Do I have biceps tendinitis ? This is my story

[greenbeauty]

Hi all!

I'm from the Netherlands, so sorry for my bad english :-)

For 4 months now I'm struggling with an injury in my shoulder area.
I hope you can help me with my diagnose because it's driving me crazy.

The injury is created at the lowest point in the fly exercise on a machine (eccentric phase)
There was to much weight on the machine to handle for me.
At the lowest point I heard something snap in my shoulder area.

I went to the doctor, multiple physiotherapist , hospital etc.
They all say I don't have bursitis, or other shoulder injuries.
I can do all the shoulders test without any pain.

I've also got an MRI, CT scan and ultrasound test.
There are no strange things found
The ONLY thing that is found, is some very little moisture in my biceps tendinitis.
It was so very little, that they can't say that this is my problem.

I can localize the pain in the biceps area in my shoulder.
If I press in this particular area it's very painful.

My symptoms are:
- pain in the front of the schoulder (at the point where shoulder and biceps come together) when putting my coats on (during pulling)
- also pain in front of shoulder when putting my jeans on (during pulling)
- after 30 minutes of playing playstation, and only using my hands (pushing the buttons) the pain is also appears in the same area shoulder / biceps.

I did a lot of internet research, and my own diagnose is, is that I have biceps tendinitis.
(the only strange thing is, why this is not visible in my body with the MRI or Ultrasound ?)
I do the stretching exercises now (3 exercises every day), and I train my rotator cuff every day (also 3 exercises)

My physiotherapy is trying dry needling to me now, to see if this works.
I can't go to gym now for 3 months.
During the training I don't have a lof of issues, but several hours after training it's become very painfull.
The day after the pain is less.

What do you think what my diagnose is after this story?
I don't believe it's an inflammation (because it must be visible on the scans) but maybe an irritation.

What do you think?

Thank you very much!

[braindx]

Well, if you do have long head biceps tendinopathy, have you been doing eccentrics? Eccentrics are pretty much THE exercise to go to for rehabilitation of any tendinopathy.

You can read more about it here: http://stevenlow.org/on-tendonitis/

Generally, for the long head at least, you're going to want to start with a curl all the way up into some shoulder flexion, and then slowly and controlled lower down the shoulder and finish with the biceps curl eccentric all the way to the bottom.

If you take a look at the pic in the above article, the MRI will usually show if there is degenerative tendinopathy present within the tendon by the different discoloration which is the degenerative area.