TFCC Tear: Causes, Symptoms & Treatment

Causes, Symptoms & Physiotherapy Treatment | Weaver Physiotherapy Northwich

Shoulder pain is one of the most common musculoskeletal complaints we see at Weaver Physiotherapy & Sports Injury Clinic in Northwich, Cheshire. Among the many conditions that can affect the shoulder, Long Head of Biceps Tendinitis (LHBT) is a frequent source of pain, stiffness, and reduced function – especially in athletes and active individuals. If you’ve noticed pain at the front of your shoulder that worsens with lifting, reaching, or overhead activity, you may be experiencing inflammation of the biceps tendon. The good news is, with early diagnosis and expert physiotherapy management, this condition can be successfully treated – allowing you to get back to sport, training, and everyday life without pain. In this blog, we’ll explain: • What the long head of the biceps tendon is • The main causes and risk factors for tendinitis • Common symptoms and warning signs • How it is diagnosed • Treatment and rehabilitation options at Weaver Physio • Tips to prevent recurrence and protect your shoulder Understanding the Long Head of the Biceps Tendon The biceps muscle has two tendons at the shoulder: • Short head – attaches to the coracoid process at the front of the shoulder blade. • Long head – runs through the shoulder joint itself, attaching to the top of the glenoid (shoulder socket). Because the long head of the biceps tendon passes through a narrow groove and is closely associated with the rotator cuff, it is more vulnerable to irritation, inflammation, and injury. Its function is to: • Assist in shoulder flexion (lifting the arm forward). • Contribute to shoulder stability, particularly with overhead movements. • Aid in supination (turning the palm upwards). When overloaded or irritated, the tendon can become inflamed, leading to tendinitis. If not treated properly, this may progress to tendon degeneration (tendinopathy) or even partial tears. Causes of Long Head of Biceps Tendinitis At Weaver Physio, we often see long head of biceps tendinitis linked to repetitive overuse, poor biomechanics, or secondary shoulder problems. 1. Overuse & Repetitive Movements • Repeated overhead activity (e.g. swimming, tennis, cricket, weightlifting). • Heavy lifting in the gym without correct technique. • Throwing sports that stress the tendon. 2. Shoulder Impingement & Rotator Cuff Dysfunction The biceps tendon often works in partnership with the rotator cuff. Weakness, imbalance, or injury in the cuff can increase strain on the tendon. 3. Poor Posture Rounded shoulders and forward head posture (common in office workers) can narrow the bicipital groove, irritating the tendon. 4. Age-Related Degeneration As we age, tendons naturally lose some elasticity and become more prone to inflammation or microtears. 5. Direct Trauma A fall, awkward lifting, or sudden jerk to the arm may trigger tendinitis. Symptoms of Long Head of Biceps Tendinitis The hallmark symptom is pain at the front of the shoulder, but several features can help identify LHBT tendinitis: • Sharp or aching pain at the anterior shoulder. • Pain aggravated by lifting, carrying, or overhead reaching. • Tenderness when pressing on the bicipital groove (front of the shoulder). • Discomfort when turning the palm upward against resistance (supination). • Possible clicking or catching sensation in the shoulder. • Weakness when lifting objects or performing overhead movements. In severe or chronic cases, swelling and reduced range of motion may also be present. Diagnosing Biceps Tendinitis At Weaver Physiotherapy & Sports Injury Clinic, our expert clinicians use a combination of: • Clinical history & symptom analysis – understanding your activity, pain pattern, and injury history. • Physical examination – testing