or bowel control, or saddle numbness
- Night pain that disrupts sleep or unexplained weight loss
- History of significant trauma, fever, or feeling very unwell
When to see a physio
If pain is worsening, limiting daily activities, or not improving after 1–2 weeks of sensible self-care, book a physiotherapist or speak with your GP. Seek urgent help for red flag symptoms.
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