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BICEPS TENDINOPATHY

Anatomy

The biceps tendon is the the attachment of the biceps muscle that passes over the shoulder joint. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What is Biceps Tendinopathy

Biceps Tendinopathy is an injury of dogs that involves injury of the biceps of the tendon. It is seen in all breeds but is common in Labradors and Rottweilers. 

What Causes Biceps Tendinopathy

It is most commonly caused by chronic damage and longterm overuse.

What are the signs of Biceps Tendinopathy

We will commonly see lameness on one front leg or lameness that shifts from one front leg to the other (if both legs are affected). This usually improves with rest and worsens with exercise.

Diagnosis of Biceps Tendinopathy

Different tests may help with diagnosis including Physical Exam, Xray, Ultrasound, Arthroscopy and MRI. Many dogs have other shoulder conditions in addition to biceps tendinopathy

Treatment

Acute and mild cases may respond well to anti-inflammatories and 4-6 weeks rest.

Conventional treatment for chronic cases include cortisone injections and surgery.

Conservative treatments can be effective for dogs with biceps tendinopathy.

Conservative treatments offered by Balance Vet Rehab that may be beneficial for these pets include:

Shockwave (COMING SOON) 

Shockwave therapy is becoming the more popular of first line treatments for tendon damage.

Extracorporeal shockwave therapy and therapeutic exercise for supraspinatus and biceps tendinopathies in 29 dogs. J. Leeman et al

Pulsed Electromagnetic Field Therapy

This is newer therapy that is not routinely used for tendon injuries but studies suggest it is a worthwhile consideration.

PULSED ELECTROMAGNETIC FIELD THERAPY OF PERSISTENT ROTATOR CUFF TENDINITIS: A Double-blind Controlled Assessment AllanBinder et al

Rehabilitation

The correct rehabilitation protocol ensures the load placed on the damaged tendon is gradual. This allows for healing, allignment and strengthening of the damaged tissue.

Acupuncture 

Acupuncture can help locally with inflamed tendons and also with any compensations that may be occurring elsewhere in the body

Acupuncture for chronic achilles tendinopathy: A randomized controlled study​ Bi-meng Zhang et al

Laser 

Laser is also a targeted treatment which can help reduce inflammation associated with biceps tendon tear.

Low Level Laser Treatment of Tendinopathy: A Systematic Review with Meta-analysis Steve Tumilty et al

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