fC|0Q QiE4.a!*WLzin%IR8o^"!Z;"ith[QI f f.$ _Oq#RBb{WTO9DqD+sxH'2l;LS('qk>@&-J>;!<7S /~r>Yt?Oy R4Qq>(+`>Q^_Cn%iQ_5mAKAuctSC%O2;pPoNl6`lGvY'#Fk7+bfN|3GR-1go!NgCe- 23"3gDUOrXTiz^/eM5 baJ;=dx!0h!ZfN58. Surgical management of biceps tendinitis includes removing the long head of the biceps tendon via arthroscopic tenodesis. Atraumatic, insidious onset of anterior shoulder pain, Symptom exacerbation with overhead activities, Pain radiating down the anterior arm from the shoulder, Clicking or audible popping can be reported in the setting of proximal biceps instability, History or current sports, especially baseball, volleyball, and other overhead sports, History or current manual/physical laborer occupations, Superior labrum anterior-posterior lesions, Tendon sheath swelling (transverse view: for women 4.6, for men 5.5!mm;longitudinal view: for women 2.5, for men 2.8!mm, as adopted from Schmidt et al.). Raise your injured arm out to your side and place the thumb side of your hand against the wall (palm down). He specializes in spinal deformity and complex spinal reconstruction. Gaines MD. Secondary cases are much more common and have been described in the literature with increasing frequency dating back to at least the early 1980s. These are done to determine your functional baseline and to guide treatment for your shoulder. Tendon pathology and subsequent rehabilitation will vary considerably depending on the site of pathology; stage of the tendinopathy; functional assessment; activity status of the person; contributing issues throughout the kinetic chain; comorbidities; and concurrent presentations [4]. 2010 Apr;29(2):229- 46, vii-viii. This is called the distal biceps tendon. Distal Bicep Tendon Repair- Rehabilitation Protocol The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course for a patient that has undergone a distal biceps tendon repair. Best Exercises for Biceps Tendonitis - WebMD Tendinopathy Rehabilitation - Physiopedia - universal access to It should be noted that the initial injury and inflammation of the biceps tendon is called tendonitis. When a rotator cuff muscle is torn, your biceps tendon may overwork to help stabilize the area, leading to biceps tendonitis. Tears occur secondary to unexpected extension forces and are typically associated with a "pop". The biceps muscle travels down your upper arm and inserts on the radial tuberosity of your forearm. If the pain caused by tendonitis or bursitis continues despite more conservative treatment options such as physical therapy, surgery may be the most effective option. endstream endobj startxref Use of Blood Flow Restriction (BFR) Therapy in Post-operative <>/Metadata 640 0 R/ViewerPreferences 641 0 R>> The biceps muscle is located in the front of your upper arm. V;nK~ gCaQy? The heat increases blood flow to the area, bringing in oxygen and nutrients and flushing out waste material that may have gathered as a result of inflammation. When the lining becomes inflamed, the tendon cannot glide smoothly in its covering (sheath). Distal Bicep Tendon Rehabilitation Exercises - Health | NoahStrength.com Shoulder Theraband strengthening exercises are started. Ditsios K, et al. Your physical therapist may perform various massage techniques for your biceps tendonitis. A biceps tendon rupture usually occurs when the tendon tears away from the forearm bones. They course from two heads (hence the name "biceps") near your shoulder joint. This is seen particularly with deadlifts, pullups, and rowing. )Ed#. You may also do this next to a wall and rest your fingers on the wall. And its a great idea to do eccentric curls when you are rehabbing a distal biceps tendonitis. A word of caution: K-tape is a newer treatment in PT and has not been proven to be effective in the treatment of tendon disorders. When a direct current that is also negatively charged is applied to the medicine, it repels it, driving the drug into your tendon. 