If the issue is more on the anterior of the shoulder and aggravating with pulling work that does sound like it could be tendinosis.

If, however, it’s underneath the acromion it could be both tendinosis and impingement (or one or the other — and yes, it can be both as inflammation there can cause tendonitis to compress structures and cause impingement).

Typically, if it’s more deep in the shoulder it could be a SLAP or labral issue.

That’s pretty odd that the orthos didn’t really figure it out though.. I guess it was an informal diagnosis?

If you have the money, I’d probably go the conversative route. Find a PT who works with athletes and get them to see if that can help you out (and it will if it’s a biceps tendon or impingement issue). SLAP/labral issues depending on what they are may need stronger intervention.

I had a mountain bike crash a year ago which caused me sharp pain in the top of the right shoulder. I had full ROM, but a throwing action was very painful. The pain has been persistent, but becoming duller.

Last October I finished a 50km race and immediately felt an increase in pain and weakness in the bicep. Driving home was quite painful when raising the arm to the top of the steering wheel.

On getting home I noticed my bicep was very weak indeed and turning my arm palm up can be very painful. There is a lot of pain in the front of my shoulder. I’ve seen a couple of orthopedic surgeons who say its probably either impingement, RC injury of Labrum tear. From what I read, it seems to be more like bicep tendinosis.

I had one shot of cortisone to the front of the shoulder (not the tendon) 4 days ago which seems to have reduced the pain somewhat, but the pain and weakness are still there.

I do worry that if I have impingement, it may eventually wear the tendon and cause it to fail.

Are these typical tendonosis symptoms? What advice can you offer.

Many thanks in advance.

Also, is it more of the middle of the triceps tendon, insertion, or muscle belly part?

Also, what is the quality if your triceps muscle? Does it have lots of muscle knots, or is it soft and pliable, or what? How is the total mobility?

Muscle wasting won’t cause tendinosis, but tendinosis can cause muscle wasting if that’s what you’re asking. Especially if there is significant pain.

Eccentrics, heat and mobility work would probably be a good place to start if rest isn’t helping.

Thanks for the useful article. There seems to be very little advise out there for tendinosis, as opposed to tendinitis.

I’ve had tricep tendinosis for 8months. I’m just 31years, and have basically hammered my body since day-dot. Have followed all the advise and backed off everything, but at this point whilst the agony has subsided I cant seem to get rid of what i can only describe as an irritation in the tendon (which makes me want to massage it vigourously (which i probably shouldnt do!) I’m starting to wonder if its actually the muscle wastage that is causing this feeling as I havent undergone a systematic programme of eccentric strengthening as yet, and feel as though all the rest should have reached its optimum by now. I do do yoga which helps flexibility.

can you offer any advice please?

thanks

Full squats are good for the knees, but for now you probably don’t need to be doing them because going deeper does indeed put more stress on the knees. Obviously, going deep puts more stress, but that is not necessarily bad if you have no pathology because being able to full squat is a fundamental human movement.

Grinding may or may not be bad. It may signify some chondromalacia or earlier onset potential arthritis. And it may be a result from misalignment or from other factors.

MRI pretty much confirms that. Nothing much you can do about it except sleep, eat well, and exercise well, and minimize your stress levels.

Once you can control that effectively without shaking (you already may be able to), then next progression would be go to on you tip toes and pause for a second and into the half squat landing. You may see that you have poorer control from a position like that.

From there, start flat foot and go onto your tip toes quickly then into a half squat landing.

After that, focus on a small jump and controlled landing.

Practice near the end of your lifting sessions during the week. 2-3 maybe 4 times a week. Advance only when every repetition of every set is good. If it’s too much obviously back off the reps and or sets some.

Basically, we are focusing on building up your control of the landing so that your tendons aren’t being jerked around. The fact that you can still squat heavy seems to be fine, but the fact that volleyball is aggravating your injury seems to suggest that you are having some trouble controlling your landings properly. Hence, my suggestions above.

So I’ve had patellar tendonitis in both of my knees before, I had hernia surgery and doing nothing for 6 months completely healed both of my knees. Before that though I had a sharp pain in my left tibial tuberosity and I wound up eventually having PRP done. This all happened approximately 2.5 years ago. I’ve been tendonitis free for over a year, up until about a month ago. Right now I am experiencing the same pain in my tibial tuberosity on my right knee. I play volleyball almost every other weekend and this issue only seems to be aggravated after playing volleyball, if I rest for 2 weeks, the pain goes away but comes back after I play again. I squat heavy during the week and the pain doesn’t seem to be there while I’m working out especially after a good warm-up. I’m trying to build up quad and hamstring strength to avoid issues like this, but the pain returns after I play volleyball and I can feel it even while just walking up stairs. I’m going to assume that RICE and perhaps massaging and stretching the muscles around my knee would help, but is there anything else that you would recommend that I do. Any help would be greatly appreciated. Thank you.

If ice doesn’t help (with the healing) then I wouldn’t use it. It can blunt inflammatory response, which you need for healing. If you need some analgesia then take a non-inflammatory pain medication instead (although you should check with your doctor about that).