Physical Rehabilitation Medicine/Bicep pain after working out


Hello Brian,

I worked on Biceps 2 days ago at the gym. It's the first time I don't weight training in about 7 months. The day after, my biceps hurt so bad that I couldn't straighten my arm. It was even painful moving. Now today is day 2 and it feels just as bad. Very painful to even put my shirt on. I constantly feel pain now. Been pushing a gallon and a half of water the last few days. How long is recovery and what all can I take for the pain? It hurts really bad in the bicep area when I try to straighten it out. The pain and soreness is constant. What is the usual recovery time? Thank you for your time and volunteering.

Simple case of doing too much after 7 months out of the gym.  Muscles respond to stress but when over stressed they become "damaged" temporarily until rest and healing can occur.  This is the same reason professional bodybuilders do not work the same muscles without giving them some rest...because the muscle can't grow until fully healed.

Day 3-4 should be the worst of it.  If it doesn't get better you may have a partially-torn tendon and should stop working out for 12 weeks.  If it still isn't better see an orthopedic surgeon for further evaluation.

In the meantime, heat and gentle stretching is indicated.

Good luck

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Brian Neville, OTR/L, CWCE


I can answer questions about both conservative and post-operative rehabilitation for UPPER extremity injuries. These include but are not limited to: fractures, tendon repairs, tendon transfers, nerve repairs, lacerations, tenolysis procedures, TFCC injuries, repetitive motion disorders, reconstructive procedures. I have an advanced knowledge of UPPER extremity anatomy and industrial rehabilitation. I have extensive splinting skills for injuries to the upper extremity. Although not a physician or a surgeon I have worked closely with world renowned upper extremity specialists for over 10 years. I can give general information on what some of the most common upper extremity surgeries involve. I can reference those procedures as well. PLEASE DON'T ASK ME QUESTIONS ABOUT ANYTHING OTHER THAN THE NECK, SHOULDER, ARM/HAND. I'M NOT QUALIFIED AND KNOW ABSOLUTELY ZERO ABOUT BACKS/HIPS/KNEES/ANKLES/ETC. THANK YOU!!!


10+ years working closely with orthopedic and hand surgeons and their patients. I have treated patients with small lacerations to major reconstructive procedures. My knowledge base includes both conservative and post-operative rehab protocols and care for upper extremity injuries. I have treated patients all the way from day 1 post-op to return-to-work status.

Kentucky Occupational Therapy Association American Society of Hand Therapy National Nurses in Business Association Roy Matheson and Associates

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Occupational Therapist former Certified Hand Therapist (license currently inactive) Deep Physical Agent Modalities Instructor Certified Work Capacity Evaluator

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