April 9, 2018

20 Bicipital Tendon Technique

5 (100%) 2 votes

 

This video is in the free section of the library for everyone to view one week only. After that, it will be available for members only in the member’s section of the library.

The video is from my Deep Tissue Massage DVD, which was released as a VHS tape in 1996.

Indications

If there is a problem with the tendon of the long head of the biceps your client will have difficulty raising their arm across their chest or behind their back. They may also feel pain on the front of their shoulder. Yergason Test: Have your client flex their elbow 90 degrees. Grasp their flexed elbow in one hand while holding their wrist in your other hand. Externally rotate their arm and pull down on their elbow as they resist. Pain in the shoulder indicates an unstable biceps tendon.

Cautions

This repositioning of the tendon can be painful, and should not be done more than 2 or 3 times in any one treatment.

Short fingernails are needed.

Technique

Have your client seated with their arm abducted ninety degrees to their body, and their forearm pointed up.

Grasp your clients deltoid firmly with both hands hooking your fingers around the anterior edge of deltoid.

Have your client slowly rotate their arm internally, i.e. bringing their forearm so that it is parallel to the floor, and eventually pointing toward the floor.

Your fingers will catch the tendon of the long head of the biceps, then the bicipital groove rotates toward the tendon, so the tendon can go back into the groove.

This technique only needs to be done once or twice.

 

Tendon of the Long Head of the Biceps

The tendon of the long head of the biceps brachii passes through a groove between the greater and lesser tubercles of the humerus, and is held in place by the transverse humeral ligament.
The tendon enters the joint capsule to attach to the supraglenoid tubercle of the humerus. Adhesive capsulitis may sometimes begin with an inflamed biceps tendon passing the inflammation into the joint capsule.
The short head of the biceps brachii attaches to the coracoid process of the scapula, along with coracobrachialis and pectoralis minor. The biceps inserts onto the radial tuberosity and also to the ulna through the bicipital aponeurosis. The actions of biceps brachii are shoulder flexion, elbow flexion, and supination of the forearm.

Recurrence of the Issue

Clients with a slipped bicipital tendon may have the condition reoccur, since the transverse humeral ligament may be sprained. I usually will show a family member how to reset the tendon so the client doesn’t need to come back to see me.
Releasing tension in the internal rotators of the humerus (pectoralis major, subscapularis) and strengthening of the scapula stabilizers (rhomboids, lower trapezius) may help prevent recurrence of the slipped bicipital tendon.
One very common shoulder injury that can cause a slipped bicipital tendon occurs while driving. If you have the seat belt with the shoulder strap on, then reach behind the passenger seat to pick up something from the floor in the back, your arm will be externally rotated and extended, putting the shoulder in a very vulnerable position. I encourage clients to avoid this habit.

Member Comments

Robin Gayle commented on 12-Nov-2009 09:59 PM5 out of 5 stars
As a result of learning this wonderful technique from Dr. Mally, I was able to accurately assess this condition in 2 patients on the same day. By using the technique, I took them immediately out of their chronic pain conditions for which they had been treated by my employer, a chiropractor, for the last 9-10 months. Great news for the patients, not so good for me. My “services” were no longer needed at the end of that day. It was the shortest job I ever had as a massage therapist. Thanks, Dr Mally – for giving me the tools to get fired for the first and only time in my life. Both patients stayed in my private practice for many years following that incident.
Paryung Martin commented on 15-Mar-2010 05:04 PM5 out of 5 stars

Aloha Dr. Mally,

Deep Tissue Massage Sitting Techniques — 20 Bicipital Tendon Treatment

Some years ago I had taken a fall at work and injured my right shoulder. I went through almost three years of physical therapies, chiropractic, CT and MRI scans… but the pain persisted. The only remedy from my M.D. was pain killers and steroid injections (none of which I used). While my wife was serving her massage therapy apprenticeship, the school had a library with your Deep Tissue tape. While she was watching the tape I saw the Bicipital Tendon Technique and suggested she try it on my shoulder. There was a loud snapping sound – and the pain was NO MORE! It took a month or two of repeated use but eventually the tendon stayed in place for longer periods. Now there is no overt feeling when it slides out of place but I can feel when things aren’t right, she will reset and I’m good to go.

Thank you so very much – you have made my life much more bearable!!

Raymond Martin
Kapolei Hawaii

Marylisa Correia commented on 13-Dec-2010 07:46 PM5 out of 5 stars
The first time I saw this technique used was during a Swedish Massage course…Dr. Mally performed it on a fellow student and was able to reduce his shoulder pain. I had witnessed a different technique for this condition that was used on my son and it was VERY painful. I have not only used this method on my son and my husband (a Brazilian Jiu-Jitsu instructor), but I recently used it on a client who had been in constant pain for 10 months. We used the technique and although she experience some tenderness….her range of motion returned almost immediately. As a Personal Trainer AND Massage Therapist I am very grateful for such a valuable technique to HELP my clients and Family…Thank you!