How CBD Can Change Your Approach To Biceps Tendinitis
If you are an athlete, it should be no surprise when shoulder injuries become the norm for you. When you suffer from a shoulder injury, there’s a good chance it also affected your biceps tendons. You must be wondering what is biceps tendinitis so first let’s understand that. Biceps tendinitis is an inflamed condition in which tendons around your biceps are affected due to injury or by degeneration. This condition is common in older people and people who are into sports.
I’m also into different sports activity and I understand the pain of biceps tendinitis, therefore, today I have decided to dedicate this article on the biceps tendinitis. Here you will read everything about biceps tendinitis and its treatment option including CBD.
Anatomy Of Biceps
Your biceps has a set of muscles in the front and upper part of your arm. There are two tendons which attach the bones in your shoulder, the head which attaches the shoulder socket to the top is known as glenoid. If glenoid is affected then you will suffer from biceps tendinitis. In this condition tendon of biceps gets thick or grows large in size.
What Are The Cause Of Biceps Tendinitis?
There is an endless cause which can lead to biceps tendinitis even normal activity can lead to this condition. Sports activities such as tennis, baseball, and swimming can put you at risk of developing biceps tendinitis. Overhead activities and lifting heavy objects are also responsible for biceps tendinitis.
Biceps Tendinitis: Symptoms
The initial symptoms of biceps tendinitis are pain and inflammation in the upper part of your arm. Symptoms also depend on the cause of tendinitis therefore below there are some common symptoms related to biceps tendinitis.
- Sharp and pinching pain which travels from biceps to elbow
- Bruise near the elbow
- Redness and swelling
- Limited shoulder movement
- Bump on the bicep
So now you know everything about biceps tendinitis but how can CBD help in it? Let’s find out.
CBD For Biceps Tendinitis
CBD is an emerging and natural treatment option for tendinitis. CBD is obtained from the hemp plant and this substance is rich in different therapeutic properties such as anti-pain, anti-stress, and anti-inflammatory. With the advancement in the medical industry, CBD is now used to treat different medical conditions such as chronic pain, inflammation, swelling, cancer, herpes, bipolar, depression, and anxiety. CBD is available in different forms and CBD topical is the best form to use CBD for biceps tendinitis.
Use CBD Pain Management Balm For Biceps Tendinitis
CBD infused pain management balm is the safe and natural remedy which you can use for tendinitis. It is very effective against pain, swelling, and inflammation. When you apply it over the affected area CBD enters your body and interacts with the endocannabinoid system to provide relief from pain and inflammation. It also reduces the swelling and relaxes your muscles.
Natural Treatment Option For Biceps Tendinitis
Firstly, limit the shoulder movement and use an ice pack to massage the affected area. Ice will reduce the swelling and pain from the biceps it will also increase the healing process. Use shoulder brace support to improve shoulder movement, it will also prevent for excess shoulder movement. You can also try different physical exercise which reduces stress and strain from your biceps.
If you have decided to treat your tendinitis naturally then CBD is the best option for you. CBD infused pain management balm and CBD oil will give you quick relief from pain and inflammation. You can easily apply CBD topicals over the affected area and add a few drops of CBD oil in your food and drink to gain its benefits. CBD is not just effective against pain related issues you can use it to improve your sleep and to fight with anxiety and depression.
Biceps tendinitis is a painful condition which can stop you from performing daily activities so you should use CBD topical and get complete rest till you are recovered. Avoid any activity which puts pressure on your biceps especially overhead activities.
I hope you like my this article on “How CBD Can Change Your Approach To Biceps Tendinitis?” If you have any suggestions or questions then leave them in the comment section.
Can CBD oil help treat Tendonitis?
Yes. With sufficient rest, tendonitis often heals on its own. However, any kind of movement would make it worse. A patient would need to give the affected area complete rest in order to recover.
While there are both natural and conventional treatment methods and medications to assist a person in recovery, recent research has revealed that tendonitis can be healed quite efficiently by employing alternative methods as well.
One such popular alternative is CBD oil. CBD oil can be used in different ways by patients suffering from tendonitis.
Let us find out, in more detail, how CBD oil can help Tendonitis patients overcome the pain and discomfort.
