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.
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.
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.
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.