Rest: The most important way to treat biceps tendinitis is to give your elbow a rest. Stand and hold your affected arm out to the side, with your hand at about hip level. The treatment involves passing an ultrasound wand with a coupling gel over your injured tissue for five to 10 minutes. Patients are usually seen at 1 week post op, then at 5-6 weeks post op. The pain may limit your shoulder motion and make performing normal work and recreational tasks difficult or impossible. Outpatient Physical Therapy to being POD 3 : Post Op - 2 weeks : Splint: x 2 weeks post op Sling: with elbow at 90 degrees when not in therapy x 4 weeks . The rehabilitation protocols following surgical treatment vary significantly between individual surgeons. mend nonoperative treatment of distal biceps tendon ruptures for people who are wary of surgery or present late with the injury.11 CASE c Two orthopedic surgeons examined our patient and both supported our recom-mendation to pursue conservative treatment for mr. a. over the next 4 to 6 weeks, he received physical therapy 2 to 3 times per week. And this is no exception. Surgical treatment options . Brett Sears, PT, MDT, is a physical therapist with over 20 years of experience in orthopedic and hospital-based therapy. hbbd```b``z"WIGbfkem$/d l/0,r>&p$'W[20m @g`` 33 Anti-inflammatories: Ibuprofen or turmeric can help relieve the pain as well. Your email address will not be published. Thank you, {{form.email}}, for signing up. A distal biceps rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. 2 0 obj Often, but not always, people feel: The elbow will usually continue to work after a biceps tendon rupture because there are other muscles that help with this motion. endobj Distal biceps tendon rupture is a relatively rare injury. Shoulder ROM exercises may be passive, where your PT moves your arm and shoulder; active assistive (you move your shoulder with the assistance of an external device); or active. This is called the distal biceps tendon. Call for an appointment (03) 6231 2477. )C&6_ qHj)Mi?u=Nqi\F(HuCBS+k8S5as= 4rnOD0$U.s\{=G|?W/aw0j%%|tc_f>n(bC$+pridgyq^Oy}yTI0#d?%#?V]PBc~>@sO.;1|1! So over time, your tendons can accumulate a lot of damage while working out, eventually leading to problems. Golfers Elbow Braces and Rehab Equipment, Bulging, shortened appearance of the biceps. Follow BayCare Clinic on Facebook and Twitter. It is attached to the bones of the shoulder and elbow by tendons strong cords of fibrous tissue that attach muscles to bones. International Journal of Clinical Medicine. The biceps brachii muscle is in the front of your arm. Biceps light isotonics progressing 1 pound per week beginning at week 12 weeks post-op. Electircal stimulation may be used to help treat your biceps tendonitis or tendinopathy. 3 0 obj % The tape is used to decrease pain and spasm or to facilitate proper muscle function. Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series. They course from two heads (hence the name "biceps") near your shoulder joint. LHB tendon instability/dislocation (seen in association with subscapularis injuries/tears). ACL Reconstruction Rehabilitation Protocol, Bankart Repair or Anterior or Posterior Labral Repair, Medial Patellofemoral Ligament Repair/Reconstruction, Rotator Cuff Repair Rehabilitation Protocol. Please note these are meant to be guidelines for rehabilitation to be followed by a certified physical or occupational therapist. Biceps tendonitis is usually caused by overloading and overusing the biceps tendon. Notify your PT if you get too warm during a heat treatment. These are done to determine your functional baseline and to guide treatment for your shoulder. Most cases can be treated successfully in about four to six weeks. In effect, the tendon becomes pathologically anchored in the groove, further exacerbating the potential points of traction and overall increasing shear forces experienced by the LHB tendon along its course. This often happens in repetitive overhead activity, such as racquet sports or when throwing a baseball. Care should be used, since ice placed directly on your skin may cause a frost burn. 2 Boston Medical Center, Boston, MA, USA. This thickening of the ligament may cause abnormal rubbing on the tendon, leading to inflammation and irritation. A