No, no, no. I think it just allowed her to feel the symptoms of tendinitis. I loved that PA. She just left my doctor’s office for a better paying and more versatile job.
And look what I just found… This is exactly what I showed the new Doc. Exactly!
A specific diagnostic finding includes actual translation of the biceps tendon outside its sheath. This translation can be elicited by having the patient actively supinate their forearm (turn their palm up) while keeping his or her elbow at their side. The feeling of a clunk (the tendon slipping over the groove) is diagnostic. This finding is very uncommon due to the depth of the tendon within the groove.
And here’s the worst case scenario for treatment. Conservative treatment is rest, anti inflammatories, the usual. I don’t think my rotator cuff is torn though. I pass all of those tests. I’d bet that if it’s the tendon then I’m on the less severe side of things. You gotta love the internet and the freedom to research your ailments and jump to conclusions!
Surgical treatment should focus on concomitant issues such as rotator cuff or labral pathology. The most common surgical technique used to address subluxation is known as “tenodesis” in which the long head biceps tendon is stabilized within the groove. Tenodesis may involve either arthroscopic or open removal of a portion of the long head of the biceps tendon proximal to (above) the area of instability, and direct reattachment using drill holes, suture anchors, or sutures into the bone or soft tissue.