shoulder movement, strength, and palpating the tendon. • Special tests – such as Speed’s test or Yergason’s test to reproduce symptoms. • Referral for imaging (if required) – ultrasound or MRI may be suggested to rule out rotator cuff tears, labral pathology, or joint issues. Accurate diagnosis is essential, as anterior shoulder pain may also be caused by conditions like rotator cuff tendinopathy, impingement syndrome, labral tears, or osteoarthritis. Treatment for Long Head of Biceps Tendinitis At Weaver Physio, we provide individualised, evidence-based treatment plans designed to: 1. Reduce pain and inflammation. 2. Restore shoulder movement and strength. 3. Correct underlying biomechanical issues. 4. Prevent recurrence and future injury. 1. Early Stage: Pain Relief & Inflammation Control • Rest & activity modification – avoiding aggravating movements. • Ice therapy – reduces acute inflammation. • Manual therapy – soft tissue release, joint mobilisation. • Taping techniques – to offload the tendon. 2. Physiotherapy & Rehabilitation • Targeted strengthening – rotator cuff, scapular stabilisers, and core muscles. • Stretching & mobility exercises – to restore range and reduce stiffness. • Postural correction – improving alignment to reduce tendon stress. • Progressive loading – gradually strengthening the tendon to handle daily and sporting demands. 3. Adjunct Treatments • Shockwave Therapy – highly effective for chronic or stubborn tendon pain, stimulating healing. • Acupuncture / Dry Needling – reduces pain and improves circulation. • Sports & Deep Tissue Massage – eases tightness and improves blood flow. 4. Return to Sport & Prevention • Video Gait & Movement Analysis – identifies biomechanical flaws. • Strength & Conditioning Programmes – tailored to sport demands. • Education & Training Advice – ensuring safe progression back to activity. Recovery Timeline Recovery depends on severity and treatment compliance, but typical timelines are: • Mild tendinitis – 3 to 6 weeks with physiotherapy. • Moderate cases – 6 to 12 weeks with progressive loading. • Chronic / degenerative tendinopathy – 3 to 6 months, sometimes longer if associated with rotator cuff tears. At Weaver Physio, our aim is not just pain relief but long-term recovery, ensuring you return to sport stronger and more resilient. Preventing Biceps Tendinitis Prevention is always better than cure. Our physiotherapists recommend: • Warm up properly before sport or gym sessions. • Strengthen rotator cuff and scapular stabilisers. • Avoid excessive repetitive overhead movements. • Correct poor posture, especially if working at a desk. • Progress training gradually – avoid sudden load spikes. • Include mobility and stretching in your routine. Why Choose Weaver Physio for Shoulder & Sports Injuries? At Weaver Physiotherapy & Sports Injury Clinic in Northwich, we pride ourselves on being Cheshire’s Sports Injury Specialists. • 🏆 70+ years of combined clinical experience • 🩺 Chartered Physiotherapists with advanced expertise in sports injuries • 💪 Evidence-based treatment plans tailored to your body and goals • 🌀 Specialist services including Shockwave Therapy, Sports Massage, Acupuncture, and Gait Analysis • 📍 Conveniently located in Northwich, supporting patients from Knutsford, Winsford, Middlewich, Frodsham, Tarporley, and across Cheshire We help athletes, gym-goers, office workers, and active individuals recover faster, prevent setbacks, and stay pain-free. Book Your Appointment Today If shoulder pain is holding you back, don’t wait for it to get worse. Early treatment is the key to faster recovery and avoiding long-term damage. 👉 Call 01606 227484 to book your appointment. 👉 Visit www.weaverphysio.com to learn more. At Weaver Physio, we are your trusted partner in recovery, performance, and pain-free living.

