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15.08.2015
There are limited studies detailing the conservative management of biceps lesions alone, as they usually occur in combination with other pathologies.
The following protocol is a recommendation for Biceps Tenotomy post-operative rehabilitation. The following protocol is a recommendation for Biceps Tenodesis post-operative rehabilitation. This condition is typically seen in the younger, athletic population and is usually caused by repetitive overhead motions.
All treatment mentioned under Patterns 4D and 4E may not be applicable for biceps tendinitis. This begins with rest, withdrawal from aggravating activities such as throwing or overhead motion, cryotherapy, nonsteriodal anti-inflammatory drugs (NSAIDs) and progresses to stretching and strengthening exercises.


One study suggests that TENS and LEL therapy combined improve pain and ROM at more significant levels than when applied separately. Phase 1 consists of pain management, restoration of full passive range of motion, and restoration of normal accessory motion.
Pain, decreased range of motion, decreased strength, and impaired functional mobility are all common problems for this patient population. Bicipital tendinitis has shown improvement with stretching and the use of transcutaneous electrical nerve stimulation (TENS). These injections are usually given to patients with severe night pain or symptoms that fail to resolve after 6 to 8 weeks of conservative treatment. Conservative treatment is typically the best option for patients even though surgery can be used in severe cases.


Regaining complete shoulder range of motion and strength of the static and dynamic shoulder stabilizers is achieved through physical therapy.
Phase 3 involves rotator cuff and periscapular strength training, with an emphasis on enhancing dynamic stability.
Finally, the return-to sport phase focuses on power and higher speed exercises similar to sport-specific or work demands. Conservative management of biceps pathology is highly variable among patients, depending on their clinical presentation.



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