sling or cuff and collar may be used for the splint or hinged brace respectively. Easy Ways to Treat Bicep Tendonitis: 12 Steps (with Pictures) - wikiHow Distal Biceps Repair Rehab - Adam Watson Orthopaedic Surgeon BayCare Clinic, baycare.net, is the largest physician-owned specialty-care clinic in northeastern Wisconsin and Michigans Upper Peninsula. Successful physical therapy regimens target the underlying source(s) contributing to the LHB tendon pathology. Add Eccentrics: Eccentric exercise actually lengthens your muscles and decreases the risk of tendinitis. Surgical Total Shoulder Replacement. A distal biceps rupture is rare compared to ruptures where the top of the biceps connects at the shoulder. Research has shown this to provide sufficient reductions in pain levels while maintaining normal biceps function. Begin co-contraction exercises of biceps and triceps. )Ed#. The most common surgery for bursitis is a bursectomy, which removes the inflamed bursa to help relieve pain and promote healing. endobj A biceps tendon rupture occurs when the biceps muscle is torn from the bone at the point of attachment (tendon) to the shoulder or elbow. Long-term biceps tendon problems are often referred to as biceps tendinopathy. Single approach versus double-incision technique for the repair of 3 Massachusetts General Hospital, Boston, MA, USA. Treatment of Distal Biceps Tendinopathy Rest: The most important way to treat biceps tendinitis is to give your elbow a rest. While the function of your biceps is to turn your forearm into a palm-up position, it also works to help move your shoulder joint and assists the rotator cuff muscle group in stabilizing the front of your shoulder. Biceps Tendonitis Exercises: Relieve Pain - healthline.com Surgery should be considered if conservative measures fail after three months. The biceps muscle travels down your upper arm and inserts on the radial tuberosity of your forearm. The biceps tendon, the tendon associated with the biceps muscle, is made up of 2 parts: the long head and the short head. Be sure you understand what to expect from iontophoresis, and speak with your physical therapist if you have any questions about it. First 7 - 10 days. Distal Biceps Tendonitis | Upswing Health Distal Biceps Tendon Reconstruction Rehab Protocol First 10-14 days Immobilization in Splint with Elbow at 90 of flexion Encourage digital , shoulder ROM Elevation Pain Control Phase I (2 weeks to 6 weeks) Elbow immobilized in flexion-assisted Bledsoe brace with extension stop at 30 He supports weight training and high-intensity exercise throughout the lifespan. The present study was designed to assess the outcomes associated with unrepaired distal biceps tendon ruptures. Mobilize: Chronic excess tension in your muscles from weight training can lead to damage over time. Biceps stretch: Stand facing a wall (about 6 inches, or 15 centimeters, away from the wall). Our offices and facilities have been designed to provide you with a level of specialized orthopaedic care usually found only in larger metropolitan areas. Distal biceps tendon fixation techniques: There are various options to fix the distal biceps tendon. Biceps Tendon Tear at the Elbow - OrthoInfo - AAOS "B/_|`+BOxIQyD0r>}wKO_2{}_m_yg=^,wm~\,L) MM&"$^t)^k!Z_u Demographics. tendon. Gentle pulley while limiting elbow extension to -10 degrees. <> Often, physical therapy may be prescribed. When a direct current that is also negatively charged is applied to the medicine, it repels it, driving the drug into your tendon. Applicability: Physician Practices Date Effective: 09/2013 Department: Rehabilitation Services Date Last Reviewed: 1/2021 . Other measures like bracing or physical therapy can help decrease inflammation. Raise your injured arm out to your side and place the thumb side of your hand against the wall (palm down). Distal biceps tendon ruptures occur primarily in males and risk factors include smoking, corticosteroid use, and anabolic steroid use. The medication is typically an anti-infammtory liquid that is negatively charged. Beyond that point, the patient wears a sling for comfort and weans it after 3 weeks Clinical Goals Forearm twists help keep your arm flexible and help your tendon glide smoothly along the biceps muscle. Distal Biceps Repair Distal Triceps Repair Latarjet (Traditional and Accelerated) Medial Epicondyle ORIF Pectoralis Major Tendon Repair Posterior Shoulder Stabilization Reverse Total Shoulder Arthroplasty Return to Throwing (Softball) Rotator Cuff Repair (Large to Massive) Rotator Cuff Repair (Small to Medium) Arthroscopic_SLAP_Repair Diagnosis and determination of a plan of care is important early on if surgical treatment is necessary. endobj 2 0 obj Notify your therapist if you feel discomfort during ice use in the PT clinic. