Bicep tears are a common source of shoulder pain, often mistaken for an issue with the shoulder joint itself. Although the bicep muscle is located in the upper arm, it plays a key role in shoulder movement due to tendons that attach the muscle to the shoulder’s scapula bone. Injuries or repetitive movements can lead to tears in these tendons, causing significant discomfort.

What a Bicep Tear Feels Like

Bicep tears can be partial or complete. Partial tears involve a section of the muscle or tendon, while complete tears occur when the tendon splits entirely. Common causes include lifting heavy objects, falls, or repetitive overhead motions like throwing a ball. Key symptoms of a bicep tear include:

• Sharp pain: Sudden, intense pain near the shoulder or elbow often signals a tear.
• Popping sound: A noticeable pop may accompany the tear.
• Bruising and swelling: Torn tendons can lead to bruising and a warm sensation in the upper arm, which may spread to the elbow.
• Gradual pain: Overuse can cause tears to develop slowly, resulting in increasing tenderness in the arm and shoulder.
• Weakness: A tear can cause significant weakness in the shoulder and arm, limiting the ability to perform daily tasks. In particular, you may struggle to rotate your palm.
• Abnormal bulge: Severe tears can cause the muscle to form a visible bulge in the upper arm, known as the “Popeye muscle.”

Treatment for Bicep Tears

Treatment depends on the type of tear and the patient’s activity level. Tears near the shoulder (proximal bicep ruptures) are most common, while distal bicep tears occur closer to the elbow. Younger, active individuals often opt for arthroscopic surgery to repair the tendon, followed by a physical therapy program. Older or less active patients may choose conservative treatment, including rest, ice, and anti-inflammatory medications. Full recovery typically takes three to four months, though improvement is noticeable within four to six weeks.

Recover and Restore Mobility

Shoulder pain from a bicep tear can impact daily life, but proper diagnosis and treatment can help restore mobility and reduce discomfort. If shoulder pain persists, seeking medical evaluation is essential for appropriate care and recovery.