distal biceps tendonitis rehab protocol distal biceps tendonitis rehab protocol

They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. Raise your injured arm out to your side and place the thumb side of your hand against the wall (palm down). Often, physical therapy may be prescribed. Various exercises may be included in your biceps tendonitis rehab program, including: Shoulder ROM exercises. Main outcome measures of biceps tendinopathy are: Conservative: Initial treatment should consist of pain management and use of NSAIDs. Physical Therapy Protocols - South Bend Orthopaedic Associates Most e-stim treatments, like transcutaneus electic neuromuscular stimilation (TENS) or neuromuscular electrical stimulation (NMES), last for about 10 to 20 minutes. But dont use them to mask the pain while you keep working out. Adv Orthop. Most cases can be treated successfully in about four to six weeks. It can also help improve circulation to the tendon and help facilitate healing. Our orthopedic surgeons have trained and practice at the most advanced orthopedic facilities and have years of experience. The long head of the biceps originates from the supraglenoid tubercle of your shoulder joint and is encased in a synovial sheath. Surgical Bankart & Anterior Labral Repair. During the PT evaluation for biceps tendonitis, your physical therapist will perform various tests and measures. Distal bicep tendonitis: This is when inflammation occurs at the end of the tendon connecting the biceps muscle to the elbow. "f_}~;R0Dn`FAHqRg*oDoi|G? ~+Oi>ZMq0hgt;eQVy/|1|.FGQ+*Q{)vdOqd$=0B h2`d-b5q2|y+"yy=AWI[4C@`qA0m Q[/I- jq?"LHq Please note these are meant to be guidelines for rehabilitation to be followed by a certified physical or occupational therapist. Bicep Tendon Tear at the Elbow Joint - Verywell Health Primary bicipital tendinitis is much less common than cases where it is associated with concomitant primary shoulder pathologies (i.e., secondary cases). 2018;:1-11. doi:10.1080/09593985.2018.1488023, Zeinali A, Rahimdel A, Shahidzadeh A, Shahidzadeh A, Mellat A. And its a great idea to do eccentric curls when you are rehabbing a distal biceps tendonitis. <> Successful physical therapy regimens target the underlying source(s) contributing to the LHB tendon pathology. Its a sign of overuse and your body is telling you that it needs a rest. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Your practitioner may order diagnostic tests like magnetic resonance imaging (MRI) to view the soft tissue structures around your shoulder. This electrical impulse may tickle a bit, but it should not cause pain. [7] In low-functioning or medically complicated patients, conservative measures should always be pursued initially.[10]. Tears of the distal biceps tendon are unusual and most often result from an injury or lifting a heavy object. But biceps tendonitis is one of several possible causes of pain around the elbow. Original Editor - Cole Racich and Nick Tainter as part of the Temple University EBP Project, Top Contributors - Nick Tainter, Cole Racich, Abbey Wright, Lucinda hampton, Admin, Kim Jackson, Laura Ritchie, Rachael Lowe, Evan Thomas, George Prudden, Fasuba Ayobami, Scott A Burns, David Herteleer and Wanda van Niekerk. He started LSO to keep more people moving better, longer. Distal biceps tendinopathy can also be known as distal biceps tendinosis or distal biceps tendinitis. Proximal biceps tendinopathy is the inflammation of the tendon around the long head of the biceps muscle.. Biceps tendinitus can impair patients' ability to perform many routine activities. The biceps tendon is one of the anchor points of the biceps muscle, which is important for bending the elbow and rotating the wrist. Tears of the biceps tendon at the elbow are uncommon, occurring in only 3 to 5 people per 100,000 each year, and rarely in women. Proximal bicep tendonitis: This is when there is inflammation. A tendon is a fibrous bundle that attaches a muscle to a bone. 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. A biceps tendon rupture occurs when the biceps muscle is torn from the bone at the point of attachment (tendon) to the shoulder or elbow. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Required fields are marked *. Rest: The most important way to treat biceps tendinitis is to give your elbow a rest. xko{~r, v^M-dIg[X+rz e.gvv37cy=/g.v:/#^KUo_ stream The median duration of follow-up was thirty-eight months. This sheath provides lubrication to the tendon and allows it to glide and slide normally in the front of your upper arm. 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. These are designed to help decrease pain and inflammation, improve ROM and strength, and improve pain-free use of your arm and shoulder. The patient must meet specific objectives to progress from one phase of healing to the next. He also holds a CF-L1 certificate and is a Certified BFR Specialist. 