Using CBD to Treat Tendonitis – How to Use?
People suffering from chronic joint pain often turn to alternative methods of treatment to get relief. In this respect, CBD has been seen to offer relief to many across the world. Even some athletic associations have permitted its use among its members.
At a time when conventional medications, like pain killers, come with so many side effects, it is only natural that people will look for alternative, more natural methods that have fewer or milder side effects to manage regular pain, especially those whose profession makes them vulnerable to ailments and conditions, such as tendonitis (as mentioned earlier).
Usually, when it comes to joint or muscular pain, people find it easier and more effective to use topical medications [1, 2]. CBD oil is, fortunately, available in this form, besides tinctures, injections, edibles, capsules, etc. When it comes to topical application, one can choose salves, balms, ointments, creams, lotions, etc. depending on the condition.
For instance, there are CBD-infused skin creams and lotions for skin allergies, irritation, and inflammation. However, when it comes to pain in the tendons, balms are generally used. Most CBD brands incorporate many other natural ingredients in their products to make them more effective in relieving pain and discomfort and alleviating different conditions.
Moreover, depending on how and when people want to use CBD, people can opt to use this plant-based cannabinoid to trigger their endocannabinoid system and ease inflammation and pain  .
If they want to use it before a physical exertion or right after, they can choose to use a topical, whereas if they want to use at the end of the day before bedtime, they can have it in the form of CBD-infused edibles or capsules too! However, topicals are better in two ways.
- They do not interact with medications, as the CBD does not enter the bloodstream to reach the targeted areas. Instead, a topical application ensures the substance enters the tissue over the affected areas (joints, etc.)
- Topical CBD does not lose its effectiveness and is far more prompt in its action than edibles. Reason: All edible CBD must go through the digestive system where it is metabolized by liver enzymes to reach the bloodstream, from where it is transported to the affected areas. Topical CBD completely bypasses this pathway.
Tinctures are another viable option. Most of it is absorbed through the sublingual glands into the bloodstream and does not lose its potency by going through the digestive system. Although this is also a prompt option, it is still a systemic method of administration, i.e. it reaches the bloodstream, from where it is transported all over the body, including the affected (painful) areas. This means that a portion of the dose is distributed elsewhere in the body, where it is not necessarily needed, thus reducing the potency of the substance to a certain extent.
However, is CBD use just a fad or is it really worth your money? Is it just an expensive placebo or is there any scientific basis for using CBD to treat tendonitis? How exactly does it help?
Using CBD to Treat Tendonitis – What does the Science Say?
Research on CBD and its effects on the human body is, admittedly, still in its nascent stage. However, most animal trials and the few human clinical trials that have been carried out by scientists around the world have shed light on its potential as a viable alternative treatment for chronic pain. 
Besides, it has also been seen that CBD is a safer option over other conventional medications, especially opioid-based pain medication. 
So much so, CBD has been found to be effective on dogs suffering from osteoarthritis. 
The reason why CBD is so effective on inflammation and pain is that it indirectly binds  with the cannabinoid receptors in the body, thus inhibiting the normal responses of the immune system – inflammation and pain – that may cause tendonitis to become such a serious condition.
Some more studies that prove CBD help fight inflammation and its resultant pain – issues that make tendonitis a condition to deal with in the first place.
- A 2011 study  , published in Neuroscience Letters, revealed that CBD can reduce inflammatory pain in rats by influencing the way their pain receptors respond to stimuli.
- Another article, published in the European Journal of Neuroscience in 2014,  which reviewed all available research on CBD and animals found this phytocannabinoid to be an effective anecdote to treating osteoarthritis pain.
- Another study, published in the same journal in 2016, found that the topical application of CBD can relieve pain and inflammation caused by arthritis. 
- A 2017 study, published in the journal Pain, found evidence of CBD not only being a safe and useful treatment option for osteoarthritic joint pain, but also a potent inhibitor of nerve damage.
- Not only does CBD prevent nerve damage, but it also reduces nerve pain (or neuropathic pain), besides suppressing inflammatory reaction by targeting the α3 glycine receptors. This was revealed in a 2012 study  published in the Journal of Experimental Medicine.
