A torn or ‘ruptured’ long head of the biceps is a common shoulder injury that typically affects patients between 40 and 60, often with a history of shoulder problems.

It can result from heavy falls in younger people (e.g. skiing or snowboarding) or can develop gradually in older adults due to repetitive use and degenerative changes in the tendon. The onset usually involves a ‘popping’ noise and sharp pain at the top front part of the shoulder. Patients also have difficulty lifting up their arm in front of them. If the tendon fully ruptures, patients can have a ‘popeye’ deformity (see picture).
Conservative management (via osteopathy/ physiotherapy) is often advocated over surgery.
For advice, assessment and treatment of bicep injuries, contact Kirsty at Angel Yard Osteopaths 01509 812119.

