Got a gnarly case of bicep tendonitis in my left should that started on 4.9. Been going to my chiro and massage therapy as well. Started high dose BPC/TB protocol (had a post on here about it).
Beginning of last week was starting to feel great, Id say 85% or so. Then did shoulders on Thursday and seemed to reaggravate/flare it up.
This was my standard split due to work and life:
M: Back, light bis
T: Chest, light tris
W: Off
Th: Shoulders, traps
Fri: Bis/tris
Sat or Sun: Legs pending family plans for the weekend
I was thinking that maybe if I did chest & shoulders on the same day, it wold be less work load and give it more time to recover. Neutral grips on most exercises have been pain free, so I try to adhere to that as much as possible currently so I can get this done with.
Thoughts? Anyone tried this before to deal with the tendonitis?
I’ve dealt with similar anterior shoulder/biceps tendon stuff, and the biggest thing for me was figuring out what was actually irritating itand not just what helped it feel better. A lot of “shoulder pain” ends up being biceps tendon irritation near the front of the shoulder. It can feel like rotator cuff/shoulder pain, and over time everything can start compensating, but the trigger may be pretty specific.
For me, the big offenders were:
1. Overhead pressing, especially locking out hard overhead. That position can narrow the space under the acromion and keep irritating the long head of the biceps tendon.
2. Supinated grips especially underhand pulldowns/rows. I love them, but they lit mine up. Neutral grips were way better and then overhand
3. Going too deep on pressing where the shoulder starts to roll forward/internal rotate at the bottom. Full ROM is great, but often this happens when you go all the way down.
4. Fast stretch to a press transitions. Touch and go pressing, fast rows, bouncing out of the bottom that quick eccentric to oncentric transition creates a lot of stress right where the tendon is irriated.
So yes, combining chest/shoulders may help if it reduces total weekly irritation, but I’d pay more attention to exercise selection and execution than the split itself. Neutral grips, controlled reps, dead stop or paused presses/rows, and avoiding the specific angles that flare it up would probably do more than just moving days around.
You can do all the therapy/peptides/recovery stuff in the world, but if you keep accidentally hitting the exact movement pattern that aggravates it, it’s going to calm down and then come right back. That was the biggest issue for me until I just cut the stuff out, changed my form, etc.