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Bicipital tendon injuries of the elbow mostly occur in men aged 40-60 years.
Injuries range from tendonitis to partial tears to complete ruptures.
Deformity and pain at the elbow may indicate a rapture.
another common symptom is weakness, especially with supination.

Bicipital injuries at the shoulder commonly occur in athletes who lift weights or use their arms and shoulders repetitively. The injury occurs at the top of the bicep where the muscle meets the tendon
Most pain is in the front of the shoulder above the armpit.
Bicipital tendonitis can be misdiagnosed as a rotator cuff injury.
Some sufferers of bicipital tendonitis experience shoulder weakness and stiffness and in extreme cases radiating Elbow pain ( this is the case with weight lifters)
Those with bicipital tendonitis at the shoulder will experience painful symptoms when they lift their arms above shoulder level.

The symptoms are alleviated by rest, ice, massage, stretching, and, sometimes, heat.

In the immediate acute stage R.I.C.E, stop the offending activities that aggravates the tendonitis, mild stretching and some light massage ( no frictions ) to help the lymphatic drainage and to ease pressure by relaxing the muscle. After massage Ice.
In the subacute stage transverse frictions should be started to release the tendon from any adhesions.
Ice sprays combine with stretching techniques works well.
In chronic conditions massage should be combined with physiotherapy exercises particularly a gradual workout to strengthen the bicep muscle ( isometric contactions)

In rare cases where everything else has failed to reduce the symptoms surgery may be required. This involves decompression of the musculotendinous structure through tenolysis under arthroscopical guidance or using an open surgical technique.