Proximal Bicep tendon rupture
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aztx

Chandler, AZ

#1 Jun 19, 2008
I was told by my orthopedic doctor that the long head tendon that I ruptured will result in minimal loss of strength. Other than cosmetic appearance, there is real no need to have it re-attached.

He said that in 8 weeks or so and with proper rest and rehab that my arm should be back to normal activity. My main concern is being able to go back to the gym and lift weights. I don't think my arm 'looks' that bad in the mirror.

I wanted to get a second opinion on this since I only have about 3 weeks to decide on the surgery before the tendon becomes inelastic. Anyone?
john

Houston, TX

#2 Jul 13, 2008
hi gilbert i think i did the same thing. how old are you and have you found out any more news.
Phil

Orlando, FL

#3 Jul 29, 2008
Hi. I also ruptured the long head tendon of my bicep. Doctor said the same thing, too. I believe that I ruptured it during weight lifting. Though not as strong as it was, I don't have a lot of problem lifting a few weights. High reps is a different story. My arm "tells" me when to quit with pain. Also, it's quite difficult to turn a screwdriver to the right without pain. This is 8 MONTHS later. If it's not too late, get another opinion. If it is too late, make sure you get physical therapy tailored to your injury's needs.
Tom

White House, TN

#4 Aug 12, 2008
I am 51 had long head surgery two weeks ago. Doctor said was my choice and I did not want to lose strength.
rick tx

United States

#5 Sep 29, 2008
I also tore my proximal bicep tendon about 1 month ago. Surgeon recommended no surgery unless I did not like the way my arm looked. He also said that my arms strenth would be back to normal. At this time I only feel some tightness and some sorness at bicep and shoulder after being used. Will start working out soon, will keep u posted on that. Wish me luck!
jumpshelley

Big Lake, MN

#6 Oct 2, 2008
I was in physical therapy for frozen shoulder after seeing an orthopedic in waco,tx...MRI was to check for Rotator cuff injury and did not include the area of pain at mid arm...After three weeks of torture from pt and 2nd visit the dr decides i have rupture or torn tendon that need reattachment surgery to the shoulder...I felt like I had a slap tear from the beginning..and had advised the dr that,but he convinced me otherwise...
I feel the physical therapy has done more damage...have been on other forums to locate some good care. my dr in Waco only been with that group of drs 3 years,probably hasn't even done this procedure,yet...
ANy way I fell in April and fractured my wrist, told the wrist ortho thought something else was wrong and felt like I needed a sling--to which he stated I did not need a sling and nothing else was wrong...(I had used the casted arm in a backwards motion when I thought i pulled a muscle in the forearm)... I am still in pain and feels like the tendons have pulled loose both inside the arm and out???
Quit physical therapy .....Looking for better care.
BE VERY CAREFUL OTHERS ARE SUFFERING NERVE DAMAGE AND DRS TELLING THEM IT HAS NOTHING TO DO WITH THE SURGERY, I believe thats what the big risk is....
I am currently icing and resting and trying not to get further damage...
Ed New Albany Ind

Indianapolis, IN

#7 Nov 7, 2008
I ruptured the long head tendon of my bicep 3 years ago. I was a powerlifter in college 30 years ago. I didn't do anything for 2 months except take 800 mg of Ibuprofen daily for inflamation. Heat and cold packs on shoulder and biceps. Gentle stretches with towel pulling arm up behind back, then hang by the arm from door (maintain good balance on feet,--gentle stretch during hang) Also bring elbow up to chin level, grasp elbow with other hand, and stretch shoulder. I started light weight workout after 2 months. 2 Lb dumbell curls to start. Pushing exercises are ok-light bench press ect---remember that you have weakened the shoulder with this injury!!! Do exercise to build shoulder strength and it will to increase stability. My bicep strength is still only 50% after 3 years. Still hurts and cramps up with certain exercises. Most orthopedic doctors simply don't know how to treat effectively and won't take the time to explain how best to treat the injury. Surgery is only effective 50% of the time and if it doesn't work--you have serious problems. Better to let time heal,scar tissue eventually develops and semi-normal workouts are possible. My golf is actually better! I bought a bowflex machine which allows a better, more intensive workout with less chance of injury that you may incur with weights. Light karate kata's are helping with flexibility as well. There are many karate videos or tae bo available, flexibility is critical to avoid shoulder freezing with this injury. Hope this helps.
Sarah

