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ROBERT PETTIT, MD
Restoring Function. Maximizing Performance.
Orthopaedic Sports Medicine  ·  Beacon Orthopaedics & Sports Medicine
CINCINNATI, OH  ·  FORT THOMAS, KY
(513) 354-3700
Fellowship-Trained  ·  Board Certified (ABOS)  ·  Mako Robotics Certified  ·  Cincinnati Reds Team Physician
Muscle Strain — Shoulder & Arm

Triceps Strain

Understanding your injury and getting back to full speed

What Is It?

The triceps straightens the elbow and stabilizes pressing movements. Strains occur in the muscle belly; complete tears at the elbow attachment are a distinct, more serious injury.

A strain means muscle fibers were overstretched. We grade strains I–III: Grade I — mild, microscopic fiber injury; Grade II — moderate, a partial tear with strength loss; Grade III — severe, complete disruption.

How It Happens

Heavy pressing or extension work (dips, close-grip bench, skull-crushers), or a sudden eccentric load such as breaking a fall.

What It Feels Like

Back-of-arm pain with pressing or straightening the elbow against resistance, tenderness of the muscle belly, occasional bruising.

How Long Recovery Takes

  • Grade I: 1–2 weeks
  • Grade II: 3–5 weeks
  • Grade III: 6–8 weeks

Treatment

Almost all muscle strains heal without surgery. For the first 72 hours: relative rest, ice 15–20 minutes several times daily, compression, and gentle motion — complete rest slows healing. Then a progressive program: pain-free motion → isometrics → strengthening → eccentric loading (strengthening the muscle while it lengthens — the phase that prevents re-injury) → sport-specific work.

Progressive elbow-extension strengthening from isometrics to eccentric loading.

Returning to Sport

Return when strength is at least 90% of the other side, motion is full and pain-free, and you can perform your sport’s movements at full speed without hesitation. Returning before the muscle is re-strengthened is the main cause of re-injury.

Preventing the Next One

Progressive pressing loads and adequate recovery between heavy sessions.

When to Call Us

Pain and a defect just above the point of the elbow after a fall or forced bend — especially with weak extension — suggests a distal triceps rupture and needs prompt evaluation for early repair.

Call the Office Right Away

Pain not controlled by medication, fever over 101.5°F, spreading redness or warmth, or new numbness or weakness. Direct office line (513) 441-5639; after hours (513) 354-3700.

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