Tendonitis isn’t a very serious condition. However, if left unchecked and untreated for a long time, it may lead to more severe damage to the tendon, like its rupture, which may require surgery.
Over time, like several weeks, tendon irritation may lead to a condition, called tendinosis, which is a more severe form of tendonitis. This is a degenerative and irreversible condition that leads to abnormal growth and regeneration of blood vessels.
Using CBD is not only safe and effective but also convenient. CBD has the potential of enhancing the body’s capacity for dealing with pain, reducing inflammation, as well as allowing to sleep  better so that you can heal faster.
However, never overdo it. Too much use of CBD can reduce inflammation to a great extent, rendering your body’s immune system useless. This can incapacitate your body’s normal ability to inform you about an underlying problem. After all, inflammation is a necessary reaction of the immune system.
According to a study in the Frontiers in Pharmacology, cannabinoids’ anti-inflammatory effect may reduce inflammation too much. 
So, use discretion while using any cannabinoid, including CBD. Like we always say: Start low, go slow!
Do You Have Tendonitis — or Tendinosis?
Tendon injuries are often automatically slapped with the label “tendonitis,” yet the real problem is much more likely to be “tendinosis.” Regardless of your fitness pursuits, understanding the distinction can dramatically alter your treatment and speed your recovery.
The difference is fairly simple: Tendonitis (as the “itis” suffix suggests) involves tendon inflammation; tendinosis describes tendon degeneration without inflammation. Both fall under the more general umbrella diagnosis of “tendinopathy,” but nearly all cases of tennis elbow, sore Achilles’ tendons, jumper’s knee, shoulder pain and foot problems stem from tendinosis. Instances of tendonitis, on the other hand, are relatively rare.
What Is Tendonitis?
Tendonitis is caused by the rapid convergence of white blood cells on an injured tendon, provoking an inflammatory reaction. Normal tendon strands lie side by side, but when suffering from tendonitis, they swell and bump against each other. The injured area is warm to the touch and can be quite painful.
Luckily, with a little ice and rest, tendonitis takes as little as two weeks to heal, says Scott Rodeo, MD, an orthopedic surgeon and clinician-scientist at The Hospital for Special Surgery in New York, as well as a team doctor for the 2007 Super Bowl champion New York Giants.
What Is Tendinosis?
Tendinosis, on the other hand, stems from chronic overuse rather than a single acute event. “With tendinosis, there’s an abnormal collagen or protein buildup — the tendon’s microfibers start to resemble sticky, overcooked spaghetti,” says Karim Khan, MD, PhD, assistant professor of family medicine and human kinetics at the University of British Columbia in Vancouver and coauthor of Clinical Sports Medicine.
Damage occurs at a microscopic level long before symptoms of pain, tightness and soreness appear. As with tendonitis, you might feel anything from a slight twinge to a jabbing pain.
Tendinosis usually occurs because you have not rested enough between workouts that require heavy or stressful loading to the affected area. But, because researchers have not specifically identified an optimal rest period to prevent the condition, many fitness experts simply recommend that you follow a periodized program, with built-in deloading phases, to help prevent such overuse injuries. Cross-training can also help you avoid overusing a particular area.
Unlike tendonitis, tendinosis often requires at least three to six months for recovery. “It’s not realistic to think you can heal in, say, six weeks, because it probably took a lot longer than that to reach the point of pain,” says Bryan Chung, MD, PhD, founder of the blog Evidence-Based Fitness (www.evidencebasedfitness.blogspot.com).
Some physicians even stretch that recovery period to nine months or more. Tendinosis takes a considerable amount of time to heal because of limited blood flow to tendons, and because it can take 100 days for your body to reestablish strong collagen, which repairs damage.
The Active Road to Recovery
The good news: You don’t have to be inactive during your recovery. In fact, inactivity can actually slow tendinosis recovery. Following the right treatment plan can encourage your tendon to reconstruct itself with healthy, normal tissue.