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.). Physical Therapy as a Conservative Treatment for a Proximal Biceps - US In addition to the above, our doctors facilitate Oneida Healthcare for surgical procedures as well. Biceps light isotonics progressing 1 pound per week beginning at week 12 weeks post-op. Therapy Protocols | Orthopedics & Sports Medicine - BayCare Bicep Tendon Tear - Physiotherapy Treatment Electircal stimulation may be used to help treat your biceps tendonitis or tendinopathy. In effect, the tendon becomes pathologically anchored in the groove, further exacerbating the potential points of traction and overall increasing shear forces experienced by the LHB tendon along its course. Distal Biceps Tendon Repair - REHABILITATION PROTOCOL Michael B. Gerhardt, M.D. If your PT chooses to use e-stim for your biceps tendonitis, two to four small electrodes will be placed around your shoulder and upper arm, and electricity will be applied to the electrodes. Passive elbow extension exercises may be started if needed. But the biceps is a pretty important one. Talk with your PT about how long your specific condition is expected to last. 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. Biceps tendonitis is usually caused by overloading and overusing the biceps tendon. Distal bicep tendonitis is a common cause of elbow pain in gym-goers. It is not only athletes who benefit from the considerable skill and experience assembled here. Distal Biceps Tendon Injury: An Overview - HSS.edu These may include a rotator cuff tear, AC joint arthritis, shoulder labrum injury, or cervical (neck) radiculopathy. Passive supination and pronation stretch. 4 0 obj Biceps pulley: normal anatomy and associated lesions at MR arthrography. Notify your PT if you feel any pain so adjustments can be made. PDF Distal biceps tendon repair early mobilization: Salyapongse - UW Health There are many different treatments and modalities that may be used to treat biceps tendonitis. It starts as two separate tendons that attach to the shoulder blade, just above the socket of your shoulder. Our doctors also perform surgeries at APEX Surgical Center. Distal Bicep Rupture | Bicep Tendon Tear Rehab (Without Surgery) J shoulder Elbow Surg March 5, 2020. 9. These are done to determine your functional baseline and to guide treatment for your shoulder. 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. Can start unrestricted strengthening as pain permits. Rehab Protocols. 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. Demographics. V;nK~ gCaQy? <>>> This tendon stretches along your biceps muscle from your elbow up to your shoulder. The continuum of clinical pathology ranges from acute inflammatory tendinitis to degenerative tendinopathy. Use free movement to tolerance; adopting the overhead position for rehabilitation NOTE: The elbow is a very proprioceptive vacant joint and therefore overhead positional rehabilitation using visual feedback can be very useful as well as using a tubigrip to aid with tactile feedback and improve proprioception. In 1982, Neviaser et al. Since Hamilton Orthopaedics, Spine and Sports Medicine was founded by Dr. Ivan Gowan in 1984, the practice has grown exponentially to serve the ever growing demand in Central New York. The 4 minute video below shows the classic presentation of long head of biceps (LHB) tendinopathy. A distal biceps rupture is rare compared to ruptures where the top of the biceps connects at the shoulder. The biceps bends your elbow (flexion) and twists your forearm to turn your palm upward (supination). Ultrasound has been in use in PT clinics for many years. Even kids try to show off their biceps when they want to prove how strong they are! Thats only going to make the issue worse. It is by no means intended to be a substitute for one's clinical decision making . Verywell Health's content is for informational and educational purposes only. The biceps muscle has two tendons at the shoulder. Biceps tendonitis may be difficult to diagnose, as other conditions may present as anterior shoulder pain. 3 Massachusetts General Hospital, Boston, MA, USA. Available from: Park SS, Loebenberg ML, Rokito AS, Zuckerman JD. Other elbow conditions: Common elbow, hand, and wrist conditions Tennis elbow The biceps brachii also helps to move and stabilize the shoulder, although to a lesser degree. Biceps Tenodesis Rehab Protocol - Houston, TX & Baytown, TX: David Rubinger et al. Massage may also improve tissue mobility, allowing your shoulder and arm to move more freely. 2017;8, 395-401. doi:10.4236/ijcm.2017.86037. Physical Therapist's Guide to Biceps Tendon Rupture That far end is called distal meaning further down the limb or away from the trunk.. Physical Therapy: Therapists can use methods such as ultrasound, dry needling, TENS, IASTM, and more to help relieve pain. Thus, concomitant or preexisting RC pathology can directly compromise the LHB tendon itself. But over time, it can cause pain, loss of strength, and difficulty flexing your elbow. Diagnosis of biceps tendonitis involves performing a clinical examination of your shoulder, elbow, and upper arm. 