Does a distal bicep tear require surgery?
Most physicians prefer treating distal biceps tendon tears or ruptures without surgery. You’ll likely receive nonsurgical treatment if you require minimal arm strength and do minimal activities.
Can a torn distal bicep tendon heal without surgery?
Some shoulder biceps tears do not require surgery. For many people with partial tears in the shoulder, pain can resolve over time and physical therapy can help restore strength. Talk with your doctor about what treatment is right for you.
Is distal bicep surgery worth it?
Surgeons seem to agree that the benefit of surgery is a little more supination strength, with flexion strength returning close to normal with or without surgery. An untreated rupture causes less deformity than with proximal biceps rupture. Surgery adds a scar and does not entirely prevent deformity.
Is distal bicep surgery painful?
There is often not a significant amount of pain with complete distal biceps tendon ruptures but there is a significant loss of strength.
How do you treat a distal bicep tear?
Treatment recommendations may include:
- Rest. Avoid heavy lifting and overhead activities to relieve pain and limit swelling. …
- Nonsteroidal anti-inflammatory medications. Drugs like ibuprofen and naproxen reduce pain and swelling.
- Physical therapy.
What happens if you don’t fix distal bicep tendon?
Distal biceps tendonitis and tear at the elbow
When you tear your bicep tendon at the elbow, your other arm muscles will compensate, so you’ll still have full range of motion. However, your arm will most likely lose strength if the tendon is not repaired.
What happens if a torn tendon is not repaired?
If left untreated, eventually it can result in other foot and leg problems, such as inflammation and pain in the ligaments in the soles of your foot (plantar faciitis), tendinitis in other parts of your foot, shin splints, pain in your ankles, knees and hips and, in severe cases, arthritis in your foot.
How do I know if I tore my distal bicep tendon?
Other signs that you may have torn a biceps tendon can include:
- Sharp pain at the shoulder or elbow.
- A bruise that appears on the upper arm or forearm near the elbow.
- A feeling of weakness in the shoulder or elbow.
- Trouble rotating your arm from a “palm down” to a “palm up” position.
How common is a distal bicep tendon tear?
The incidence of distal biceps tendon ruptures is 1.2 per 100,000 patients, with the majority in the dominant elbow of men who smoke and who are in their fourth decade of life.
Can you lift weights with a torn bicep?
After we give the biceps tendon enough time to heal to the radius bone you start physical therapy. Once you have completed your therapy, most patients are capable of returning to full activities — including sports, jobs with heavy lifting, and weight lifting.
Can you lift weights after bicep tendon surgery?
After the 6-week post-operative period the elbow is gradually stretched into full elbow extension and full pronation. Formal strength retraining is usually started at 2-3 months post-operative but return to sport and heavy lifting is delayed to 6 months following surgery.