Trigger Point Release - Biceps/Pec Minor Muscle Strain
Biceps Muscle
Trigger Point Release - Biceps Muscle Strain / Tendinitis
Bicipital Tendinitis
Bicipital tendinitis results from irritation and inflammation to the biceps brachii tendon, which lies on the front of the shoulder and allows elbow flexion and supination of the forearm.
Overuse can lead to inflammation and is a common affliction in golfers, weightlifters, rowers and those engaged in throwing sports.
Irritation of the tendon of the long head of biceps occurs as it moves up and down in the intertubercular (bicipital) groove of the humerus. Inflammation can be to the tendon itself or to the tendon sheath or paratenons.
The musculo-tendinous junction of biceps brachii is highly susceptible to injuries brought on by overuse, particularly following repetitive lifting activities.
Cause of Injury
Poor technique, particularly in weightlifting. Sudden increase in duration or intensity of training. Shoulder impingement syndrome.
Signs and Symptoms
Pain over the bicipital groove when the tendon is passively stretched and during resisted supination and elbow flexion. Pain and tenderness along the tendon length. Stiffness following exercise.
Trigger Points
Trigger points in the biceps are commonly involved in this injury. Where the injury has occurred as a result of trauma or overuse, additional triggers may become active as part of the body's natural "protect and defend" mechanism.
These triggers and their affect on delivering pain signals and reducing range of movement are sometimes referred to as "holding patterns".
Complications if Left Unattended
Bicipital tendinitis, left without care and treatment, generally worsens as the biceps brachii tendon becomes increasingly irritated and inflamed. Movement and the ability to perform athletically without pain will be further hampered. Exercising without adequate healing and rehabilitation can lead to tearing of the tendon and tendon degeneration over time.
Immediate Treatment
RICER regimen to relieve painful inflammation. Anti-inflammatory and analgesic medication. Then heat to promote blood flow and healing.
Rehabilitation and Prevention
The condition is self-limiting given rest and minimal medical attention. Following full recovery, exercises directed at improving flexibility, proprioception and strength may be undertaken. Thorough warm-up and stretching exercises and a steady athletic regimen that avoids sudden, unprepared increases in activity can help avoid this injury, as can attention to proper sports technique.
Long-Term Prognosis
A full return to athletic activity may generally be expected given adequate time for tendon recovery and reduction of inflammation. However, the injury frequently recurs. Surgery is generally not required. Corticosteroid injections are sometimes used to reduce pain, though they must be applied cautiously as they increase the risk of tendon rupture.
EDUCATION MEMBERSHIP PLANS
UNLIMITED ACCESS
FROM $19.95/monthly
About Niel Asher Education
Niel Asher Education (NAT Global Campus) is a globally recognised provider of high-quality professional learning for hands-on health and movement practitioners. Through an extensive catalogue of expert-led online courses, NAT delivers continuing education for massage therapists, supporting both newly qualified and highly experienced professionals with practical, clinically relevant training designed for real-world practice.
Beyond massage therapy, Niel Asher Education offers comprehensive continuing education for physical therapists, continuing education for athletic trainers, continuing education for chiropractors, and continuing education for rehabilitation professionals working across a wide range of clinical, sports, and wellness environments. Courses span manual therapy, movement, rehabilitation, pain management, integrative therapies, and practitioner self-care, with content presented by respected educators and clinicians from around the world.
Known for its high production values and practitioner-focused approach, Niel Asher Education emphasises clarity, practical application, and professional integrity. Its online learning model allows practitioners to study at their own pace while earning recognised certificates and maintaining ongoing professional development requirements, making continuing education accessible regardless of location or schedule.
Through partnerships with leading educational platforms and organisations worldwide, Niel Asher Education continues to expand access to trusted, high-quality continuing education for massage therapists, continuing education for physical therapists, continuing education for athletic trainers, continuing education for chiropractors, and continuing education for rehabilitation professionals, supporting lifelong learning and professional excellence across the global therapy community.
Top CE Value Packs
Product list
Tools and Accessories
Continuing Professional Education
Looking for Massage Therapy CEUs, PT and ATC continuing education, chiropractic CE, or advanced manual therapy training? Explore our evidence-based online courses designed for hands-on professionals.
