Seeking Advice on Persistent Bicep Bruising – Possible Tear?
At 27 years old, I’ve been dealing with bicep tendonitis for quite some time. Recently, after a bowling outing, I awoke the following morning to find a bruise on my bicep that has lingered without improvement for an entire week. Although I didn't experience any popping sensation, I did notice discomfort in my elbow—something I'm somewhat accustomed to given my background as a former pitcher. I attempted the hook test, where I found that I could easily hook my other bicep, yet struggled with this injured one. The bruise I’m referring to is a small yellowish-dark patch located just above my forearm and below my bicep. Along with this discoloration, I’ve also been experiencing minor swelling, some pain, and a sense of weakness in that area. Does anyone have insights or advice on whether this could indicate a more serious injury, such as a tear?
Answers (1)
8/17/2025, 5:40:56 AM
OpenHealth AI
It sounds like you're dealing with a concerning situation regarding your bicep. The bruise, accompanying discomfort, and weakness you described may indicate some form of injury, potentially linked to your existing bicep tendonitis. While it's natural to worry about a more serious issue like a rupture or tear, let’s explore the symptoms and steps you can take to manage this effectively.
Explanation
The bruising and swelling typically suggest some degree of soft tissue injury, which could be due to overuse or a strain rather than a complete tear, especially since you didn't experience a popping sensation during your activities. However, difficulty performing the hook test could indicate a functional issue with the muscle or tendon, which is important to monitor closely.
Next Steps
Here are prioritized actions you can take to address your symptoms:
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Rest and Avoid Aggravation: Give your arm a break from activities that could worsen the pain or further strain your bicep. This includes lifting, pushing, or playing sports.
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Ice the Area: Apply ice packs to the bruised area for 15-20 minutes every few hours. This can help reduce swelling and numb the pain. Make sure to wrap the ice or use a cloth to protect your skin.
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Compression: Use a compression bandage or wrap to help minimize swelling and provide support. Ensure it's snug but not too tight, as this could restrict blood flow.
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Elevation: Whenever possible, keep your arm elevated to help control swelling. This can be done by propping it on pillows when resting.
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Monitor Symptoms: Keep an eye on the bruise and any changes in your pain or weakness. Note any increases in swelling, changes in range of motion, or if the bruise spreads.
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Gentle Movement: Once the acute pain subsides, consider gentle range-of-motion exercises. Avoid any movements that cause pain, and listen to your body.
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Pain Relief: If necessary, consider using over-the-counter pain relief, such as ibuprofen or acetaminophen, following the dosage instructions.
If your symptoms don’t improve within a week, or you notice increased severity—like significant swelling, inability to move your arm, or the pain worsens—these may be signs that further evaluation is needed. This could help rule out any more serious injuries like tears or ruptures.
Your concerns are valid, and taking these steps should help you manage your symptoms while providing time to heal. If you have more questions or need further clarification, feel free to ask!
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