Introduction When it comes to athletic performance, many athletes focus on strength, speed, and endurance. But one fundamental movement pattern often gets overlooked: hip extension. Without strong, mobile hips, your ability to run faster, jump higher, and stay injury-free is compromised. At Weaver Physiotherapy & Sports Injury Clinic in Northwich, Cheshire, we regularly see student athletes, runners, and active individuals whose performance is limited by poor hip extension. The good news? With the right treatment, exercises, and recovery strategies, you can unlock hip mobility, restore full function, and unleash more power in your sport. This article explores why hip extension is so important, what causes limitations, and how targeted physiotherapy and strength work can make a huge difference. What Is Hip Extension? Hip extension is the movement where your thigh moves backwards behind your body, powered mainly by the gluteus maximus and hamstring muscles. It’s a key component of running, sprinting, jumping, and even walking. Whenever you push off the ground in a stride, rise from a squat, or drive forward in a jump, your hips extend. Without full hip extension, your body compensates elsewhere — often overloading your lower back, hamstrings, or knees. Why Hip Extension Is Crucial for Athletes Athletes in every sport rely on hip extension for performance. Here’s why it matters: 1. Running Speed & Stride Length • Strong hip extension improves stride length and running efficiency. • Runners with restricted hips often “short stride,” losing power with every step. 2. Explosive Power • Sprinting, jumping, and Olympic lifts all depend on hip drive. • More hip extension = more ground force = more athletic power. 3. Injury Prevention • Limited hip extension forces the lower back or hamstrings to overcompensate. • This increases risk of hamstring strains, knee pain, and lower back injuries. 4. Posture & Core Stability • Proper hip extension balances the pelvis, reducing anterior tilt and postural strain. At Weaver Physio, we call hip extension a “performance multiplier” — the stronger and freer it is, the more everything else improves. The Problem: Sitting and Student Athletes One of the biggest causes of hip extension deficits is sitting. When you sit, your hips remain in a flexed position for long periods. Over time, this shortens the hip flexors (particularly the psoas and rectus femoris) and weakens the glutes. Student athletes are often the most affected. Hours in classrooms or studying at desks leaves their hips tight and their glutes underactive. Even with regular training, those deficits carry over into running and sport, creating a huge “power leak.” Signs You Have Limited Hip Extension You might have a hip extension deficit if you notice: • A shortened stride when running. • Difficulty engaging glutes in squats or lunges. • Lower back arching during running or lifting. • Hamstring tightness or frequent strains. • Poor hip drive when sprinting or jumping. At Weaver Physio, we assess hip extension with video gait analysis, mobility testing, and strength assessments as part of our Runner’s MOT and sports injury evaluations. How to Improve Hip Extension Restoring hip extension takes a mix of mobility, activation, and strengthening. Here’s how we guide athletes: 1. Hip Mobility Drills Stretch and mobilise the hip flexors to restore length. • Half-kneeling hip flexor stretch • Couch stretch • Dynamic leg swings 2. Glute Activation Wake up the glutes so they can do their job. • Glute bridges • Banded clamshells • Single-leg hip thrusts 3. Strength & Power Training Layer strength and speed once mobility returns. • Deadlifts • Kettlebell swings • Sprint drills 4. Physiotherapy Support Manual therapy, acupuncture, and sports massage can release tight hip flexors. Shockwave therapy may help in stubborn tendon issues. At Weaver