Proximal Biceps Injuries

  • In this episode: Proximal Biceps Injuries can range from tendonitis to full tears and everything in between. Most cases are a result of reduced stability in the corresponding shoulder joint. When the joint is stabilized the pain tends to go away.

  • Chip Review @ (07:54): Uncle Ray’s – Maples Bacon (The official chip of Minor League Baseball) Thank you Matt Schneider

  • Trivia question of the week @ (07:08): What is Cookie Monsters real name?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

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Brief overview of the episode:

             The biceps, more specifically the biceps brachii, is named because it has 2 heads (bi=2 cep= head), the long head and short head. The long head is more lateral, runs through the bicipital groove and attaches to the glenoid. The short head sits more medial and connects to the corocoid.
            More often the long head is hurt. The long head is more responsible for stability as well as elbow flexion and forearm supination while the short head is more responsible for power, shoulder flexion, elbow flexion and forearm supination.
            Pain in the front of the shoulder is the most common symptoms of all biceps injuries. In most cases the biceps become irritated because there is instability in the shoulder joint. This can occur though injury, weakness or poor scapular or postural control.
            Biceps injuries along rarely need surgery and in almost all cases respond well to physical therapy treatment.



Other episodes you might enjoy:   

Shoulder Dislocation: Episode 63

Shoulder Impingement: Episode 55

Shoulder Labrum: Episode 47

Stress Fractures: Episode 43

  • In this episode: We cover stress fractures, or what would be called stress reactions, what they are, where they typically happen, what sports and activities most commonly cause them and some treatments.

  • Chip Review: Kettle – Maple Bacon (Stephanie Grover and Khem)

  • Trivia question of the week: In what sport would you perform the Fosbury Flop?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!



Stress fractures not a good term. Lets start with that. It is a bit of a misnomer. It is not always a fracture. Just like people confuse fractures, breaks and cracks they are all kind of synonyms for the same word, a disruption of the bony structure.
But stress fractures are more of an irritation of the bone then an actual true fracture. Which is why they don’t tend to show up on x-rays. The more common vernacular is stress reaction.
Stress reaction is more closely associated with what is actually going on. There is a spot in the bone that is getting stressed. The body can’t quite cope with that stress and as a result you get a reaction. Pain is the main culprit that limits people. Pain, inflammation, muscle irritation, not usually a lot of swelling or visible irritation but pain is usually the first thing people notice. We discussed this a little bit when we did the shin splint episode.
Stress fractures or as we are going forward from here stress reactions are much more common in females. That is partly hormonal, partly to due with alignment, So excessive stresses and imbalances. What is interesting is there is more evidence to suggest varus malalignment (genu, tibial, subtalar and forefoot) versus valgus.
Varus meaning bow legged and valgus being knock kneed for lack of better terms.
At the Division 1 level females have a nearly 2:1 ration to have a stress reaction versus males. In the military this is almost a 3:1 ratio female to male. Running accounts for close to 50% of all case and you tend to see more stress reactions in the younger populations.
This could be due to activity but also to an immature skeleton. The most common is in the tibia (shin splint). Not as common but also seen is the femur, pelvis and the 5th metatarsal (outside of the foot).
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