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Bicipital tendinitis, left shoulder

ICD10CM code
#### Name of the Condition
- **Bicipital tendinitis, left shoulder**
- Also known as **biceps tendonitis**.

#### Summary
Bicipital tendinitis is the inflammation or irritation of the tendon connecting the biceps muscle to the shoulder, particularly affecting the left shoulder in this case. It results in pain and movement difficulties.

#### Causes
- Overuse of the shoulder joint.
- Repetitive motions, particularly overhead activities.
- Aging and normal wear and tear.
- Acute injuries.

#### Risk Factors
- Age, particularly adults over 40.
- Involvement in sports or occupations requiring repeated overhead movements.
- Previous shoulder injuries.
- Poor posture or shoulder mechanics.

#### Symptoms
- Pain at the front of the shoulder, extending to the biceps muscle.
- Tenderness and weakness in the affected area.
- Swelling around the shoulder.
- Difficulty moving the shoulder or lifting overhead.

#### Diagnosis
- Physical examination by a healthcare provider.
- Imaging tests, such as an MRI or ultrasound, to assess tendon inflammation.
- Range of motion and strength testing.

#### Treatment Options
- **Medications**: NSAIDs for pain relief and inflammation reduction.
- **Physical Therapy**: Exercises to improve flexibility and strength.
- **Rest**: Avoiding activities that exacerbate symptoms.
- **Corticosteroid Injections**: To reduce severe inflammation.
- **Surgery**: Rarely required, but can be considered if conservative treatments fail.

#### Prognosis and Follow-Up
- Generally favorable with appropriate treatment.
- Regular follow-up to monitor recovery progress.
- May require long-term lifestyle adjustments to prevent recurrence.

#### Complications
- Chronic pain or persistent discomfort.
- Reduced range of shoulder motion.
- Potential tendon rupture if untreated.

#### Lifestyle & Prevention
- Regular shoulder-strengthening exercises.
- Proper techniques in sports and daily activities.
- Rest between repetitive tasks to avoid overuse.
- Maintaining good posture and shoulder mechanics.

#### When to Seek Professional Help
- Severe shoulder pain or sudden swelling.
- Inability to move the shoulder or lift objects.
- Persistent symptoms despite home care.

#### Additional Resources
- [American Academy of Orthopaedic Surgeons](https://www.aaos.org)
- [National Institute of Arthritis and Musculoskeletal and Skin Diseases](https://www.niams.nih.gov)

#### Tips for Medical Coders
- Ensure the laterality (left shoulder) is coded accurately.
- Cross-reference with any related shoulder pathology if present.
- Be attentive to documentation specifying "bicipital tendinitis" versus other shoulder injuries.

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