8 Week Functional Test (Following ACL Reconstruction), 12/16 Week Functional Test (Following ACL Reconstruction), Anterior and Posterior Capsular Shift and Superior Labral Repair Protocol, Anterior Capsular Shift/Bankart-Type Repair Protocol, Brostrom Lateral Collateral Ligament Reconstruction Protocol, Medial Patellafemoral Ligament Reconstruction Protocol, Posterior Capsular Shift and Posterior Labral Repair Protocol, Small/Medium Rotator Cuff Repair Protocol. The median duration of follow-up was thirty-eight months. Most commonly, LHB tendinopathy occurs in association with RC pathology, EI/SIS, or in tandem with subscapularis injuries. This thickening of the ligament may cause abnormal rubbing on the tendon, leading to inflammation and irritation. Repetitive motions,. Beyond that point, the patient wears a sling for comfort and weans it after 3 weeks Clinical Goals The patient must meet specific objectives to progress from one phase of healing to the next. OUP USA. The biceps brachii muscle is in the front of your arm. Biceps Tendonitis Physical Therapy and Rehab - Verywell Health Various exercises may be included in your biceps tendonitis rehab program, including: Shoulder ROM exercises. These join into a single tendon that crosses the elbow and attaches to the radius, a bone in your forearm. The physical therapist must consider both the patient's subjective response to injury and the physiological mechanisms of tissue healing; both are essential in relation to a patients return to optimal performance. The biceps tendon, the tendon associated with the biceps muscle, is made up of 2 parts: the long head and the short head. needs to learn more about biceps tenodesis and rehabilitation we recommend reading: Krupp RJ. Rehabilitation of biceps tendon disorders in athletes. D`^l(=/t ntYDSp6t^=p. Biceps tendinitis result when excessive, abnormal forces are applied across the tendon, including tension (a pulling of the muscle and tendon), compression (pushing or pinching), or shearing (rubbing). Return to Work Following a Distal Biceps Tendon Repair: a Systematic Review of the Literature. This tendon stretches along your biceps muscle from your elbow up to your shoulder. Hold 15 seconds. Immobilization in Splint with Elbow at 90 of flexion; Encourage digital , shoulder ROM; Elevation; Pain Control; Phase 1 (1 week to 6 weeks) Elbow immobilized in flexion-assisted Bledsoe brace with extension stop at 30 Gentle supervised passive ROM (active extension) from 30 . Improve Your Core Control: As Ive discussed in other articles, core strength and control are extremely important in preventing extremity injuries. A distal biceps rupture is rare compared to ruptures where the top of the biceps connects at the shoulder. Bicep Tendon Tear - Physiotherapy Treatment JOSPT. Physiother Theory Pract. A distal biceps rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. The diagnostic criteria for biceps tendinopathy were defined as meeting at least one of the following: All involved with the musculoskeletal US examination reached a consensus on these diagnostic criteria for the purpose of avoiding operator-dependent misdiagnosis.[2]. Rehabilitation of a Surgically Repaired Rupture of the Distal Biceps Tendon in an Active Middle Aged Male: a case report. The most common surgery for bursitis is a bursectomy, which removes the inflamed bursa to help relieve pain and promote healing. But biceps tendonitis is one of several possible causes of pain around the elbow. Distal biceps tendon fixation techniques: There are various options to fix the distal biceps tendon. When the tendon is subjected to repetitive stresses, it can become irritated, swollen, and painful. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. Treatment consists of conservative or surgical treatment. Distal Biceps Avulsion - Shoulder & Elbow - Orthobullets Youll notice a hard time twisting doorknobs or using tools like wrenches and screwdrivers. Keep your arm straight and hold for 15 seconds. So be sure to check with your coach or trainer if you develop tendinitis of any kind. These injuries often require surgical treatment. Surgical procedures are performed in the ultra-modern surgical suites at Community Memorial Hospital in Hamilton. The biceps bends your elbow (flexion) and twists your forearm to turn your palm upward (supination). If your pain continues after a month or two of therapy, your PT may refer you back to your healthcare provider for further treatment. Restoring a pain free range of motion - Pain free range can be achieved with such activities as PROM, Active-Assisted Range of Motion (AAROM), and, Painful activities such as abduction and overhead activities should be avoided