Biceps Tenodesis Rehabilitation

For damaged and partially torn long head of biceps tendon. The tendon is transposed from it's origin on the glenoid to the humerus, with screws or anchors. Click here for more
Note: If a biceps tenodesis is performed as part of a rotator cuff repair, follow the Rotator Cuff Repair

Protocol

	Post Op
Day 1-3 Weeks Level 1 Exercises Level 2 exercises	Mastersling Teach postural awareness and scapular setting Regain scapula & glenohumeral stability working for shoulder joint control rather than range Core stabiliity exercises (as appropriate) Finger, wrist and radio ulnar movements Active elbow flexion & extension in standing as tolerated. Active shoulder movement as tolerated Avoid resisted elbow flexion and forced passive extension
3-6 Weeks Level 2 exercises Progress to levels 3 exercises	Wean off sling Assess kinetic chain control and provide exercises as required Strengthen rotator cuff muscles Start elbow flexion with light resistance, as tolerated
6 Weeks + Level 3 exercises	Eccentric biceps exercises with scapula control if required

Milestones
Week 6	Full Active range of shoulder & elbow motion
Week 12	Full active range of elbow and shoulder movement with dynamic scapula stability throughout range (Concentric and eccentric)

See Post-Operative Exercises

Return to functional activities (guide to commence activity)

Return to work	Sedentary job: as tolerated Manual job: 6-12 weeks*
Driving	6-8 weeks
Swimming	Breaststroke: 6 weeks Freestyle: 12 weeks
Golf	3 Months
Lifting	Light lifting can begin at 3 weeks. Avoid lifting heavy items for 3 months.
Contact Sport	E.g. Horse riding, football, martial arts, racket sports and rock climbing: 3 months

* Depends on Consultant opinion