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  • Writer's pictureDr. Maya Gonzales

A Comprehensive Approach to Treating Bicipital Tenosynovitis

Bicipital tenosynovitis, a condition characterized by inflammation of the biceps tendon sheath, can be a challenging and debilitating issue for many individuals. Traditional treatments often focus on rest, ice, and anti-inflammatory medications, and steroid injections, but a more comprehensive approach combining Active Release Technique (ART), Radial Shockwave Therapy, Dry Needling, and Corrective Exercises may provide a more effective and long-lasting solution.


Bicipital Tenosynovitis

While steroid injections are commonly used to manage inflammation and alleviate pain associated with tendon conditions, it is crucial to recognize and be cautious of their potential dangers. Steroids, such as corticosteroids, may provide temporary relief by suppressing inflammation, but they do not address the underlying cause of the tendon issue. Repeated use of steroid injections for tendon conditions can weaken the tendon structure, leading to a higher risk of tendon rupture. Additionally, steroids may interfere with the natural healing process, hindering the body's ability to repair and regenerate damaged tendon tissue. Prolonged or frequent use of steroids may also contribute to the degeneration of collagen fibers within the tendon, exacerbating the condition over time. Furthermore, there is a risk of infection or other adverse effects associated with the injection itself. Given these potential dangers, it is essential for individuals and healthcare professionals to carefully weigh the benefits and risks of steroid injections and explore alternative treatments that address the root cause of tendon conditions for more sustainable and long-term solutions.


Active Release Technique (ART): Unleashing the Healing Power


Active Release Technique is a manual therapy approach that targets soft tissues, including muscles, tendons, ligaments, nerves, and fascia. Practitioners use their hands to apply specific tension and pressure while the patient actively moves through a range of motion. For bicipital tenosynovitis, ART can help break down adhesions and scar tissue, promoting better mobility and reducing pain in the affected area.


Radial Shockwave Therapy: Waving the Pain Away


Radial Shockwave Therapy involves the application of acoustic waves to stimulate healing and reduce inflammation. This non-invasive procedure promotes blood flow and accelerates the body's natural healing processes by stimulating growth hormone.  When applied to the affected area of bicipital tenosynovitis, shockwave therapy can alleviate pain, improve tissue regeneration, and enhance overall function.


Dry Needling: Precision in Pain Relief


Dry Needling is a technique that involves inserting thin needles into trigger points within muscles. This approach targets muscle knots and areas of tension, releasing tightness and promoting muscle relaxation. In the context of bicipital tenosynovitis, dry needling can address muscular imbalances and alleviate pain associated with overworked or strained muscles around and effecting the biceps tendon.


Corrective Exercises: Strengthening for Stability


Corrective exercises play a crucial role in addressing the root causes of bicipital tenosynovitis. A tailored exercise program focuses on strengthening the muscles surrounding the affected tendon, improving joint stability, and correcting any imbalances or weaknesses contributing to the condition. This holistic approach not only helps in the recovery phase but also reduces the risk of future injuries.

In Conclusion, a multifaceted approach combining Active Release Technique, Radial Shockwave Therapy, Dry Needling, and Corrective Exercises offers a comprehensive and effective strategy for treating bicipital tenosynovitis. By targeting soft tissue restrictions, promoting healing at the cellular level, and addressing underlying muscular imbalances, individuals can experience significant pain relief and improved function. Consulting with our qualified healthcare professionals at Evergreen Spine & Sports Medicine who is experienced in these modalities will ensure a personalized treatment plan tailored to the unique needs of each patient, facilitating a quicker and more sustainable recovery from bicipital tenosynovitis.

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