Post-Operative Rehabilitation Guidelines for Shoulder Arthroscopy Biceps Tenodesis
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 Shoulder Arthroscopy Biceps Tenodesis
0-4 Weeks:
- Sling for Comfort.
- May discontinue after 4 weeks
- Passive to Active shoulder ROM as tolerated
- 140° Forward Flexion
- 40° External Rotation with arm at side
- Internal rotation behind back with gentle posterior capsule stretching
- No rotation with arm in abduction until 4 wks
- With distal clavicle excision, hold cross body adduction until 8wks.
- Grip Strength, Elbow/Wrist/Hand ROM, Codmans
- Avoid Abduction and 90/90 ER until 8wks
- No resistive elbow flexion until 8 wks
4-8 Weeks:
- Discontinue Sling
- Advance ROM as tolerated (Goals FF to 160°, ER to 60°)
- Begin Isometric exercises
- Progress deltoid isometrics
- ER/IR (submaximal) at neutral
- Advance to theraband as tolerated
- No resisted elbow flexion until 8 wks
8-12 Weeks:
- Advance to full, painless ROM
- Continue strengthening as tolerated
- Begin eccentrically resisted motion and closed chain activities
- Only do strengthening 3times/wk to avoid rotator cuff tendonitis
Click Here to Download the Biceps Tenodesis Rehabilitation Guidelines