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. In advanced, end-stage conditions, the LHB tendon can eventually rupture at its origin near the superior glenoid tubercle, or as it exits the bicipital groove near its musculotendinous junction. Comparison of the Effects of Kinesio Taping to Local Injection of Methyl Prednisolone in Treating Brachial Biceps Tendonitis. Some physical therapists use a treatment technique called kinesiology taping, also known as K-tape. Functional progression to athletic activity. But the biceps is a pretty important one. This will help reduce the pain and swelling associated with the injury. Surgical management focuses on restoring the distal biceps tendon anatomy by repairing the tendon at its insertion site on the radius and allowing it to heal. Telemedicine: Information and visit preparation. When this tendon tears, however, the tear is usually complete and the muscle is separated from the bone and retracted back. Thats only going to make the issue worse. Supersedes: N/A: Or . Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Physical Therapist's Guide to Biceps Tendinitis Distal Biceps Tendon Repair Protocol Phase I ( 0-7 days post-op): Posterior splint at 90 degrees of elbow flexion. . If you think youve torn your biceps tendon, you should see a surgeon right away! Distal Biceps Tendon . Begin active elbow flexion and supination at 6 weeks post-op. Our orthopedic surgeons have trained and practice at the most advanced orthopedic facilities and have years of experience. Still, some therapists use it, and you may encounter it when being treated for your biceps tendonitis. Original Editor - Cole Racich and Nick Tainter as part of the Temple University EBP Project, Top Contributors - Nick Tainter, Cole Racich, Abbey Wright, Lucinda hampton, Admin, Kim Jackson, Laura Ritchie, Rachael Lowe, Evan Thomas, George Prudden, Fasuba Ayobami, Scott A Burns, David Herteleer and Wanda van Niekerk. 2017;8, 395-401. doi:10.4236/ijcm.2017.86037. Immobilization in Splint with Elbow at 90 of flexion; Encourage digital , shoulder ROM; Elevation; Pain Control; Phase 1 (1 week to 6 weeks) Elbow immobilized in flexion-assisted Bledsoe brace with extension stop at 30 Gentle supervised passive ROM (active extension) from 30 . Atraumatic, insidious onset of anterior shoulder pain, Symptom exacerbation with overhead activities, Pain radiating down the anterior arm from the shoulder, Clicking or audible popping can be reported in the setting of proximal biceps instability, History or current sports, especially baseball, volleyball, and other overhead sports, History or current manual/physical laborer occupations, Superior labrum anterior-posterior lesions, Tendon sheath swelling (transverse view: for women 4.6, for men 5.5!mm;longitudinal view: for women 2.5, for men 2.8!mm, as adopted from Schmidt et al.). That far end is called distal meaning further down the limb or away from the trunk.. Each of these muscles starts out as tendons near the shoulder . Your doctor may prescribe a nonsteroidal anti-inflammatory medication (NSAID), like aspirin or ibuprofen, for pain relief and to reduce swelling. Be sure to check out sour complete post on the subject of elbow pain below. Distal Biceps Tendonitis: Causes, Symptoms & Treatment Treatment for tendonitis & bursitis | TRIA Orthopedics - HealthPartners Initiate resisted wrist supination and pronation. Anatomic location. Biceps stretch. Download Distal Biceps Tendon Repair Rehab Protocol First Post-Op Visit: Sling and Splint all times 2-6 Weeks: Please make patient removable extension block splint at 45 Begin Active Assist ROM. It is by no means intended to be a substitute for one's clinical decision making . Thus, concomitant or preexisting RC pathology can directly compromise the LHB tendon itself. These may include a rotator cuff tear, AC joint arthritis, shoulder labrum injury, or cervical (neck) radiculopathy. 