Orthopaedics

Distal Biceps Tendon Rupture – How Rehabilitation Helps ?

Most benefit is obtained on surgical repair of the ruptured biceps tendon. But if the tear is incomplete or the patient do not need to use his hands very actively, then surgery may be avoided over the non-surgical methods. But the normal use of their hands after a distal biceps tendon rupture is possible only with surgery.

Nonsurgical Rehabilitation –

If you are undergoing a non-surgical method of treatment, you will have to avoid heavy exercises involving arm activities for about 3-4 weeks. Once the inflammation, pain and swelling is resolved, you can start performing your normal activities but with caution. Partially torn tendon would demand longer duration for recovery. A protective splint or a sling can be ideally used. It will help in the resting of the elbow. After the symptoms subsides, rehabilitation program may be begun under the supervision of a physical therapist or an occupational therapist. The program usually takes about 1-2 months of time for therapy.

Rehabilitation After Surgery –

After surgery, the rehabilitation takes even longer time. casting is done immediately after the completion of the surgery. The casting on the elbow is done for up to 6 weeks. You may use a special range-of-motion brace, as per the preference of your surgeon. This will help with careful elbow motion which will start in 1-2 weeks. The session starts with ice massage and electrical stimulation treatments. These will control pain and swelling occurred due to surgery. Improvement in the movement of the forearm, shoulder and elbow will gradually start with few gentle exercises. But do not start with too much, too heavy, too quickly. Exercises involving biceps muscles should be avoided for at least 4-6 weeks following surgery. Your therapist will suggest you exercises which will strengthen your biceps muscles without disturbing the healing tendon.

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