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. A distal biceps rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. The rehabilitation protocols following surgical treatment vary significantly between individual surgeons. Gaines MD. PDF Distal Biceps Tendon Repair - REHABILITATION PROTOCOL Michael B Characteristics of proximal biceps tendinitis include the following: In addition, a thorough history includes a detailed account of the patients occupational history and current status of employment, hand dominance, history of injury/trauma to the shoulder(s) and/or neck, and any relevant surgical history. When refering to evidence in academic writing, you should always try to reference the primary (original) source. This is localized to the hollow in the front of your elbow or sometimes just below there, in the forearm. Keep your arm straight. Eccentrics are also able to promote healing of tendons and so I recommend sprinkling them throughout your regular workout routine. Resisted IR with T-band. The present study was designed to assess the outcomes associated with unrepaired distal biceps tendon ruptures. The biceps muscle has 2 tendons that attach it to the shoulder and travel the length of the upper arm and insert just below the elbow. So over time, your tendons can accumulate a lot of damage while working out, eventually leading to problems. Biceps Tendonitis Exercises: Relieve Pain - healthline.com COVID-19 Alert: FAQs and information from BayCare Clinic. 4 0 obj endobj Tendinopathy of the biceps can be painless early on. Nonoperative treatment of distal biceps tendon ruptures - PubMed 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]. Prone T, Y, and W. Shoulder extension with T-band. Protocol DISTAL BICEPS REPAIR INTRODUCTION The biceps tendon ruptures off the forearm bone (radius) and retracts into the upper arm, causing a deformity andweakness. <>/Metadata 640 0 R/ViewerPreferences 641 0 R>> There are many symptoms of possible biceps tendonitis. Distal Biceps Tendon Repair Protocol Phase I ( 0-7 days post-op): Posterior splint at 90 degrees of elbow flexion. Light strengthening exercises are started with light Theraband or 1-kg weights for elbow flexion, extension, forearm rotation and wrist flexion and extension. Author: Ryan Preszler The long head inserts at the top of the socket and the short head inserts adjacent to the socket on the coracoid process of the scapula. Tendinopathy Rehabilitation - Physiopedia - universal access to Ladder with arm supported by unaffected extremity. 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. A burning sensation may be felt if ultrasound is not applied properly. Working with a physical therapist can help you gain motion and strength, relieve pain, and return to your previous level of function and activity. If you need a few new core exercises, check these ones out. Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. hb```@(Q`CG6*:Q The main cause of biceps tendonitis is simply overuse or over-training. 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 Protection & Education Time Frame 0 to 6 weeks post procedure Key Goals Protection of surgical repair Minimise pain & inflammation Ensure patient understanding of appropriate post-operative management and restrictions Regain ROM This state of the art facility offers the latest in orthopedic, plastics, pain management, urology and podiatry technique set by high qualified surgeons. [10][11] Or for more persistent presentations, corticosteroid injections along the tendon sheath may be indicated. Do something to help reduce tension in your biceps whether its foam rolling, muscle floss, or self-myofascial release. Distal Bicep Tendon Rehabilitation Exercises - Health | NoahStrength.com Physical therapy initially focusing on unloading followed by reloading the effected tendon (see Tendinopathy rehab page for full details). Secondary cases are much more common and have been described in the literature with increasing frequency dating back to at least the early 1980s. For more of a stretch, bend your head to the opposite side of your affected arm. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. If rest, ice, and . Biceps Tendon Injuries: Causes, Symptoms & Treatments - Cleveland Clinic By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. endobj Some physical therapists use a treatment technique called kinesiology taping, also known as K-tape. Beyond that point, the patient wears a sling for comfort and weans it after 3 weeks, Elbow ROM from 30 degrees of extension to 130 degrees of flexion, Maintain minimal swelling and soft tissue healing, Achieve full forearm supination and pronation, Bilateral elbow and forearm ROM Exercises. 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. They course from two heads (hence the name "biceps") near your shoulder joint. endobj Your email address will not be published. PMID: 30997282 PMCID: PMC6449020 Biceps tendonitis can be a nagging problem, and it may take a few months to fully clear. 5_:D`m_SP#W##F'I|nA (2008) Essentials Of Strength Training And Conditioning. %PDF-1.7 REHABILITATION FOLLOWING DISTAL BICEPS REPAIR Authors Catherine A Logan 1 , Amir Shahien 2 , Daniel Haber 3 , Zach Foster , Anna Farrington , Matthew T Provencher Affiliations 1 OrthoONE, Denver, CO, USA. 