in the early stages of recovery as it can exacerbate symptoms. During this session, your PT will interview you about your injury. Suns Out, Guns Out! A small incision is made over the upper forearm, where the biceps should attach onto the radius bone. (2015) Pain Medicine An Interdisciplinary Case-Based Approach. Comparison of the Effects of Kinesio Taping to Local Injection of Methyl Prednisolone in Treating Brachial Biceps Tendonitis. PRP for Biceps Tendonitis / Tendinosis - PRP Treatments The continuum of clinical pathology ranges from acute inflammatory tendinitis to degenerative tendinopathy. Our offices and facilities have been designed to provide you with a level of specialized orthopaedic care usually found only in larger metropolitan areas. One of the primary goals of rehabilitation after a distal bicep tendon tear is to regain range of motion of the elbow. Do something to help reduce tension in your biceps whether its foam rolling, muscle floss, or self-myofascial release. The tape is used to decrease pain and spasm or to facilitate proper muscle function. 191 0 obj <>/Filter/FlateDecode/ID[<96B5A7559837E940A76D1930163689E3>]/Index[172 28]/Info 171 0 R/Length 96/Prev 212290/Root 173 0 R/Size 200/Type/XRef/W[1 3 1]>>stream During the first week and up to about the third week, range of motion exercises will be performed in the brace. If any exercise causes pain to increase, you should stop performing it and check in with your PT. The continuum of clinical pathology ranges from acute inflammatory tendinitis to degenerative tendinopathy. A distal biceps rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. Distal bicep tendonitis is a common cause of elbow pain in gym-goers. Prospective study of three surgical procedures for long head biceps tendinopathy associated with rotator cuff tears, Tendinopathy of the tendon of the long head of the biceps, Long head of the biceps tendinopathy: diagnosis and management, Tendinopathy of the long head of the biceps, Treatment of tendinopathy: what works, what does not, and what is on the horizon, https://www.physio-pedia.com/index.php?title=Biceps_Tendinopathy&oldid=296103, Main function of the biceps muscle is forearm supination and, Biceps also contribute 10 percent of the total power in. Surgical Bankart & Anterior Labral Repair. The best way to diagnose biceps tendinopathy, is by comparative palpation of the biceps tendon along the intertubercular groove, or otherwise by doing a ultrasonography (extra-articulair). Biceps Tendon Rupture - StatPearls - NCBI Bookshelf 3 0 obj It is not only athletes who benefit from the considerable skill and experience assembled here. Active extension limit changed to 20 degrees. Ultrasound has been in use in PT clinics for many years. partial distal biceps tendon tears occur primarily on the radial side of the tuberosity footprint. International Journal of Clinical Medicine. Long Head of the Biceps Tendon Pain: Differential Diagnosis and Treatment. 3 Massachusetts General Hospital, Boston, MA, USA. %PDF-1.7 ~F*.`(Eflws*PVLlq[na@3Z1>,w_y^yY1vKtWp$6&]&Y7,OZ8{u*^.o^+S SPFepov=$`9~9gOgjSHPxc!WV 'h*$=DVtaS+inqS&Dm{ Sg&nUQha9yq6R'x zFcqk'h' Q[!s.||~Fp-GHGaU4n]y Ice may be used in the treatment of biceps tendonitis. FAQs and information from BayCare Clinic. Biceps tendonitis describes a clinical condition of inflammatory tenosynovitis, most commonly affecting the tendinous portion of the LHB as it travels within the bicipital groove in the proximal humerus. But dont worry; Ill tell you what it is, how you probably got it, how to help get rid of it! Biceps Stretch. PDF Distal Biceps Repair Protocol - Boston Sports Medicine Dry needling is a new treatment in physical therapy that involves injecting small needles into a tendon, much like acupuncture. The needle helps to decrease pain and muscle spasm and improve localized blood flow. This sheath provides lubrication to the tendon and allows it to glide and slide normally in the front of your upper arm. Dr. James Larson is an orthopedic surgeon specializing in sports medicine and arthroscopic surgery. Shoulder rotator cuff and scapular strengthening. Simple treatments can reduce pain and improve mobility. As a preface to discussion of the goals of treatment during injury rehabilitation, two points must be made: Biceps tendinopathy is an inflammation that can be caused by the normal ageing process as well by a degenerative process which usually occurs in athletes with repetitive overhead movements. In general, most surgeons will recommend immobilization in a splint after surgery for a few weeks . Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. demonstrated the relationship between increasing LHB tendon inflammatory changes with increasing severity of rotator cuff (RC) tendinopathy. Single approach versus double-incision technique for the repair of The biceps muscle helps to decelerate your elbow as it is extending, and overusing it in repetition may place excessive stress on the tendon, leading to inflammation. Biceps Tendon Tear at the Elbow - OrthoInfo - AAOS Wrist and hand gripping exercises. Supersedes: N/A: Or . % 2012;2012:405472. https://www.youtube.com/watch?v=j4vYM7JXSW8, Diagnosis and treatment of biceps tendinitis and tendinosis, The shoulder in baseball pitching: biomechanics and related injuries--Part 1, The long head of biceps and associated tendinopathy. Iontophoresis is a special form of electrical stimulation that uses electricity to administer medication through your skin and into your injured biceps tendon. If you have pain that starts as soon as you lift, or if it persists after you are done, it's time to shut that muscle down. Many physical therapists do not use ultrasound due to this lack of benefit. Human kinetic. This focuses on a slowly letting the elbow relax from a curl, as seen below. Biceps tendonitis is usually caused by overloading and overusing the biceps tendon. Biceps stretch. Your doctor may prescribe a nonsteroidal anti-inflammatory medication (NSAID), like aspirin or ibuprofen, for pain relief and to reduce swelling. Putty may be used 3 times per day to improve grip strength. Physical Therapy Guide to Biceps Tendon Rupture - Choose PT Care should be used, since ice placed directly on your skin may cause a frost burn. Thomas R. Basically any action where you are pulling something toward you with your arms works the biceps. x=ioCG)Q }NvdwyXIqlOlw_uP%R6,UbQ>|ZMjU>ckq?|vf~.qtq0_.z |~7{W w_ zSiH%YHhyNM%^N/sN|u@f$NE^)z'eLp[s;}yDf`@jArL"{1J?=Y2hHj#j3bA\8W?#|dot\qCFpzO bo$>gc{7XzFcoJ 8ylU'BYn3x=r=R@y/W0j-|4m.dV)gc+JghGS2znpT2zxBpC- 0nu|Y&AXqJdV(H|(iRyM@b9P{8g:9.87J Mr@}ar+W o+T*# ]kVxpg"xSP?Fq =!9pP=vGY(3~ Jt Adv Orthop. David Smith, SPT, Missouri State University, Springfield, Missouri. If you have pain in the front of your shoulder, you may have biceps tendonitis. In addition to the diagnostic criteria, increased color flow signals were recognized around the swollen biceps tendon as essential to a biceps tendinopathy diagnosis. Hamilton Orthopaedic | All Rights Reserved | Design by. }ws}B}hr|*-*zK/b>$y`7_> Biceps Tendon Injury Exercises - Tufts Medical Center Community Care During the PT evaluation for biceps tendonitis, your physical therapist will perform various tests and measures. Apply ice to the injury for 10-20 minutes, 3 times a day, for the first 3 days. Surgical Total Shoulder Replacement. If you have pain in the front of your elbow when lifting, in the little hollow, it could be distal biceps tendinopathy. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. BayCare Clinic, baycare.net, is the largest physician-owned specialty-care clinic in northeastern Wisconsin and Michigans Upper Peninsula. Distal Biceps Rupture - Physical Therapy in Baton Rouge If you need a few new core exercises, check these ones out. Most e-stim treatments, like transcutaneus electic neuromuscular stimilation (TENS) or neuromuscular electrical stimulation (NMES), last for about 10 to 20 minutes. These objectives may depend on ROM, strength, or activity. Interested in joining our wonderful team at Hamilton Orthopedics? Physical Therapy: Therapists can use methods such as ultrasound, dry needling, TENS, IASTM, and more to help relieve pain. Be sure to check out sour complete post on the subject of elbow pain below. ACL Reconstruction with Meniscus Repair or Microfracture, SLAP Repair, Bankart Repair, or Biceps Tenodesis, Total Shoulder or Reverse Arthroplasty Protocol, Non-Operative Achilles Tendon Rupture Protocol, ACI ProcedureACL Reconstruction Rehabilitation ProtocolAMZ ProcedureHip Arthroscopy Rehabilitation ProtocolMeniscus TransplantationMeniscal Repair