Elbow - Biceps tendinitis

The patient sits on the couch with the elbow bent to a right angle and supinated.
The physiotherapist sits next to him.

Technique: With his contralateral hand he palpates for the radiohumeral joint line.
He then descends 2 - 3 cm along the shaft of the radius to identify the tuberosity deeply under the muscles of the forearm.
The ipsilateral hand grasps the patient's forearm just about the wrist.
The palpating thumb is now held well flexed and placed medially to the biceps tendon.
The fingers give counter-pressure at the dorsal aspect of the elbow.

Active phase: The ipsilateral hand is used to perform a pronation movement until the biceps tendon passes under the therapist's thumb.
During this movement the pressure on the tendon is augmented. Friction is thus performed by this indirect movement of the forearm of the patient.

The forearm is then brought back to the supinated position,
while the pressure is released (passive phase).

These repeated movements, performed with a rhythm of 60-80
movements per minute, result in a transverse friction, which is
continued for about 15 minutes.

Attention!! The therapist must make sure that he does not
compress either the median nerve or the brachial or radial arteries
Make sure to move thumb, skin and subcutaneous tissue as a whole.
General principles techique

Relative rest during the duration of the treatment.
Improvement may be expected after 10-15 sessions.

The Elbow

Biceps Tenoperiosteal lesion