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A Question of Ethics
Recently, after I had finished teaching a class on ethics, I  read a blog post on the AAAOM
website regarding "gainful employment." The published information made me reflect on what I had just discussed with the students — the acupuncturists' ethical responsibility to the patient, the profession and the public.

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Massage Today
November, 2005, Vol. 05, Issue 11

Biceps vs. Brachialis Strain

By Ben Benjamin, PhD

True or False: Pain on resisted flexion of the elbow always indicates biceps muscle or tendon strain.

Answer: False. Pain on resisted flexion of the elbow can indicate a strain in two different locations: the biceps and the brachialis.

Biceps vs. Brachialis Strain - Copyright – Stock Photo / Register Mark

To perform a successful treatment, the practitioner needs to determine which structure is injured and where on the muscle tendon unit the injury has occurred. When the biceps is injured, both resisted supination of the forearm and resisted elbow flexion are painful.

Biceps vs. Brachialis Strain - Copyright – Stock Photo / Register Mark

Both the brachialis and the biceps flex the elbow, but only the biceps supinates the forearm (so brachialis strain does not cause pain on resisted supination).

Biceps vs. Brachialis Strain - Copyright – Stock Photo / Register Mark

Injury to the biceps can occur in many different places: 1. At the long head of the biceps as it dives through the shoulder joint; 2. At the short head tendon or its attachment; 3. At the tendon of the long head above the belly of the muscle; 4. Within the muscle belly; 5. At the distal tendon body; or 6. At the tenoperiosteal junction at the elbow. Except for the first location, where the tendon is not accessible, all of these biceps injuries can be treated manually.

Click here for more information about Ben Benjamin, PhD.


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