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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.
Rotator Cuff Repair with Biceps Tenotomy/Tenodesis Post-Operative Protocol Phase I – Maximum Protection (Weeks 0 to 6): • Goals: o Reduce inflammation o Decrease pain o Postural education o PROM as instructed • Restrictions/Exercise Progression: o Sling for 6 weeks per Dr. Bjerke’s instructions
Avoid resisted elbow motions. *Weeks 0-1: No formal PT necessary. Weightbearing: Non-weight bearing to the operative extremity. Sling: At all times. Except for hygiene and home exercises. Home Exercises: Pendulums, elbow passive ROM, wrist AROM, grip strengthening. *Weeks 1-4: Being formal PT 2-3x/wk. Continue home exercises.
Heat before PT sessions; other physical modalities per PT discretion _____Weeks 4-12: D/C sling Begin AROM for elbow in all directions with passive stretching at end ranges to maintain or increase biceps/elbow flexibility and ROM At 6 weeks begin light isometrics w/ arm at side for cuff and deltoid; can advance to bands as tolerated
Physical Therapy. Biceps Tenodesis Protocol. The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone a Biceps Tenodesis for biceps dysfunction.
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.