ProtocolMicrofracture ProcedureMPFL Repair Reconstruction ProtocolOATS Procedure Patella Femoral ArthroplastyFemoral Acetabular, Distal Radius Fracture Post Surgical Volar Plating, ECRB or FDS to Lateral Band Tendon Transfer for Clawing, Flexor Tendon Zones 1-3 Early Mobilization, Flexor Tendon Zones 1-4 Delayed Mobilization, Pin Site Care Post-Operative Instructions, Scaphoid Fracture Post-Operative Management, Achilles Tendon RepairACL ReconstructionAnkle SprainAnkle Sprain SevereAnterior Interval Release - KneeArthroscopic Ankle DebridementArthroscopic Ankle with MFXBankart Repair or Anterior or Posterior Labral RepairBrostrom ProcedureBrostrom with MFX ProcedureDistal Biceps RepairElbow DebridementElbow Radial Collateral RepairProximal Hamstring Tendon RepairHigh Tibial OsteotomyLateral EpicondyleLateral Epicondyle Fascial ReleaseLateral Release - Knee Lateral Release with Meniscus RepairLCL ReconstructionMCL Repair ProtocolMedial EpicondyleMedial Patellofemoral Ligament Repair/ReconstructionMedial ReefingMeniscus RepairMicrofracture Femoral CondyleMicrofracture Trochlear Grove PatellaMUA - KneePatellar Tendon FenestrationPatellar Tendon RepairPCL ReconstructionQuadriceps Tendon RepairRotator Cuff Repair Rehabilitation ProtocolShoulder StabilizationTibial Plateau FractureTibial Tubercle TransferUCL Reconstruction, Achilles Tendon Ultrasound Guided Percutaneous Tenotomy, Gluteal Tendon Ultrasound Guided Percutaneous Tenotomy, Hamstring Tendons Ultrasound Guided Percutaneous Tenotomy, Patellar - Quadriceps Tendon Ultrasound Guided Percutaneous Tenotomy, Plantar Fascia Ultrasound Guided Percutaneous Fasciotomy, Ultrasound Guided Percutaneous Elbow Tenotomy, Ultrasound Guided Percutaneous Shoulder Tenotomy. 2018;:1-11. doi:10.1080/09593985.2018.1488023, Zeinali A, Rahimdel A, Shahidzadeh A, Shahidzadeh A, Mellat A. Long head of the biceps pathology combined with rotator cuff tears. For more of a stretch, bend your head to the opposite side of your affected arm. Proximal biceps tendinitis and tendinopathy, https://www.ncbi.nlm.nih.gov/books/NBK533002/. 10. re^ 9W,F^.?Vez1`+^;qvfB\>9ek7x9V+S\yqXX5T|RMkC|R;sbZ9 }&lzDJzb7A;tWj$P mn(UqhrRx:ixv qvw`?IV]OU;gR4\2`Zxr+Q6 } |(IIi[B2I6V"^YvC7 EdL}:bcwS79EQB57\Gx0r02gCbKi#`yQVYxOK,=qf8K Some research has shown that iontophoresis can be effective for tendon problems, while other studies do not support its use as an anti-inflammatory treatment. 4 0 obj Ladder with arm supported by unaffected extremity. Ball toss / trampoline chest pass 1kg weight. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> That way, you can be sure to start on the right treatment for your condition. Prone T, Y, and W. Shoulder extension with T-band. Kotara S. Singleton SB. If you think youve torn your biceps tendon, you should see a surgeon right away! Distal Biceps Rupture - Orthogate This often happens in repetitive overhead activity, such as racquet sports or when throwing a baseball. tendon. It is by no means intended to be a substitute for one's clinical decision making . While you're dealing with pain from an inflamed bicep tendon, fill an ice pack with ice and hold it against the area that's hurting for up to 20 minutes. Distal Biceps Tendonitis | Upswing Health This injury occurs mainly in middle-aged men during heavy work or lifting. % Anatomic location. If these simple steps are ineffective, other treatments such as cortisone injections, needle tenotomy, or PRP injections are possible. Distal Bicep Tendon Repair Protocol - Northwestern Medical Center . The Most Common Causes Of Elbow Pain While Lifting. Heat and Ice: Ice can help reduce the pain, but heat is typically better to improve blood flow and help speed healing. Talk with your PT about how long your specific condition is expected to last. He also holds a CF-L1 certificate and is a Certified BFR Specialist. Clin Sports Med. % This is indicated in higher functional level patients or athletes with extensive active pathology accompanied with other shoulder pathology such as rotator cuff tears. Biz C, Vinanti GB, Rossato A, Arnaldi E, Aldegheri R. Longo UG, Loppini M, Marineo G, Khan WS, Maffulli N, Denaro V. Nho SJ, Strauss EJ, Lenart BA, Provencher MT, Mazzocca AD, Verma NN, Romeo AA. Surgery to reattach the tendon is usually necessary and its best to do so within two weeks. Heat can