Physical Therapist | Orthopedic Questions Physical Therapist

Shoulder pain?

I sprained my bicep 2 months ago and my shoulder still hurts. I have a full range of motion and a construction job where I'm constantly using my arms. It is a small pain but I feel it should have gone away by now. How long will it take to heal and do I need to do anything?

Male | 23 years old
Complaint duration: 2 months
Medications: simpsonboy97@gmail.com
Conditions: simpsonboy97@gmail.com

5 Answers

PhysicalTherapist|OrthopedicPhysicalTherapist
Two months is a long time for a minor muscle strain to still be causing painespecially with full range of motion restored. Heres what might be going on and what to consider Possible Reasons for Ongoing Pain Incomplete healing Continued use at work may be aggravating the tissue before it's fully healed. Tendon involvement Biceps tendonitis or a partial tear can cause persistent shoulder pain. Compensation strain Other muscles like rotator cuff or deltoid may be overworked due to compensation. Joint irritation Shoulder pain could be from secondary issues like impingement or inflammation. What You Can Do Get it evaluated A physical therapist or sports medicine provider can assess whether it's muscle, tendon, or jointrelated. Targeted rehab Gentle strengthening and mobility exercises specific to the biceps and shoulder stabilizers can help. Modify workload If possible, reduce overhead or repetitive lifting temporarily. Ice and antiinflammatory care If it's flaring up after work, ice and NSAIDs like ibuprofen can help. Watch for red flags If pain worsens, or you get weakness, cramping, or a bulge in the arm biceps rupture, get medical attention quickly. Healing Timeline A mild biceps strain can resolve in 26 weeks. Tendon involvement or ongoing strain from work can stretch recovery to 36 months if not managed. Bottom line It's worth getting a professional assessment to rule out tendon injury or joint involvement and to get a proper recovery plan. Early intervention prevents longterm problems.
I would need to know where your pain is located. If the pain is around the shoulder area, then stretching, additional time, and using anti-inflammatories will be helpful and the pain should gradually get better. Minor sprains and strains usually resolve by 3 months. If it does not resolve, he should see a specialist. If the pain is around the elbow, however, that might be more serious. Tears of the biceps close to the elbow usually require surgery and therefore you would need an evaluation by a specialist.
You are repetitively re-straining your biceps. It could take 6 months to heal in that circumstance.

Hope it helps!!

Dr. Bose
Could be a Slap tear...mine took 6 months to get better when I was your age
I would recommend seeking a local PT for a consultation to rule out anything worse than a sprain