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Tricep Pain: Causes, Symptoms, and Effective Treatments

Tricep Pain: Causes, Symptoms, and Effective Treatments

Key points

  • Pain and Tenderness: A dull ache or sharp pain located at the back of the upper arm, near the elbow, or up toward the shoulder.
  • Swelling and Bruising: Inflammation may cause visible swelling or discoloration.
  • Weakness: Difficulty pushing or straightening the arm against resistance.
  • Reduced Range of Motion: Trouble fully extending or bending your elbow.
  • A "Popping" Sound: In cases of a severe tear or rupture, you might hear or feel a pop at the moment of injury.
  • Visible Deformity: A bulge or gap may appear in the muscle with a complete rupture.

Tricep pain is a common complaint that can affect anyone from elite athletes to individuals performing everyday tasks. Understanding the causes, recognizing the symptoms, and knowing how to treat and prevent this pain is key to a swift recovery.

What Is Tricep Pain?

Your triceps brachii, commonly known as the tricep, is the large muscle on the back of your upper arm. Its primary function is to straighten your elbow. Tricep pain is any discomfort, ache, or sharp pain felt in this area, which can originate from the muscle itself, the tendons that attach it to the bone, or surrounding structures.

Common Symptoms of Tricep Injuries

Symptoms can vary depending on the severity and cause of the injury, but they often include:

  • Pain and Tenderness: A dull ache or sharp pain located at the back of the upper arm, near the elbow, or up toward the shoulder.
  • Swelling and Bruising: Inflammation may cause visible swelling or discoloration.
  • Weakness: Difficulty pushing or straightening the arm against resistance.
  • Reduced Range of Motion: Trouble fully extending or bending your elbow.
  • A "Popping" Sound: In cases of a severe tear or rupture, you might hear or feel a pop at the moment of injury.
  • Visible Deformity: A bulge or gap may appear in the muscle with a complete rupture.

What Causes Tricep Pain?

Tricep pain can stem from several issues, ranging from gradual overuse to sudden, traumatic injury.

Overuse and Repetitive Strain

This is the most frequent cause, often leading to tendinitis (inflammation of the tendon) or tendinosis (degeneration of the tendon without significant inflammation). Activities that commonly cause overuse include:

  • Weightlifting exercises like bench presses, overhead presses, and tricep extensions.
  • Repetitive pushing motions in sports like tennis or boxing.
  • Occupations that require repeated overhead arm movements.

Acute Injuries (Strains and Tears)

A sudden, forceful contraction or overstretching of the tricep muscle can cause a strain (a tear in the muscle fibers). These are graded based on severity:

  • Grade 1: A mild strain with minor tearing of muscle fibers.
  • Grade 2: A moderate strain with a partial tear of the muscle.
  • Grade 3: A severe strain involving a complete tear or rupture of the muscle or tendon. This is a serious injury that often requires medical intervention.

Referred Pain

Sometimes, the pain you feel in your tricep isn't caused by a problem in the muscle itself. It can be referred pain from another area, such as a pinched nerve in your neck (cervical radiculopathy) or an issue in your shoulder joint.

How to Treat Tricep Pain at Home

For minor to moderate pain from overuse or a mild strain, home care can be very effective.

The R.I.C.E. Method

The R.I.C.E. protocol is the first line of defense for acute muscle injuries:

  • Rest: Stop any activity that causes pain to allow the muscle time to heal.
  • Ice: Apply a cold pack wrapped in a thin towel to the affected area for 15-20 minutes every few hours to reduce pain and swelling.
  • Compression: Use an elastic bandage to gently wrap the area, which can help minimize swelling. Avoid wrapping it too tightly.
  • Elevation: Keep your arm elevated, preferably above the level of your heart, to help reduce swelling.

Over-the-Counter Pain Relievers

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) can help alleviate pain and reduce inflammation.

Stretches and Exercises for Recovery

Once the initial pain and swelling have subsided, gentle stretching and strengthening can help restore flexibility and prevent future injuries. Always move slowly and stop if you feel sharp pain.

Gentle Stretches

  1. Overhead Tricep Stretch: Raise one arm straight up, then bend your elbow to let your hand fall behind your head. Use your other hand to gently pull the raised elbow toward your head until you feel a stretch in your tricep. Hold for 20-30 seconds.
  2. Cross-Body Stretch: Bring one arm across your chest and use the opposite hand or forearm to gently pull it closer to your body.

Strengthening Exercises

When cleared by a doctor or physical therapist, you can begin light strengthening:

  • Tricep Kickbacks: Use a very light dumbbell or no weight at all.
  • Resistance Band Pushdowns: Anchor a resistance band overhead and push down, keeping your elbows at your sides.

Medical Treatments for Tricep Pain

If home care isn't enough or the injury is severe, a doctor may recommend:

  • Physical Therapy: A physical therapist can provide a tailored program of exercises and stretches to improve strength, flexibility, and function.
  • Corticosteroid Injections: For persistent tendinitis, an injection can help reduce inflammation and pain, but it's often used sparingly.
  • Surgery: In the case of a complete tendon rupture or a severe muscle tear, surgery may be necessary to reattach the tendon to the bone or repair the muscle.

Preventing Tricep Pain

Prevention is crucial, especially if you engage in regular physical activity.

  • Warm-Up Properly: Always perform a 5-10 minute warm-up with light cardio and dynamic stretching before a workout.
  • Use Proper Form: Ensure you are using the correct technique during exercises to avoid putting undue stress on the triceps.
  • Progress Gradually: Avoid increasing the weight, duration, or intensity of your workouts too quickly.
  • Stretch Regularly: Incorporate tricep stretches into your cool-down routine.
  • Listen to Your Body: Don't push through pain. Allow for adequate rest and recovery between workouts.

When to See a Doctor

While most tricep pain resolves with self-care, you should seek medical attention if you experience any of the following:

  • You heard or felt a "pop" at the time of injury.
  • You are unable to straighten your arm against gravity.
  • There is significant swelling, bruising, or a visible dent or bulge in the muscle.
  • The pain is severe and does not improve after a few days of home treatment.
Leo Martinez, DPT

About the author

Physical Therapist

Leo Martinez, DPT, is a board-certified orthopedic physical therapist specializing in sports medicine and post-surgical rehabilitation. He is the founder of a sports therapy clinic in Miami, Florida that works with collegiate and professional athletes.