I had a distal clavicle resection 7 weeks ago. For 2 years my distal bicep has been hurting. Finally I had an MRI of my neck and my distal bicep area. My surgeon isn’t sure where the pain is coming from. So, my surgeon was concerned with my shoulder hurting with having to be in a weird position to get an MRI of my distal bicep. My shoulder felt fine. When I got out of the machine I was almost crying because the distal bicep hurt so much.
I had bicep tenodesis surgery a month ago. I'm now in PT and I am still having the same pain I had before (the reasoning for the procedure) is this normal?
@@mariev4875 Hey Hope, I felt the same pain in my shoulder, and bicep as before surgery but just remember it's a fresh procedure. Also 2 months in Doc gave me a steroid injection which helped ease pain. I just finished my 3 month PT on Monday and so far so good, just take it easy and do not try lifting heavy.
@@mariev4875 I'm 11 days out from mine and I'm having hardly any pain at all. The first four or 5 days were a bear though. But after I got past that 5-day mark it just feels sore and I got a big bruise bicep. Mine was torn anteriorly from the bone so they reattached it or my humerus I believe right under the ball and socket. I didn't want to mess around though I went to Mayo Clinic to have the best-of-the-best do it. But like I said I'm 10 days out and I feel pretty good. And I get to do it all over again in six months are my right arm
@@judo-drummerboy-tapout 😂 b/c I’m 4 weeks post op and I sing ice ice baby 🎶🎵everyday. My pain is much worse post tenodesis. And the elbow pain is unbearable. I started PT same week of surgery and I think PT is the cause but I know it’s necessary to avoid a frozen shoulder 😮. I can’t wait to be a year out already 👏🏽.
45, ruptured the tendon of long head of the bicep at the shoulder from preacher curls a few days ago 😪.. MDs told me to let it be and do PT to heal and just get used to the unsightly bulge.. will I be able to weight lift and be fit again? I assume no more curls ever but what about overhead presses and tricep extensions?
Good afternoon, I am sorry to hear about your injury. Being injured can be very frustrating. The following is for proximal biceps tendon injuries (the long head of the biceps attachment at the shoulder). Distal biceps injuries at the elbow are a different matter. Yes, after you recover from the initial injury, you should be able to get back into weight lifting and be as fit as you like. Many patients have this happen as they age (not that 45 is old) and they do very well without any surgery. There can be the bulge that we call a "popeye" deformity. In general, in the majority of cases, the only downside is the cosmetic look of the biceps. In patients who feel the cosmetic appearance is important, you can have a biceps tenodesis procedure performed. In this surgery, the long head of the biceps is re-anchored to the humerus (arm bone). It is worth noting that in a minority of cases a patient can experience some cramping and fatigue. A discussion of risks/benefits for surgery should be had with a surgeon on a case by case basis. I would have no problem if you wanted to do curls again. Maybe just go a little lighter than normal. You should have no problem with overhead presses and triceps work. Just on an aside, there is an association of other shoulder pathology like rotator cuff tears in patients who rupture their proximal biceps tendon (the biceps attachment at the shoulder). In certain situations, a MRI of the shoulder may be helpful. I hope this was helpful. _____________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.
@@JeffreyWittyMD thank you for responding Doctor Witty! I appreciate it so much!! And I understand this is not a formal consultation. If you have time, can you please tell me if there will be any atrophy in the long head to reduce the bulge? I gather it will be impossible to build that muscle up again so atrophy is inevitable? Thank you again!!!
@@VideoPortfolio2010 Interesting question. It stands to reason that portion of the biceps muscle belly would atrophy some. I'm not sure how much different the appearance would change though. You may see compensatory hypertrophy of the rest of the muscle in response... especially if you keep working out.
Veronica, Thanks for your question. A randomized controlled trial from the American Journal of Sports Medicine in 2020 had a 10% rate of cosmetic deformity ("popeye") after biceps tenodesis surgery. I hope this answers your question and apologies for the delay. _______________________________________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.
Marc, The type of motion (active or passive) is likely surgeon dependent and protocol dependent. I personally prefer to go slowly with therapy to avoid over-stressing the repair. Therefore, at least for me, I begin with passive motion only. This is definitely something you should review with your surgeon to make sure you are on the proper protocol. Good luck! _______________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.
Hi Ronbo, A patient can resume any activity they wish after they have successfully completed their rehabilitation program and there are no other issues that have come up, For very high demand patients we may put them through some functional testing for a particular sport, activity, or job prior to full release. _____________________________________________ Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.
3 days post Tenodesis. I needed this video. Excellent. Thanks.
Glad it helped!
I had a distal clavicle resection 7 weeks ago. For 2 years my distal bicep has been hurting. Finally I had an MRI of my neck and my distal bicep area. My surgeon isn’t sure where the pain is coming from. So, my surgeon was concerned with my shoulder hurting with having to be in a weird position to get an MRI of my distal bicep. My shoulder felt fine. When I got out of the machine I was almost crying because the distal bicep hurt so much.
Is this exercise for all shoulder tenodesis?
