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  1. 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.

  2. A biceps tenodesis procedure involves cutting of the long head of the biceps just prior to its insertion on the superior labrum and then anchoring the tendon along its anatomical course more distally along the humerus.

  3. Rotator Cuff Repair with Biceps Tenotomy/Tenodesis. Post-Operative Protocol. Phase I – Maximum Protection (Weeks 0 to 6): Goals: Reduce inflammation. Decrease pain. Postural education. PROM as instructed. Restrictions/Exercise Progression: Sling for 6 weeks per Dr. Bjerke’s instructions.

  4. 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.

  5. 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.

  6. A biceps tenodesis is a surgical procedure which may be performed for treatment of severe symptoms involving the biceps tendon, including inflammation or partial tears. It may be performed in isolation or as part of a larger shoulder surgery, including surgery involving the rotator cuff. During the biceps tenodesis, the normal

  7. Biceps tenodesis and/or Subacromial Decompression Rehabilitation Protocol. *If a distal clavicle excision is performed, horizontal adduction is restricted for 8 weeks post-operative.

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