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This protocol is intended to guide clinicians through the post-operative course for biceps tenodesis. This protocol is time based (dependent on tissue healing) as well as criterion based.
Phase 1: 0-2 weeks post-operatively. Goals. Protect repair. Minimize pain. Minimize swelling. Begin passive range of motion exercises, NO active extremity ROM. Sling use/ precautions. Sling for 3-4 weeks after surgery to be determined by surgeon.
These guidelines are designed to assist clinicians in managing the recovery process following biceps tenode-sis surgery. The protocol is based on both time (dependent on tissue healing) and specific criteria.
BICEPS TENODESIS CLINICAL PRACTICE GUIDELINE. Background. Indications for tenodesis include partial tears >25%, tendon subluxation, recalcitrant tendinopathy, chronic tendon atrophy, and impingement, SLAP, or rotator cuff treatment.
BICEP TENODESIS REHABILITATION PROTOCOL. This protocol was developed for patients who have had a bicep tenodesis. Please note this protocol is a guideline. Patients with additional surgery will progress at different rates. Achieving the criteria of each phase should be emphasized more than the approximate duration.
Biceps tenodesis and/or Subacromial Decompression Rehabilitation Protocol. *If a distal clavicle excision is performed, horizontal adduction is restricted for 8 weeks post-operative.
Therapeutic Exercise. Begin light isometrics with arm at side for rotator cuff and deltoid – can advance to bands as tolerated. Begin light resistive biceps strengthening at 8 weeks. Modalities per PT discretion. Phase III (Months 3-6) Range of Motion – Progress to full AROM of elbow without discomfort. Therapeutic Exercise.
