Is It Time For Bicep Surgery?
To address a significant injury to the long head of the bicep tendon, surgeons may perform a procedure called bicep tenodesis. The surgery is recommended for a severe bicep rupture, superior labrum anterior and posterior (SLAP) tear of the shoulder, or for chronic bicep tendinopathy. The surgeon will remove the damaged tissue and detach and relocate the tendon to another location. In most cases, the tendon is attached to the humerus using surgical anchors and screws. The procedure is not appropriate for all cases, but there are 3 signs that an individual may need biceps tenodesis.
1. Shoulder pain won’t go away
Individuals with a shoulder or biceps injury should seek medical advice immediately. Most cases respond well to non-surgical treatment. Physical therapy (PT), pain management, and bracing are the most common treatments. Using injectable steroids and regenerative medicine, such as platelet-rich plasma (PRP), is another effective option. If the ache persists, even after months of support, bicep tenodesis surgery may help. Ignoring this persistent pain can worsen symptoms, making surgery inevitable rather than elective.
2. A not-so-normal pop
Bicep injuries can be degenerative, accumulating over years of wear and tear, but some are more acute, such as injuries sustained during sports or accidents. A common characteristic of acute bicep tears is an audible pop, followed by sharp pain, significant swelling, and bruising. There is also immediate instability, weakness, and reduced function. These signs differ from a strain, which can range from mild to severe and may cause pain, spasms, and reduced function. Taking immediate action for a possible bicep tear via bicep tenodesis is critical for preserving tendon function.
3. You can’t lift without wincing
Over time, an unresolved or worsening bicep injury can impact the function of the arm. The injury can begin to impact simple daily activities and quality of life. Using the arm to drive, cook, clean, or even lift small household items is not possible without pain. The pain often continues throughout the night, disrupting sleep. Eventually, performing simple overhead movements without pain becomes nearly impossible.
Don’t delay
While some individuals would prefer to avoid surgery, delaying treatment can lead to more severe consequences. Athletes will notice limited performance, and continued movement may worsen the injury. Delaying treatment can lead to muscle atrophy, which can be difficult to recover from in later life. As the muscle degenerates, the tendon and muscle can bunch up in the upper arm, causing an unpleasant cosmetic deformity. Over time, avoiding surgery can lead to the need for more complex, expensive procedures with lower success rates.
Bicep tenodesis saves your strength
Surgery can sound intimidating, but in many respects, bicep tenodesis can reduce pain and restore strength. The surgery can secure the tendon and limit the risk of more severe injury. Look for the warning signs, such as pain that does not improve, severe weakness, cosmetic changes, or reduced function. Speak with a doctor to review symptoms and decide if surgery is necessary. After an assessment, the surgeon will create a custom plan that includes biceps tenodesis and rehabilitation.
