Biceps Tenodesis

Phase I (Weeks 0-4)

1. Sling immobilization to be worn at all times except for showering and rehab under guidance of PT
2. Range of Motion – PROM → AAROM → AROM of elbow as tolerated without resistance (allows biceps tendon to heal into new insertion on the humerus without being stressed), AROM of shoulder (no restriction)
   • Goals: full passive flexion/extension at elbow and full shoulder AROM
   • Encourage pronation/supination without resistance
   • Grip strengthening
3. Heat/Ice before and after PT sessions

Phase II (Weeks 4-12)

1. Discontinue sling immobilization
2. Range of Motion
   • Begin AROM of elbow with passive stretching at end ranges to maintain/increase elbow/biceps flexibility
3. Therapeutic Exercise
   • Begin light isometrics with arm at side for rotator cuff and deltoid – can advance to bands as tolerated
   • Begin light resistive biceps strengthening at 8 weeks
4. Modalities per PT discretion

Phase III (Months 3-6)

1. Range of Motion – Progress to full AROM of elbow without discomfort
2. Therapeutic Exercise
   • Continue and progress with Phase II exercises
   • Begin UE ergometer
   • Begin sport-specific rehabilitation
   • Return to throwing at 3 months
   • Throwing from a mound at 4.5 months
   • Return to sports at 6 months if approved
3. Modalities per PT discretion