“You’ll want to scale back your usual routine or pursue alternative activities,” says Chung. “If you’re a runner, for example, you might hop on the exercise bike or do some water running instead. But total abstinence is probably not a great idea because you’re likely to fall behind on your overall fitness goals.” And that, the experts note, can make it tougher for you to come back from your injury. (For more ideas about moderating activity, see “Joint Effort”.)
Often, effective treatment plans include eccentric exercises, which focus on the “negative” component of a movement. And for good reason: A 2004 study conducted by the University of Umea in Sweden indicated that eccentric exercises speed collagen rebuilding.
Khan recommends eccentric exercises such as heel drops for Achilles’ tendinosis, mini-squats for jumper’s knee and wrist drops for tennis elbow. (For more on eccentrics, see “Put the Weight Down!”.)
While researchers can’t definitively explain how eccentrics heal, the theory, explains Khan, is that our bodies send something called “neovessels” to the site of the injury, which impede the healing process and stimulate nerve endings, causing us to feel pain. Eccentric training effectively kills off those neovessels, thus promoting healing and reducing pain.
More You Can Do
The best route for treatment, of course, depends on the individual, but healthcare professionals agree that ibuprofen and the other non-steroidal anti-inflammatory drugs (NSAIDs) often recommended for tendonitis symptoms don’t relieve tendinosis because there’s no inflammation present. They could even impair healing.
Equipment modification, however, can make a difference, says Allan Mishra, MD, an adjunct orthopedic surgeon at Stanford University. “Ill-fitting shoes can be an issue, and in the case of tennis elbow, the grip on your racket might be too small or too big,” he explains. “Your computer keyboard might also be a problem. Basically, anything that involves gripping, twisting or bending can lead to tendon injury.”
In addition to correct-fitting equipment, a personalized, therapeutic stretching program is a must, says Mishra. Other treatments include acupuncture, ultrasound, deep-tissue massage, and electronic muscle stimulation. All of these treatments are designed to increase the supply of blood and its collagen-rebuilding element to the tendon and affected area. This is especially critical for shoulders and elbows, parts of the body where blood supply is relatively poor.
If patients show no improvement after six months of a specialized strength and stretching program, physicians sometimes consider using nitric-oxide patches (used for heart-disease patients but showing promise with tendon repair), cortisone injections or even surgery. Mishra, for his part, is testing new platelet-rich plasma injections in clinical trials.
But the preferred treatments remain noninvasive. “Our bodies have the power to heal within,” says Mishra. “That’s the best way.”
ITIS vs. OSIS
On his Web site www.bodybuilding.com, David Ryan, MD, compares the characteristics of tendonitis and tendinosis this way:
- Very rare
- Requires only 14 days to heal
- Aggravated by exercise
- Usually warm to the touch
- Loves ice and rest
- Not helped by friction massage
- Helped by NSAIDs
- Shows up white on an MRI
- Irritated by heat
- Very common
- Requires months to years to heal
- Treated with therapeutic exercise
- Usually cool to the touch
- Not helped by ice and rest
- Helped by friction massage
- Irritated by NSAIDs
- Shows up black on an MRI
- Responds to electric stimulation and heat
What’s Normal: The tendon has smooth “strands” that lie side by side.
Tendonitis: The strands are inflamed, looking bloated and puffy. A magnetic resonance imaging (MRI) test will show a lot of white, which indicates inflammation.
Tendinosis: The strands are twisted, scarred, shortened and otherwise degenerated. This tissue, which requires three to nine months to completely regenerate, appears black on an MRI.
Say No to NSAIDs?
Most doctors discount non-steroidal anti-inflammatory medications (NSAIDs) for healing tendinosis, mainly because no inflammation is present with tendinosis. New York Giants team physician Scott Rodeo has presented lectures on the theory that NSAIDs might even disrupt healing in your injured tendon. Studies conducted at the University of North Carolina indicated that the NSAIDs block production of DNA that would otherwise be creating genetic material to rebuild smooth, healthy tendon microblast fibers.
If pain is an issue, try acetaminophen or Tylenol — or consider acupuncture, which may offer pain relief and speed healing. Icing can also numb the area before or after activity without any longer-range hindering of DNA repair to the tendon.
This article has been updated. It was originally published in the May 2008 issue of Experience Life.