I think I tore something My shoulder has hurt for years - now I have a knot in the top of my bicep and it looks bruised
I had bicep tenodesis surgery a month ago. I'm now in PT and I am still having the same pain I had before (the reasoning for the procedure) is this normal?
I am almost 3 weeks post op. And the other day I felt the same pain and pre surgery. I’m so scared to do PT.
What pains are you experiencing?
@@mariev4875 Hey Hope, I felt the same pain in my shoulder, and bicep as before surgery but just remember it's a fresh procedure. Also 2 months in Doc gave me a steroid injection which helped ease pain.
I just finished my 3 month PT on Monday and so far so good, just take it easy and do not try lifting heavy.
@@mariev4875 I'm 11 days out from mine and I'm having hardly any pain at all. The first four or 5 days were a bear though. But after I got past that 5-day mark it just feels sore and I got a big bruise bicep. Mine was torn anteriorly from the bone so they reattached it or my humerus I believe right under the ball and socket. I didn't want to mess around though I went to Mayo Clinic to have the best-of-the-best do it. But like I said I'm 10 days out and I feel pretty good. And I get to do it all over again in six months are my right arm
Ice Ice Ice Baby that is your best friend right now.
@@judo-drummerboy-tapout 😂 b/c I’m 4 weeks post op and I sing ice ice baby 🎶🎵everyday. My pain is much worse post tenodesis. And the elbow pain is unbearable. I started PT same week of surgery and I think PT is the cause but I know it’s necessary to avoid a frozen shoulder 😮. I can’t wait to be a year out already 👏🏽.
I wish I had watched this before i tore it
45, ruptured the tendon of long head of the bicep at the shoulder from preacher curls a few days ago 😪.. MDs told me to let it be and do PT to heal and just get used to the unsightly bulge.. will I be able to weight lift and be fit again? I assume no more curls ever but what about overhead presses and tricep extensions?
Good afternoon,
I am sorry to hear about your injury. Being injured can be very frustrating.
The following is for proximal biceps tendon injuries (the long head of the biceps attachment at the shoulder). Distal biceps injuries at the elbow are a different matter.
Yes, after you recover from the initial injury, you should be able to get back into weight lifting and be as fit as you like. Many patients have this happen as they age (not that 45 is old) and they do very well without any surgery. There can be the bulge that we call a "popeye" deformity. In general, in the majority of cases, the only downside is the cosmetic look of the biceps. In patients who feel the cosmetic appearance is important, you can have a biceps tenodesis procedure performed. In this surgery, the long head of the biceps is re-anchored to the humerus (arm bone).
It is worth noting that in a minority of cases a patient can experience some cramping and fatigue. A discussion of risks/benefits for surgery should be had with a surgeon on a case by case basis.
I would have no problem if you wanted to do curls again. Maybe just go a little lighter than normal. You should have no problem with overhead presses and triceps work.
Just on an aside, there is an association of other shoulder pathology like rotator cuff tears in patients who rupture their proximal biceps tendon (the biceps attachment at the shoulder). In certain situations, a MRI of the shoulder may be helpful.
I hope this was helpful.
_____________________________________________
Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.
@@JeffreyWittyMD thank you for responding Doctor Witty! I appreciate it so much!! And I understand this is not a formal consultation. If you have time, can you please tell me if there will be any atrophy in the long head to reduce the bulge? I gather it will be impossible to build that muscle up again so atrophy is inevitable? Thank you again!!!
@@VideoPortfolio2010
Interesting question. It stands to reason that portion of the biceps muscle belly would atrophy some. I'm not sure how much different the appearance would change though. You may see compensatory hypertrophy of the rest of the muscle in response... especially if you keep working out.
@@JeffreyWittyMD thank you!
How common is it to experience a noticeably dropped bicep muscle after tenodesis surgery.
Veronica,
Thanks for your question. A randomized controlled trial from the American Journal of Sports Medicine in 2020 had a 10% rate of cosmetic deformity ("popeye") after biceps tenodesis surgery.
I hope this answers your question and apologies for the delay.
_______________________________________________________________________
Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.
How do you determine whether the initial elbow flexions should be active or passive? I have a two-anchor tenodesis.
Marc,
The type of motion (active or passive) is likely surgeon dependent and protocol dependent. I personally prefer to go slowly with therapy to avoid over-stressing the repair. Therefore, at least for me, I begin with passive motion only. This is definitely something you should review with your surgeon to make sure you are on the proper protocol.
Good luck!
_______________________________________________
Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.
Thank you, Dr, for your quick and thoughtful reply. It makes sense.
is weight lifting possible after complete healing time?
Hi Ronbo,
A patient can resume any activity they wish after they have successfully completed their rehabilitation program and there are no other issues that have come up, For very high demand patients we may put them through some functional testing for a particular sport, activity, or job prior to full release.
_____________________________________________
Please understand that this does not represent the formation of a formal doctor patient relationship and is for educational purposes only. All comments should be considered as informal suggestions regarding any matters of medical care. Please also be aware that this is a public forum and any information you share is not secure.