Sling When will I go home? What can I do? What can’t I do?
4 weeks You will be discharged on the same day as the operation Full shoulder range of movement No forced elbow movements. No lifting

If biceps tenodesis is performed as part of a rotator cuff repair, follow the rotator cuff repair rehabilitation protocol instead.

Acute phase (0-4 weeks)

Goals

  • Reduce pain
  • Full shoulder range of movement
  • Full passive elbow range of movement

Rehabilitation

  • Wean sling at 4 weeks
  • Passive elbow range of movement exercises without resistance
  • Avoid resisted elbow flexion and forced passive extension
  • Active shoulder range of movement exercises
  • Postural correction
  • Scapular setting exercises

Criteria for progression

  • Pain control
  • Adequate passive elbow range without discomfort

Intermediate phase (4-12 weeks)

Goals

  • Full active elbow range of movement

Rehabilitation

  • Begin active elbow range of movement
  • Passive stretching at end ranges to maintain/increase elbow flexibility
  • Resistive biceps strengthening from 6 weeks
  • Check scapular control through full shoulder range
  • Commence and progress isometric rotator cuff and deltoid strengthening regime with shoulder in neutral
  • Hydrotherapy permitted

Criteria for progression

  • Adequate active elbow range of movement

Late phase (>12 weeks)

Goals

  • Full shoulder & elbow function
  • Resistive elbow flexion strength

Rehabilitation

  • Elbow strengthening progressed as tolerated from isometric to weights and eccentric exercises
  • Progress cuff/deltoid strengthening
  • Dynamic scapular stability

Guidelines for return to functional activities

Driving Lifting Swimming Golf
4-6 weeks Light lifting from 3 months. Avoid heavy until 6 months. Breaststroke 4 weeks. Freestyle 6 weeks 8 weeks

 

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