golf bicep pain

after many months of no practice i hit more than 200  balls off the plastice mat surface on one morning.  5, 7 and 9 irons and 5 metal wood only, no driver.  next day and following days my right bicep muscle is really achey (achy). nothing at the elbow joint, just deep pain in the belly of the muscle.  but the  question for me is this:  does  the cause of this soreness indicate that i am doing something correctly or incorrectly.  i strive to release my arms and hands fully at contact, i am normal right handed golfer so maybe i am doing it ok.  or maybe the mats have caused my trouble, no divot possible club often bouncing.  any ideas from others welcome,  thanks.  i am 62 years but in good condition and strong.

[dr_simran]

Hello Dear,
The biceps muscle is located in the front of the upper arm and is used when lifting, bending the elbow, and reaching up over the head. The upper portion of the biceps muscle attaches to the shoulder in two places, and the lower portion attaches to a bone in the forearm. Repetetive lifting and overhead reaching can lead to biceps tendonitis, which causes inflammation and partial tears of the upper biceps tendon.
  Patients with biceps tendonitis typically complain of pain that is limited to the front of the shoulder. Pain may be worsened by lifting, overhead reaching, or both. Inflammation that persists chronically increases the risk of rupturing (tearing) of a biceps tendon. This may occur in up to 10 percent of patients with biceps tendonitis.
In people whose biceps tendon rupture, a lump can be seen and felt in the lower biceps muscle. Because the biceps attaches in two places in the upper portion of the muscle, a rupture usually causes only a slight decrease in muscle strength, and does not usually require surgery to repair the tear. Shoulder pain due to bicipital tendonitis is sometimes completely relieved after the rupture occurs.
Treatment of biceps tendonitis focuses on reducing tendon inflammation and swelling, strengthening the biceps muscle and tendon, and preventing rupture.
Initial treatment — Initial treatment includes:
• Apply ice for 15 to 20 minutes each day to reduce inflammation.
• If needed, a pain medication such as acetaminophen (Tylenol®) can be taken; the usual dose of acetaminophen is two 375 mg tablets every four to six hours as needed. No more than 4000 mg of acetaminophen is recommended per day, and anyone with liver disease or who drinks alcohol regularly should speak with their healthcare provider before using acetaminophen.
A nonsteroidal antiinflammatory drugs such as ibuprofen may relieve the pain.
Activity limitation — Eliminate lifting and restrict over-the-shoulder positions and reaching until your symptoms have resolved. It is safest to keep the arm down and in front of and close to the body:
• Lift objects close to the body
• Only lift light weights and below shoulder level
• Do sidestroke or breaststroke when swimming
• Throw balls underhand or sidearm
• Do not overhand serve in tennis
• Maintain good posture with writing, working, etc.
There is a 5 to 10 percent risk of biceps tendon rupture if precautions are not followed.
Stretching exercise —  The weighted pendulum stretching exercise should be performed for five to ten minutes a day during the first few weeks of recovery. These exercises are intended to help maintain joint mobility and flexibility of the muscles and tendons in the shoulder.
Range of motion/flexibility exercises should not cause more than a mild level of pain; patients who feel sharp or tearing pain while stretching should stop exercising immediately and consult with their healthcare provider.
This exercise should be performed after heating the shoulder for five minutes, once or twice per day.
Strengthening exercises — Toning exercises should begin three to four weeks after the initial pain has resolved. Daily toning exercises are particularly important for patients who have had a tendon rupture.
Refer http://www.uptodateonline.com/patients/content/topic.do?topicKey=~BoCBOPdINkTFIjL

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