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. endobj The biceps brachii muscle is in the front of your arm. This often happens in repetitive overhead activity, such as racquet sports or when throwing a baseball. Anecdotally, some people report improved symptoms and function with the tape, but it has not (yet) undergone vigorous scientific scrutiny. In the setting of RC tears, 90% of cases demonstrated concomitant LHB tendinopathy, and 45% of cases had additional LHB instability[1], The pathophysiology of LHB tendinitis/tendinopathy begins with. That way, you can be sure to start on the right treatment for your condition. Improve Your Form: Flaws in your lifting form can lead to significant distal biceps problems. First 7 - 10 days. Rehabilitation of a Surgically Repaired Rupture of the Distal Biceps Tendon in an Active Middle Aged Male: a case report. Of the thousands of people treated every year, many are children, adults and senior citizens who have chosen Hamilton Orthopaedics, Spine and Sports Medicine as the best place to give them the most advanced orthopaedic care. The etiologies for primary bicipital tendinitis are not well understood compared to the more common secondary presentations. Iontophoresis is usually applied for 10 to 20 minutes and should be painless. Physical Therapy Protocols - Brigham And Women's Faulkner Hospital These exercises can help you maintain gains that you achieve in the clinic. Distal Biceps Rupture - Physical Therapy in Baton Rouge STRENGTH: UBE forward and backward. Classic Long Head of Biceps Tendinopathy. Supersedes: N/A: Or . % Distal biceps tendonitis is an injury that results from overuse, and continuing to use an injured tendon can cause more damage. 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. How to Treat Biceps Tendinitis Notify your PT if you get too warm during a heat treatment. endobj Clinical Physio. Begin active elbow flexion and supination at 6 weeks post-op. Shoulder Passive, Active Assisted, and Active Range of motion as tolerated all planes. Biceps stretch: Stand facing a wall (about 6 inches, or 15 centimeters, away from the wall). Undergoing distal biceps tendon repair Exclusion Criteria: Revision Biceps tendon repair, Irrepairable tendon injury, Biceps repairs with biologic augmentation, Patients with concomitant neurovascular injury, Inability to tolerate BFR treatment, Unable to complete full course of physical therapy, Peripheral vascular disease, Heat can also be used to decrease pain and improve tissue mobility. OUP USA. Distal Biceps Avulsion - Shoulder & Elbow - Orthobullets <> Notify your therapist if you feel discomfort during ice use in the PT clinic. Proximal biceps tendon tendinitis may be a grade 1 or 2 strain of the . PDF Distal Biceps Tendon Reconstruction Rehab Protocol 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 Initiate resisted wrist supination and pronation. Hip Replacement for Residual Hip Dysplasia, Long Head of Biceps Pathology (at shoulder), Shoulder Arthritis and Total Shoulder Replacement, Chronic Compartment Syndrome Fasciotomy Rehab Protocol, Rotator Cuff Repair, including Subscapularis, Rehab, Shoulder Instability Bankart Repair Rehab, For the first post op week, the patient is in a posterior splint that is not to be removed. 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. 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. Your PT will apply strips of flexible fabric tape to your upper arm or shoulder. 2010 Apr;29(2):229- 46, vii-viii. Biceps tendonitis is the inflammation of the long head of the Biceps tendon. PRP for Biceps Tendonitis / Tendinosis - PRP Treatments Best Exercises for Biceps Tendonitis - WebMD Horschig et al. These may include: If you suspect you have biceps tendonitis, you should visit your healthcare provider right away to get a diagnosis. All of our locations are handicapped accessible. 2 0 obj Rotate your body in the opposite direction of the raised arm until you feel a stretch in your biceps. The biceps tendon, the tendon associated with the biceps muscle, is made up of 2 parts: the long head and the short head. [1], Differential Diagnosis of Anterior Shoulder Pain:[4], Due to the lack of specificity in differentiating between biceps tendon pathology, subacromial impingement syndromes, and rotator cuff pathology, it is important to take an extensive history upon evaluation and not use these tests solely to make a diagnosis[6]. Rest will calm the inflammation and help relieve the pain. The retractedbiceps tendon is retrieved through the incision. *>c~%Is/c0.dLyP"Yydvl$8QZ ;1jD9H.oC~;,k^eMS={$I38Pm%.y{q![lt}Iwno6!VSnE&1$M> mO|@'$xJ!& IFzW8E=YoiX{IY,F2z2,$?rPO!Pp{-U[oNHM9wldb endstream endobj startxref If any exercise causes pain to increase, you should stop performing it and check in with your PT. And a key to that is some great looking biceps! Potential factors predisposing to biceps-related shoulder injuries include glenohumeral internal rotation deficit (GIRD) in overhead-throwing athletes/baseball pitchers, poor trunk control, scapular dyskinesia, and internal impingement. Distal Biceps Tendonitis | Upswing Health It's a sign of overuse and your body is telling you that it needs a rest. That includes shoulder strength too. K(-fr This injury occurs mainly in middle-aged men during heavy work or lifting. The brace itself will be used for passive range of motion.Biceps Curl Hold a light weight (about 5 to 8 pounds), a . A tear of the biceps tendon at the elbow joint is called a distal biceps tendon rupture. 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). 1 0 obj stream If you think youve torn your biceps tendon, you should see a surgeon right away!