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Rehabilitation Guidelines for Distal Biceps Tendon Repair

Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Verma or either Physician Assistant supersede the instructions below and should be followed.

Post-Operative Rehabilitation Guidelines for Distal Biceps Tendon Repair

0-First Post-Op Visit:

  • Sling and Splint all times

2-6 Weeks:

  • Please make patient removable extension block splint at 45°
  • Begin Active Assist ROM. Initially Limit Extension to 45°, Advance to full extension by 6 weeks.
  • Splint all times other than exercises
  • Wrist/Shoulder ROM exercises

6-9 Weeks:

  • May D/C elbow Splint
  • Continue Passive/Active Assist ROM Elbow
  • Begin Biceps Isometrics
  • Begin Cuff/Deltoid Isometrics
  • Maintain Wrist/Shoulder ROM

9-12 Weeks:

  • Begin Active Elbow Flexion against gravity
  • Maintain ROM Elbow/Wrist/Shoulder
  • Advance to resistive Strengthening Deltoid/Rotator Cuff

Week 12 – 6 months:

  • Begin Gradual elbow flexion strengthening and advance as tolerated.

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