West Chester, OH

#8 Nov 28, 2008
I am a 27 year old female that had repair of a level two slap tear with some other repairs done along with it almost a year ago. I have had bicep tendinitis issues since the original injury. Today while using mild pressure while wiping a chair leg my shoulder had a painful snap and this painful bulge appeared on my arm. I have no strength away from my body now. I am almost finished with nursing school and need all my strength especially since this is my right arm and I am right handed. Has anyone had the surgery and regained most of their strength? or not had it and regained most of their strength?
John

Cochranton, PA

#9 Feb 11, 2009
I'm a 60 yr. old male with either a rupture or tear of the proximal bicep tendon at the right shoulder. I have mild to moderate pain in the shoulder with certain above-the-head movements, but I'm wondering if I can exercise the arm to regain some of the strength I lost. I merely reached behind and to my right side to pick up an object and heard a small pop. The arm bruised very, very slightly and now I have the typical 'Popeye' bicep in appearance. I play golf and wonder if I'll be able to do some of the typical exercises (arm strengthening) that will help my game without risk of further injury.
march 09

Barnsley, UK

#10 Mar 17, 2009
Iam 40 yrs old and recently (6 days) ruptured my proximal bicep tendon. I've been given a consultation date with the surgeon which will b in another 6 days time . Iam quite concerned that by the time I actually receive the surgery the tendon to be operated on will hav deteriated. Most of the blogs I've read surgery has been completed within 7 days. Can anyone let me know weather I hav any cause for concern.
Did It

Westland, MI

#11 Mar 27, 2009
I ruptured my bicept tendon working out in early Feb. and didn't have the surgery until the first week in March. My surgeon told me that I had 6 weeks from the time I had the injury. The surgery wans't that bad, pain killers for the first day and I had a pain pump in for 5 days. I was told with surgery I'd be back to 100% by 12 weeks. I was hesitant till the day I did it but I glad I did now.
I had it done

Aspendale, Australia

#12 Mar 27, 2009
Hi - I an about 50 yo and recently ruptured my bicep tendon and had the operation less than a week later. But that was brought forward - should have been about two weeks later. My surgeon said it is okay for up to a month, but the earlier the better.

Was told that if I did not have the operation, that the arm would be permanently weaker. Dis not want that.

After that had my arm in a backslab cast for 7 weeks. When that was removed, had exercises and physio for flexibilty and arm straigtening and bending. After six weeks almost full arm movement back.

Now 3 months after the op just starting weight training to build up strength. Would certainly recommend a good physio afterwards.

I would certainly recommend the op - but it is a long trip.
barnsely

Barnsley, UK

#13 Apr 10, 2009
Its a week now since I've had the op to repair proximal tendon in my right arm. I,ll be in a sling now for 3weeks before my first check up. My surgeon called me after four days to see how I was getting on . Told him there was very little pain in the repair and was really happy (so far). I was told then that it was ok to take my arm out of the sling 2 or 3 times a day. This was to allow light movement.
I was able 2 completely straighten my arm with no discomfort in the bicep at all ;-).
However my shoulder is still quite sore , movement very limited. Physical thoeropy is goin to be fun.
Cindy

