Prof. Lennard Funk’s Education Portal

Call: 01625 545071
Email: [email protected]
For treatment enquires visit The Arm Clinic

Biceps Tenodesis

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

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

* Depends on Consultant opinion

For more information please contact [email protected]


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