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Treating Biceps Tendon Injuries: From Rest to Surgery
Published: Oct 02, 2023
Biceps tendon injuries can be painful and disruptive, but there's good news: most can be effectively treated. The right approach depends on the type and severity of your injury, as well as your personal health and activity goals.
Conservative Treatment: The First Line of Defense
For many biceps tendon injuries, especially mild to moderate cases, conservative treatment is the go-to approach. This typically includes rest, ice to reduce inflammation, and over-the-counter pain medications. Physical therapy plays a crucial role, helping to strengthen the surrounding muscles and improve flexibility. In some cases, your doctor might recommend a corticosteroid injection to reduce inflammation and pain.
When Surgery Becomes Necessary
While many biceps tendon injuries respond well to conservative treatment, some may require surgical intervention. This is often the case for complete tears, especially of the distal biceps tendon (near the elbow). Surgery might also be recommended for active individuals or athletes with partial tears that don't improve with conservative care. The specific surgical technique depends on the location and nature of the injury.
The Role of Rehabilitation
Whether you've had conservative treatment or surgery, rehabilitation is key to a full recovery. This usually involves a structured physical therapy program. Early on, the focus is on gentle range of motion exercises. As healing progresses, strengthening exercises are introduced. The goal is to restore function and prevent future injuries.
Frequently Asked Questions
Recovery time varies from weeks to months depending on injury severity and treatment.
Most people regain full or near-full strength with proper treatment and rehabilitation.
Minor injuries may improve with home care, but professional evaluation is recommended.
As with any surgery, there are risks, but complications are generally rare.
Proper form during activities and gradual increases in exercise intensity can help.
The Path Forward
With the right treatment approach and dedication to rehabilitation, most people can overcome biceps tendon injuries and return to their normal activities.
References
- Wilk KE, Hooks TR. The Painful Long Head of the Biceps Brachii: Nonoperative Treatment Approaches. Clin Sports Med 2016; 35:75.
- Virk MS, Cole BJ. Proximal Biceps Tendon and Rotator Cuff Tears. Clin Sports Med 2016; 35:153.
- Schickendantz M, King D. Nonoperative Management (Including Ultrasound-Guided Injections) of Proximal Biceps Disorders. Clin Sports Med 2016; 35:57.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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