Biceps tendonitis: The Daily PANCE Blueprint

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Biceps tendonitis: The Daily PANCE Blueprint

A 40-year-old construction worker presents to the clinic with anterior shoulder pain that worsens with lifting objects. He reports the pain started gradually over the past few weeks. On examination, there is tenderness over the bicipital groove, and the pain is reproduced with resisted supination of the forearm. The rest of the shoulder examination is unremarkable. Which of the following is the most appropriate initial treatment for this patient?

A. Immediate surgical referral for tendon repair
B. Application of a shoulder sling and initiation of NSAIDs
C. Corticosteroid injection into the bicipital groove
D. High-intensity resistance training focusing on the biceps
E. Complete immobilization of the shoulder in a cast

Answer and topic summary

The answer is B. Application of a shoulder sling and initiation of NSAIDs

The application of a shoulder sling and the initiation of NSAIDs (nonsteroidal anti-inflammatory drugs) are the most appropriate initial treatments for biceps tendonitis. This approach helps reduce stress on the biceps tendon, allowing it to rest and heal, while NSAIDs can help manage pain and inflammation. This conservative management is effective for most cases of biceps tendonitis, especially in the early stages of the condition.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Musculoskeletal ⇒ Upper extremity disorders (PEARLS) ⇒ Soft tissue injuries of the shoulder (Lecture)