Physio, we build tailored rehab and performance programmes for long-term results. Hip Extension and Running Performance For runners, hip extension is everything. Without it, your stride shortens, cadence increases, and efficiency drops. Worse, you increase your risk of shin splints, Achilles pain, or hamstring injuries. By restoring hip extension, you: • Run faster and smoother with better stride mechanics. • Improve economy — using less energy per step. • Reduce injury risk by letting your glutes and hips take the load. Our Runner’s MOT at Weaver Physio includes slow-motion video gait analysis, identifying exactly how your hips move when you run. This helps us create a personalised plan to unlock more stride power. Recovery and Maintenance Improving hip extension isn’t a one-off fix. It requires consistent mobility and activation work as part of training and recovery. We recommend: • Daily mobility drills after long periods of sitting. • Pre-training activation for the glutes. • Sports massage or physiotherapy for tissue release. • Regular reassessment with video analysis to track progress. By maintaining hip extension, you not only improve performance but also keep injuries at bay, allowing you to train harder and recover quicker. Weaver Physio: Your Partner in Performance At Weaver Physiotherapy & Sports Injury Clinic in Northwich, Cheshire, our team has over 70 years of combined clinical experience. We specialise in helping athletes of all levels improve mobility, strength, and performance while staying pain-free. Our services include: • Sports Physiotherapy – evidence-based treatment for injury recovery and prevention. • Video Gait Analysis & Runner’s MOT – pinpointing hidden imbalances. • Sports Massage & Deep Tissue Massage – releasing tight hip flexors and improving circulation. • Shockwave Therapy – fast, effective relief for stubborn tendon pain. • Exercise Rehabilitation – tailored programmes for strength, mobility, and performance. Whether you’re a student athlete, a weekend runner, or chasing a marathon PB, Weaver Physio is here to keep you moving better, stronger, and injury-free. 📍 Conveniently located in Northwich, Cheshire, we also serve clients from Knutsford, Winsford, Middlewich, Tarporley, and Frodsham. Frequently Asked Questions (SEO Optimised) 1. Why is hip extension important for runners? Hip extension improves stride length, running economy, and power, helping runners move faster while reducing the risk of injury. 2. How can I improve hip extension mobility? Focus on hip flexor stretches, glute activation, and mobility drills. Physiotherapy and sports massage can also help release restrictions. 3. Can sitting too much affect hip extension? Yes. Prolonged sitting shortens the hip flexors and weakens the glutes, limiting hip extension and athletic performance. 4. What exercises are best for hip extension? Glute bridges, hip thrusts, deadlifts, kettlebell swings, and sprint drills all improve hip extension strength. 5. Does Weaver Physio offer hip mobility assessments? Absolutely. Our Runner’s MOT and sports injury assessments include hip mobility, flexibility, and strength testing to identify deficits. Conclusion Hip extension is the foundation of athletic power. Whether you’re sprinting, lifting, or running long distances, your hips are the engine that drives performance. Sitting, tightness, and underactive glutes can rob you of strength and increase your injury risk. The solution? Consistent hip mobility, glute activation, and targeted strength work — supported by expert physiotherapy. At Weaver Physiotherapy & Sports Injury Clinic in Northwich, we help athletes restore hip extension, boost performance, and maintain an active, pain-free lifestyle. 👉 Book your Runner’s MOT or physiotherapy assessment today and unlock your full athletic potential. 📞 Call 01606 227484 | 🌐 Visit www.weaverphysio.com