191 0 obj <>/Filter/FlateDecode/ID[<96B5A7559837E940A76D1930163689E3>]/Index[172 28]/Info 171 0 R/Length 96/Prev 212290/Root 173 0 R/Size 200/Type/XRef/W[1 3 1]>>stream Discontinue brace 8 weeks post-op (0-145). The biceps brachii also helps to move and stabilize the shoulder, although to a lesser degree. Most commonly, the biceps tendon is torn at the shoulder. Apply ice to the injury for 10-20 minutes, 3 times a day, for the first 3 days. In addition, the sheath of the biceps tendon is a direct extension of the synovial lining of the glenohumeral joint. Your physical therapist may apply heat to your upper arm and shoulder if you have biceps tendonitis. Either through a bone tunnel, suture anchors, interosseous screw fixation, or suspensory cortical button. Surgical Bankart & Anterior Labral Repair. Biceps pulley: normal anatomy and associated lesions at MR arthrography. Distal Biceps Tendon Injury: An Overview - HSS.edu <> complete distal biceps avulsion. Since it is a new treatment, little research has been done regarding dry needling. Save my name, email, and website in this browser for the next time I comment. V;nK~ gCaQy? Bicep tendonitis: Causes, treatments, and recovery time Specific recommendations may be made by Dr. Cole to modify . Since the biceps tendon works to stabilize the front of your shoulder, it may become overworked if you have shoulder instability or rotator cuff tear. Read our, Physical Therapy Evaluation for Biceps Tendonitis, Physical Therapy Treatment for Biceps Tendonitis, Therapeutic Ultrasound in Physical Therapy, Physical Therapy for a Pectoralis Major Tear, KT Tape for Rotator Cuff and Shoulder Injuries, At-Home Exercises and Physical Therapy for Calcific Tendonitis, Causes of Shoulder Pain and Treatment Options, First Steps to Help Treat a Frozen Shoulder, Exercises to Improve Stability After a Shoulder Labrum Tear, Causes of Elbow Pain and Treatment Options, transcutaneus electic neuromuscular stimilation (TENS), neuromuscular electrical stimulation (NMES), Treatment of individuals with chronic bicipital tendinopathy using dry needling, eccentric-concentric exercise and stretching; a case series, Comparison of the Effects of Kinesio Taping to Local Injection of Methyl Prednisolone in Treating Brachial Biceps Tendonitis, Tenderness to touch in the front of your upper arm and shoulder. Tendinopathy Rehabilitation - Physiopedia - universal access to Proximal biceps tendinopathy is the inflammation of the tendon around the long head of the biceps muscle.. Biceps tendinitus can impair patients' ability to perform many routine activities. The biceps muscle has two tendons at the shoulder. Various exercises may be included in your biceps tendonitis rehab program, including: Some evidence indicates that performing eccentric exercise can help with tendinopathy and biceps tendon problems. 1 week post-op 45-100. PDF Rehabilitation Protocol for Distal Biceps Tendon Repair This sheath provides lubrication to the tendon and allows it to glide and slide normally in the front of your upper arm. While you're dealing with pain from an inflamed bicep tendon, fill an ice pack with ice and hold it against the area that's hurting for up to 20 minutes. doi: 10.1016/j.csm.2009.12.003 . How to Treat Biceps Tendinitis 2018;:1-11. doi:10.1080/09593985.2018.1488023, Zeinali A, Rahimdel A, Shahidzadeh A, Shahidzadeh A, Mellat A. needs to learn more about biceps tenodesis and rehabilitation we recommend reading: Krupp RJ. Biz C, Vinanti GB, Rossato A, Arnaldi E, Aldegheri R. Longo UG, Loppini M, Marineo G, Khan WS, Maffulli N, Denaro V. Nho SJ, Strauss EJ, Lenart BA, Provencher MT, Mazzocca AD, Verma NN, Romeo AA. Surgical Subacromial decompression protocol. 