AOL

#14 Apr 13, 2009
Sarah wrote:
I am a 27 year old female that had repair of a level two slap tear with some other repairs done along with it almost a year ago. I have had bicep tendinitis issues since the original injury. Today while using mild pressure while wiping a chair leg my shoulder had a painful snap and this painful bulge appeared on my arm. I have no strength away from my body now. I am almost finished with nursing school and need all my strength especially since this is my right arm and I am right handed. Has anyone had the surgery and regained most of their strength? or not had it and regained most of their strength?
I had a second surgery at the beginning of March, without out it I would lose use of my dominant arm. Orginially I was operated on a little over a year locally for right rotator cuff repair with subacromial decompression. After constantly complaining about burning pain, inablily to use arm, clunking and snapping that I felt fell on deaf ears, I sought out a 2nd opinion out of state. Within 15 min. the dr. knew what was wrong.
My second surgery consisted of right shoulder arthroscopic rotator cuff repair, arthroscopic acromioplasty with CA ligament release, arthroscopic distal clavicle co-plaing and biceps tendon tenodesis (involving my rotator cuff, biceps tendon and and labrum). What one dr. ignored another dr. knew and address. If you feel you are not being heard or something is just not right seek a 2nd - 3rd or 4th opinion till someone address your symtoms and concerns directly and honestly.
craig

Ontario, CA

#15 May 5, 2009
i just had rotator cuff surgery fixing some partial tears and tendon ruptures in my shoulder, and my left proximal lateral bicep tendon. i waited 4 months, but had been lifting for 6 years up until a month or so before the bicep rupture (they found the rotator cuff stuff when they did the MRI for the bicep tendon rupture). the doctor said i had good tendon, though my lateral bicep head was pretty severely atrophied--about the diameter of his thumb--and i had some pretty substancial guns--but he said it should return to normal with PT and eventually getting back into weight training...

i hate to say this folks but if you are having tendons snapping you are doing more than your body can handle. tendon ruptures will start as tendonitis, and if you do not listen to your body and let it recover, eventually, you will wind-up like me and others on this list... it is not fun having your musculoskeletal system falling apart...
kevin

Durango, CO

#16 Aug 22, 2009
quick question, if you rupture your proximal bicep tendon, does the bicep retract up the arm towards the shoulder? I know this happens with a distal bicep tear, but was curious if it also happens with a proximal tear? i am trying to figure out what I have.

Thnx!
kennc

Emmaus, PA

#17 Aug 22, 2009
kevin wrote:
quick question, if you rupture your proximal bicep tendon, does the bicep retract up the arm towards the shoulder? I know this happens with a distal bicep tear, but was curious if it also happens with a proximal tear? i am trying to figure out what I have.
Thnx!
"Proximal" is nearer the shoulder, "distal" is, you guessed it, more distant from the shoulder. With a distal rupture, the biceps is disconnected from the elbow and can only bunch up higher along the humerus.

There are two attachments, or heads, for the biceps, one (the short head) at the coracoid process, inside and above the shoulder joint, and the other (the long head) at the top of your shoulder socket after running over a groove in you humerus and over its head. Long head ruptures are the more common and result in the "outboard" head of your biceps slipping down the humerus and bunching up closer to the elbow.

So, in the sense of your question, no, the biceps retracts downward with a proximal rupture, with detachment at the opposite end of a distal tear. Also, usually only one of two heads has detached, so the retraction is not a complete and dramatic as that resulting from a rupture of the single distal head.

HTH
kevin

Durango, CO

#18 Aug 23, 2009
HTH I appreciate the input..thnx!
Tom

Miami, FL

#19 Aug 25, 2009
It has been one year since my surgery and rehab and I am back to full strength and motion. I had surgery 5 days after rupture and started rehab 1 day after surgery. Lot of hard work but I would do it again if the other arm ruptured. My advice get a really good surgeon and even better physical therapist.
John

Montebello, CA

#20 Aug 25, 2009
Just saw my ortho/sports doc today for a ruptured proximal bicep tear and he has scheduled me for surgery either Tuesday or Friday after labor day. The window of opportunity is 3 weeks. I am a bodybuilder and am 40 years old too and my doc knows that I have many more years of activity and weight lifting so surgery is my best option.
march 09 wrote:
Iam 40 yrs old and recently (6 days) ruptured my proximal bicep tendon. I've been given a consultation date with the surgeon which will b in another 6 days time . Iam quite concerned that by the time I actually receive the surgery the tendon to be operated on will hav deteriated. Most of the blogs I've read surgery has been completed within 7 days. Can anyone let me know weather I hav any cause for concern.

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