also be used to decrease pain and improve tissue mobility. Exercise should be your main tool in the treatment of biceps tendonitis. A sling or cuff and collar may be used for the splint or hinged brace respectively. But the biceps is a pretty important one. Study Design: Case Study Objective: To describe the use of conservative treatment of a proximal long head of the biceps (LHB) tendon rupture for a patient preferring to forego surgery.. Background: The patient was a 49 year old male who presented with pain and weakness in the left shoulder, and a bulge in anterior, left brachium. Plymouth Distal Biceps Repair Rehabilitation Protocol Biceps Tendonitis Exercises: Relieve Pain - healthline.com Research has shown this to provide sufficient reductions in pain levels while maintaining normal biceps function. Sports Medicine Division Physical Therapy Protocols Brad E. Brautigan MD Rehabilitation Guidelines for Distal Biceps Tendon Repair The intent of this protocol is to provide the clinician with a general guideline of the post-operative course of the patient that has undergone the above stated procedure. Rehabilitation Following Distal Biceps Repair Biceps Tendon Injuries: Causes, Symptoms & Treatments - Cleveland Clinic endobj Biceps stretch: Stand facing a wall (about 6 inches, or 15 centimeters, away from the wall). Physical Therapy Protocols - Brigham And Women's Faulkner Hospital Distal Biceps Repair Distal Triceps Repair Latarjet (Traditional and Accelerated) Medial Epicondyle ORIF Pectoralis Major Tendon Repair Posterior Shoulder Stabilization Reverse Total Shoulder Arthroplasty Return to Throwing (Softball) Rotator Cuff Repair (Large to Massive) Rotator Cuff Repair (Small to Medium) Arthroscopic_SLAP_Repair The rehabilitation protocols following surgical treatment vary significantly between individual surgeons. They can also help you to correct any muscle imbalances or problems with your form to prevent recurrent injury. Horschig et al. Rehab Protocols. Initiate resisted wrist supination and pronation. Biceps Tendinitis: Exercises - Alberta document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Larson Sports and Orthopedics is a group made of a surgeon, athletic trainer, and experienced HIIT Coaches who specialize in orthopedic sports medicine including anatomy and physiology, injury prevention, and orthopedic surgery/rehabilitation. The long head of the biceps originates from the supraglenoid tubercle of your shoulder joint and is encased in a synovial sheath. Quantitative diagnostic method for biceps long head tendinitis by using ultrasound. Some physical therapists use a treatment technique called kinesiology taping, also known as K-tape. LHB tendon instability/dislocation (seen in association with subscapularis injuries/tears). The team of compassionate, highly renowned orthopedic surgeons and specialists at Hamilton Orthopedics, Spine & Sports Medicine are dedicated to providing patients with the most advanced orthopedic care in sports medicine, reconstructive surgery, total joint replacements and revisions, treatment of spinal cord injuries and diseases, on-site x-ray and casting, on-site physical therapy and rehabilitation, and arthroscopic rotator cuff repair. In 1982, Neviaser et al. Thank you, {{form.email}}, for signing up. zy6 >E/{xT D:L=3=tCk,&S 8}f"k)7nlVanCH1XtRN$-8u7S8+BsfF/ g 4Q\wHmMd0(jIn61N(0.M0L^>. But over time, it can cause pain, loss of strength, and difficulty flexing your elbow. ACL Reconstruction Rehabilitation Protocol, Bankart Repair or Anterior or Posterior Labral Repair, Medial Patellofemoral Ligament Repair/Reconstruction, Rotator Cuff Repair Rehabilitation Protocol. The etiologies for primary bicipital tendinitis are not well understood compared to the more common secondary presentations. Surgical management focuses on restoring the distal biceps tendon anatomy by repairing the tendon at its insertion site on the radius and allowing it to heal. They have great blood flow and can repair damage from exercise quickly. Physical therapy initially focusing on unloading followed by reloading the effected tendon (see Tendinopathy rehab page for full details). Post-Operative Distal Biceps Tendon Repair Rehab Protocol Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
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