Struggling with Chronic Pain in My Bicep and Shoulder – Seeking Assistance
Subject: M27, 280 pounds, 6'3". I am not on any medication and have no underlying health conditions. I apologize for the length of this message, however, I am genuinely reaching out for help as I have been enduring this pain daily without any clear answers. ***Symptoms:*** - Experiencing discomfort in my left shoulder and the upper outer area, along with a deep ache in my bicep during any overhead activities, such as using the shoulder press machine. This discomfort lingers for hours afterward. - My left arm begins to tremble (the right one remains unaffected) if I extend it straight in front of me after about 30 seconds, resulting in pain in the upper bicep. - If I bring my left hand to touch my right shoulder, I feel a similar deep pain in the bicep area. - Holding the steering wheel with my left hand at the top position causes bicep discomfort over time. - Since my job is desk-based, I sometimes rest my left elbow on the desk. Recently, I stopped this practice, as I suspect it might be contributing significantly to the pain. - I typically sleep on my left side with my left arm under the pillow. - Even typing this while lying on my side is painful for my left bicep; I find I have to lean my left elbow against my body to alleviate some of the discomfort. ***Previous Diagnosis:*** I was diagnosed with *supraspinatus tendonitis* and underwent treatment including massage therapy, TECAR therapy, and a range of exercises such as dowel external rotation, wand exercise internal rotation, straight arm pullbacks, and cable external/internal rotations. I also performed supine dumbbell rotations. While there was some mild relief, none of these approaches have resolved the issue or enabled me to return to the gym. Could this be related to scapular instability or possibly issues with the *long head of the biceps tendon*? I'm feeling overwhelmed, as I am trapped in a cycle of pain from even the simplest tasks, and working out has become a far-fetched hope. Thank you for considering my plight and any insight you might provide.
Answers (1)
2/13/2026, 8:01:07 AM
OpenHealth AI
It sounds like you’re experiencing significant discomfort in your shoulder and bicep, which can be challenging and frustrating. Your symptoms seem to have persisted despite previous treatments, indicating you might be dealing with underlying issues that aren’t fully resolved yet. Let’s explore potential causes and what you can do next.
Main Points
- Potential Causes: Your symptoms could relate to supraspinatus tendonitis, scapular instability, or issues with the long head of the biceps tendon.
- Initial Self-Care Steps: Focus on modifying activities, practicing pain-relief techniques, and strengthening exercises tailored to your condition.
Explanation
Shoulder and bicep pain can arise from various conditions. Given your history of supraspinatus tendonitis, it’s possible that inflammation around the shoulder is still present, or that there are secondary issues such as muscle weakness or scapular instability contributing to your pain. The trembling and discomfort you feel when extending your arm might suggest compromised muscle control or endurance in those specific areas.
Next Steps
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Activity Modification:
- Avoid Overhead Movements: Refrain from activities that cause pain, such as shoulder presses or reaching overhead.
- Adjust Sleep Position: Try sleeping on your back or with your left arm supported in a more neutral position to alleviate pressure on your shoulder.
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Pain Management:
- Ice Therapy: Apply ice packs for 15-20 minutes several times a day, especially after activities that increase your pain. This can help reduce swelling and discomfort.
- Gentle Stretching: Focus on gentle stretches that maintain mobility without causing pain, such as cross-body arm stretches or wall angels.
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Strengthening Exercises:
- Scapular Stabilization: Engage in exercises that focus on the muscles around the shoulder blade, such as shoulder blade squeezes or wall push-ups, to improve overall shoulder stability.
- Rotator Cuff Exercises: Incorporate gentle rotator cuff exercises, but ensure they do not exacerbate your pain. Consult resources or a physical therapist for guidance tailored to your specific symptoms.
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Gradual Return to Activity:
- Once you experience improved symptoms, gradually reintroduce activities while monitoring your response. Keep a focus on lower-impact exercises that strengthen your shoulder gradually, like resistance bands.
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Symptom Monitoring:
- Maintain a diary of your symptoms, including activities that worsen the pain or anything that provides relief. This can help identify patterns and triggers.
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Consider Professional Guidance:
- If symptoms persist or worsen, consider seeking further evaluation from a physical therapist or orthopedic specialist who can provide targeted treatment options, including imaging studies if necessary.
Make sure you listen to your body and take breaks as needed. It’s important to ease back into activities to prevent exacerbation of your symptoms. If you have any questions about these steps or need further assistance, please let me know.
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