Causes, Symptoms, and Physiotherapy Treatment

Modern office life may look physically easy from the outside, but anyone who spends hours sitting at a desk, staring at screens, and dealing with constant deadlines knows the toll it takes on the body. Stiff shoulders, tight backs, tension headaches, and sore hips are common complaints among office professionals in Northwich. That’s where sports massage and deep tissue massage come in — not just for athletes, but for anyone who wants to ease muscle tension, reduce stress, and restore mobility. At Weaver Physiotherapy & Sports Injury Clinic in Northwich, we specialise in delivering evidence-based massage therapies that support both performance and everyday wellbeing. Whether you’re an athlete or an office worker spending long hours at a desk, our skilled therapists tailor treatments to meet your needs. In this blog, we’ll explore the key benefits of sports and deep tissue massage for office workers and why more people in Northwich are turning to Weaver Physio for professional care. Why Office Workers Need Massage Therapy Working at a desk doesn’t sound strenuous, but static postures and repetitive tasks create hidden strain. Office workers often face issues such as: • Neck and shoulder stiffness from hunching over laptops or monitors. • Lower back pain caused by prolonged sitting. • Tight hips and hamstrings due to restricted movement. • Stress and mental fatigue linked to high workloads and deadlines. • Poor circulation from sitting still for long periods. Unlike acute sports injuries, these issues creep up slowly and worsen over time, leading to chronic discomfort, reduced productivity, and even long-term musculoskeletal problems. Massage therapy provides an effective way to counteract these stresses. What is Sports Massage? Sports massage is a targeted, hands-on therapy originally designed for athletes, but now widely used by people from all walks of life. It focuses on improving soft tissue health, enhancing circulation, and reducing tension. For office workers in Northwich, sports massage helps by: • Loosening tight muscles in the neck, shoulders, and back. • Improving blood flow to areas affected by poor posture. • Reducing stiffness in the hips and lower back. • Restoring flexibility and range of movement. It’s not just about recovery; sports massage also prevents issues from developing, making it ideal for people who sit for most of the day. What is Deep Tissue Massage? Deep tissue massage goes beyond relaxation. It involves firm pressure and slow strokes to target deeper layers of muscle and connective tissue. This technique is especially effective for chronic tension and postural problems common in office workers. Benefits include: • Breaking down muscle knots and adhesions. • Releasing long-term tension in the back, shoulders, and hips. • Improving posture by addressing muscular imbalances. • Promoting better circulation and tissue healing. While it can feel intense, the results are long-lasting and particularly valuable for those with desk-related aches and pains. Key Benefits of Sports & Deep Tissue Massage for Office Workers 1. Relief from Back and Neck Pain Office workers often report lower back pain and stiff necks. Massage reduces muscle tension, eases spinal loading, and improves posture — helping you sit, stand, and move more comfortably. 2. Improved Posture and Mobility Massage lengthens tight muscles and restores balance. For office workers, this can mean fewer rounded shoulders, less hip tightness, and greater freedom of movement. 3. Stress Reduction and Mental Clarity Massage isn’t just physical; it has psychological benefits too. By reducing stress hormones and promoting relaxation, massage leaves you feeling calmer and more focused, which boosts workplace productivity. 4. Better Circulation and Energy Levels Sitting for long periods restricts blood flow, causing fatigue and sluggishness. Massage stimulates circulation, bringing fresh oxygen and nutrients to muscles, which helps fight tiredness. 5. Prevention of Long-Term Problems Regular sports or deep tissue massage sessions act as maintenance, preventing desk-related issues from developing into chronic conditions such as repetitive strain injuries or postural deformities. Why Office Workers in Northwich Are Choosing Weaver Physio At Weaver Physiotherapy & Sports Injury Clinic, we’ve seen a growing demand from office professionals in Northwich and surrounding areas such as Knutsford, Winsford, Middlewich, Tarporley, and Frodsham. Many patients come to us after struggling with stiffness or pain from their desk-based jobs. Here’s why they choose Weaver Physio: • Experienced therapists – Our team has over 70+ years of combined clinical experience. • Tailored treatments – Every massage is adapted to your symptoms, posture, and lifestyle. • Evidence-based care – We combine sports massage, deep tissue therapy, physiotherapy, and exercise rehab for the best outcomes. • Local convenience – Easily accessible in Northwich, we provide expert care close to home or work. Massage at Weaver Physio: What to Expect When you book a sports or deep tissue massage session at Weaver Physio, here’s what happens: 1. Initial consultation – We discuss your symptoms, daily habits, and areas of concern. 2. Posture and movement assessment – We look for imbalances caused by desk work. 3. Hands-on massage treatment – Our therapist applies targeted techniques to release tension and improve circulation. 4. Aftercare advice – You’ll receive tailored stretches and posture tips to keep you pain-free between sessions. Whether you need a one-off treatment or a regular maintenance programme, we’ll design a plan that suits your needs and schedule. Real-Life Example: From Office Stiffness to Comfort Take Sarah, a 42-year-old office worker from Northwich. She came to Weaver Physio with daily headaches, shoulder stiffness, and back pain after years of desk work. After a course of deep tissue massage combined with posture advice, Sarah reported reduced pain, better concentration at work, and improved energy levels. Stories like Sarah’s are common — proof that massage isn’t just for athletes but is equally transformative for office workers. How Often Should Office Workers Book a Massage? The frequency depends on your needs: • For acute pain: Weekly or fortnightly sessions may be recommended initially. • For maintenance: A monthly massage helps prevent tension building up. • For high-stress roles: More regular sessions can support both physical and mental wellbeing. At Weaver Physio, we’ll recommend the right frequency based on your symptoms, lifestyle, and goals. Conclusion: Invest in Your Health with Massage Therapy Sports and deep tissue massage aren’t luxuries; they’re essential tools for maintaining health in today’s desk-bound world. For office workers in Northwich, they offer relief from pain, improved posture, reduced stress, and prevention of long-term musculoskeletal issues. At Weaver Physiotherapy & Sports Injury Clinic, we provide expert, personalised massage treatments that fit around your busy lifestyle. Whether you’re dealing with chronic stiffness or simply want to feel more energised at work, our team is here to help. 📍 Weaver Physiotherapy & Sports Injury Clinic – Northwich, Cheshire 📞 01606 227484 🌐 http://weaverphysio.com 👉 Book your Sports or Deep Tissue Massage in Northwich today and start feeling the difference.

Expert Advice from Weaver Physio

Expert Advice from Weaver Physiotherapy & Sports Injury Clinic

Symptoms, Causes, Treatment & Recovery | Weaver Physio, Northwich

Causes, Symptoms, Treatment & Recovery at Weaver Physio, Cheshire