10. Keep your arm straight. Elbow PROM and self assisted. Biceps tendonitis can be a nagging problem, and it may take a few months to fully clear. Even kids try to show off their biceps when they want to prove how strong they are! As the pathophysiology escalates, there is an ensuing LHB sheath thickening, fibrosis, and vascular compromise. K(-fr Characteristics of proximal biceps tendinitis include the following: In addition, a thorough history includes a detailed account of the patients occupational history and current status of employment, hand dominance, history of injury/trauma to the shoulder(s) and/or neck, and any relevant surgical history. <> A distal biceps rupture is rare compared to ruptures where the top of the biceps connects at the shoulder. Distal Biceps Tendinopathy: Prevention and Treatment. Hip Replacement for Residual Hip Dysplasia, Long Head of Biceps Pathology (at shoulder), Shoulder Arthritis and Total Shoulder Replacement, Chronic Compartment Syndrome Fasciotomy Rehab Protocol, Rotator Cuff Repair, including Subscapularis, Rehab, Shoulder Instability Bankart Repair Rehab, For the first post op week, the patient is in a posterior splint that is not to be removed. Methods: Eighteen patients with twenty unrepaired distal biceps tendon ruptures were assessed retrospectively. Clinical Physio. Active extension limit changed to 10 degrees. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. PDF Distal Biceps Repair Protocol - Boston Sports Medicine Biceps Tenodesis Rehab Protocol - Houston, TX & Baytown, TX: David All of our locations are handicapped accessible. 9. Ditsios K, et al. BayCare Clinic offers expertise in more than 20 specialties, with more than 100 physicians serving in 16 area communities. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Simple treatments can reduce pain and improve mobility. Distal Biceps Repair Rehab Postoperative Distal Biceps Tendon Repair Rehabilitation Protocol PHASE I: 1-3 WEEKS For the first post op week, the patient is in a posterior splint that is not to be removed. There is a ligament that courses over the long head of the biceps tendon, and this may thicken as you age due to repeated micro-trauma to the area. }ws}B}hr|*-*zK/b>$y`7_> P% m@DDLw)TypU" (Pu` w 8G This may start with isometric training if pain is the primary issue progressing into eccentric training and eventually concentric loading as with other forms of tendon rehab. (2015) Pain Medicine An Interdisciplinary Case-Based Approach. Passive elbow extension exercises may be started if needed. ACL Reconstruction with Meniscus Repair or Microfracture, SLAP Repair, Bankart Repair, or Biceps Tenodesis, Total Shoulder or Reverse Arthroplasty Protocol, Non-Operative Achilles Tendon Rupture Protocol, ACI ProcedureACL Reconstruction Rehabilitation ProtocolAMZ ProcedureHip Arthroscopy Rehabilitation ProtocolMeniscus TransplantationMeniscal Repair ProtocolMicrofracture ProcedureMPFL Repair Reconstruction ProtocolOATS Procedure Patella Femoral ArthroplastyFemoral Acetabular, Distal Radius Fracture Post Surgical Volar Plating, ECRB or FDS to Lateral Band Tendon Transfer for Clawing, Flexor Tendon Zones 1-3 Early Mobilization, Flexor Tendon Zones 1-4 Delayed Mobilization, Pin Site Care Post-Operative Instructions, Scaphoid Fracture Post-Operative Management, Achilles Tendon RepairACL ReconstructionAnkle SprainAnkle Sprain SevereAnterior Interval Release - KneeArthroscopic Ankle DebridementArthroscopic Ankle with MFXBankart Repair or Anterior or Posterior Labral RepairBrostrom ProcedureBrostrom with MFX ProcedureDistal Biceps RepairElbow DebridementElbow Radial Collateral RepairProximal Hamstring Tendon RepairHigh Tibial OsteotomyLateral EpicondyleLateral Epicondyle Fascial ReleaseLateral Release - Knee Lateral Release with Meniscus RepairLCL ReconstructionMCL Repair ProtocolMedial EpicondyleMedial Patellofemoral Ligament Repair/ReconstructionMedial ReefingMeniscus RepairMicrofracture Femoral CondyleMicrofracture Trochlear Grove PatellaMUA - KneePatellar Tendon FenestrationPatellar Tendon RepairPCL ReconstructionQuadriceps Tendon RepairRotator Cuff Repair Rehabilitation ProtocolShoulder StabilizationTibial Plateau FractureTibial Tubercle TransferUCL Reconstruction, Achilles Tendon Ultrasound Guided Percutaneous Tenotomy, Gluteal Tendon Ultrasound Guided Percutaneous Tenotomy, Hamstring Tendons Ultrasound Guided Percutaneous Tenotomy, Patellar - Quadriceps Tendon Ultrasound Guided Percutaneous Tenotomy, Plantar Fascia Ultrasound Guided Percutaneous Fasciotomy, Ultrasound Guided Percutaneous Elbow Tenotomy, Ultrasound Guided Percutaneous Shoulder Tenotomy. Rest will calm the inflammation and help relieve the pain. These objectives may depend on