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Overuse may
result in tenosynovitis, an inflammatory condition of the synovium which
lines a tendon sheath and surrounds the tendon. One of the most common
examples is bicepital tenosynovitis, which involves the tendon of the
long head of the biceps brachii, in the bicepital groove of the
shoulder.
The early
symptom is shoulder pain, which may be present only with motion as the
tendon passes back and forth in its sheath, or may be constant and occur
even at rest.
In the early
stages, treatment is the same as for muscle strain: rest, moist heat and
protection against further injury. In the very acute stage, injection of
corticosteroid may also be required. In advanced stages, the
complications are serious and surgery may be required.
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