ROM, strength, or activity. <> Your biceps muscles are located in the front of your upper arms. Supination/pronation through pain-free range. Prospective study of three surgical procedures for long head biceps tendinopathy associated with rotator cuff tears, Tendinopathy of the tendon of the long head of the biceps, Long head of the biceps tendinopathy: diagnosis and management, Tendinopathy of the long head of the biceps, Treatment of tendinopathy: what works, what does not, and what is on the horizon, https://www.physio-pedia.com/index.php?title=Biceps_Tendinopathy&oldid=296103, Main function of the biceps muscle is forearm supination and, Biceps also contribute 10 percent of the total power in. Biceps tendinitis result when excessive, abnormal forces are applied across the tendon, including tension (a pulling of the muscle and tendon), compression (pushing or pinching), or shearing (rubbing). During the PT evaluation for biceps tendonitis, your physical therapist will perform various tests and measures. Ice decreases blood flow and can be used to control localized pain, swelling, and inflammation. v"#1F2=aqTK-.J |-[Hx\ cpZj0+5+ajV2ecYS4h1SNrBdj? 3 weeks post-op 30-115 5 weeks post-op 15-130 Ice for 10 minutes every hour for the first couple days after the injury may be recommended. He also holds a CF-L1 certificate and is a Certified BFR Specialist. In addition to the above, our doctors facilitate Oneida Healthcare for surgical procedures as well. These are designed to help decrease pain and inflammation, improve ROM and strength, and improve pain-free use of your arm and shoulder. Improve Your Form: Flaws in your lifting form can lead to significant distal biceps problems. Overloading of the biceps tendon at your shoulder or elbow may cause biceps tendonitis. But over time, it can cause pain, loss of strength, and difficulty flexing your elbow. Thomas R. By Brett Sears, PT Surgical Rotator Cuff Repair protocol. These injuries often require surgical treatment. Shoulder Theraband strengthening exercises are started. Conservative Posterior Instability. %PDF-1.7 <>>> REHABILITATION FOLLOWING DISTAL BICEPS REPAIR Authors Catherine A Logan 1 , Amir Shahien 2 , Daniel Haber 3 , Zach Foster , Anna Farrington , Matthew T Provencher Affiliations 1 OrthoONE, Denver, CO, USA. Quantitative diagnostic method for biceps long head tendinitis by using ultrasound. Treatment consists of conservative or surgical treatment. Nonoperative treatment of distal biceps tendon ruptures - PubMed Classic Long Head of Biceps Tendinopathy. Various exercises may be included in your biceps tendonitis rehab program, including: Shoulder ROM exercises. Some research has shown that iontophoresis can be effective for tendon problems, while other studies do not support its use as an anti-inflammatory treatment. This tendon stretches along your biceps muscle from your elbow up to your shoulder. u:d`+.nba^*E31IQRCN8x+j6TVEkDZ 'mn_~TZW2n^jrP" /bPR"JQlr%V/FZv There are several muscles that help with both of these. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Larson Sports and Orthopedics is a group made of a surgeon, athletic trainer, and experienced HIIT Coaches who specialize in orthopedic sports medicine including anatomy and physiology, injury prevention, and orthopedic surgery/rehabilitation. Beyond that point, the patient wears a sling for comfort and weans it after 3 weeks, Elbow ROM from 30 degrees of extension to 130 degrees of flexion, Maintain minimal swelling and soft tissue healing, Achieve full forearm supination and pronation, Bilateral elbow and forearm ROM Exercises. [7] In low-functioning or medically complicated patients, conservative measures should always be pursued initially.[10]. Distal Bicep Tendon Repair Protocol - Northwestern Medical Center Multiple techniques exist for tenodesis, including bone tunnels, keyhole technique, suture anchors, and interference screw fixation. When a rotator cuff muscle is torn, your biceps tendon may overwork to help stabilize the area, leading to biceps tendonitis. BY lH& %>!"N5KsU&.ad,, D c$.eOO DS@ T" But biceps tendonitis is one of several possible causes of pain around the elbow. Kotara S. Singleton SB. PDF Distal Biceps Tendon Reconstruction Rehab Protocol

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