Results 1 to 20 of 20

Thread: Biceps Tenodesis

  1. #1
    Active Member
    Join Date
    Apr 2005
    Location
    Rochester, NY
    Posts
    44

    Biceps Tenodesis

    Anyone familiar with this procedure??? Had it done on you???

    It is used to treat biceps tendonitis of the shoulder whereby, in kinda layman's terms, the tendon is cut where it attaches into the labrum and reattached on the humerus thereby eliminating the tendon's span of the shoulder joint and hopefully, the source of its irritation/inflammation...

    Love to hear from anyone who's had this done; particularly from anyone who enjoyed success with it, but I suppose I should listen to the failures too, but jeeze, I hope those are few...

  2. #2
    Very Active Member
    Join Date
    Oct 2003
    Location
    Denver, CO
    Posts
    388
    Bruce,

    In Jan. 2001 I had my right bicep tendon released and reattached. The recovery period is fairly long. I didn't swim for about 4 months, but within 10 months I was back to where I was post op. (I also had a torn rotator cuff repaired and a "decompression")

    Late last Sept. I had my left bicep tendon released but not reattached (along with repair of a torn labrum and another decompression). They did a special post op wrapping process that avoided the potential Popeye bicep and it worked as both sides look pretty much the same. It's a much shorter rehab (8-12 weeks) and I was fully back by this past March.

    I hope this helps,

    Rich

  3. #3
    Active Member
    Join Date
    Apr 2005
    Location
    Rochester, NY
    Posts
    44
    Rich,

    Thanks for responding and making the clouds suddenly part, the sun burst forth, the birds start singing and porpoises start jumping....This is exactly what I wanted to hear although the length of the recovery and time outta the water might be tough to endure..Did you mean to say one month with no swimming??? .Oh well, whatever it takes at this point....No matter how much faith I may have in my Doc, its very reassuring to speak with someone who's sampled the product and lived to swim another day...
    I, too, had the decompression procedure (January, 06) and although the surgeon said he noticed the inflamed biceps tendon then, he elected not to do the tenodesis citing the length of the rehab and my desire to get back in the water...I enjoyed a remarkably quick recovery....too quick in some people's mind and those same people will be thinking I'm getting my just desserts when they hear that because of some lingering symptoms this new surgery is pending...
    Anyway....
    Was your decompression done at the same time as the tenodesis?
    Was it done arthroscopically??? (just answered that myself..ran into my Doc and he said to reattach he needs a bigger hole)
    What caused the problem in the first place??
    Why did your doc elect not to reattach the left side??
    Are you completely pain free now??
    Any downside?

    Thanks for your input and pleased to hear there is a meaningful swimming life on the other side.....

  4. #4
    Active Member Rowdy's Avatar
    Join Date
    Jul 2005
    Location
    Henrietta, NY
    Posts
    37
    I would never think that you are getting your just desserts. Lane 2 misses you too much!

  5. #5
    Very Active Member
    Join Date
    Jun 2004
    Location
    Pittsburgh, PA
    Posts
    1,669
    If I do a really hard workout, my right bicep gets rock hard. ther is no pain but it is really weird because it looks like I am flexing it even though I'm not.

  6. #6
    Participating Member
    Join Date
    Feb 2010
    Location
    San Diego, CA
    Posts
    6

    Talking Re: Biceps Tenodesis

    I know this is an old thread but I too am going to have a Tenodesis perfromed on the long head tendon of my bicep.
    Is there any (newer) information or experiences that anyone can share regarding recovery time and issues/effects of post op?
    Any information is appreciated greatly.

  7. #7
    Very Active Member gdanner's Avatar
    Join Date
    Jun 2010
    Location
    Fairport, NY
    Posts
    514
    Blog Entries
    609

    Re: Biceps Tenodesis

    Quote Originally Posted by swimnfit View Post
    I know this is an old thread but I too am going to have a Tenodesis perfromed on the long head tendon of my bicep.
    Is there any (newer) information or experiences that anyone can share regarding recovery time and issues/effects of post op?
    Any information is appreciated greatly.
    Bruce is a friend of mine. I don't think he's posted on the forums any time recently. I'll see if he can update this thread with his experience.

    As a side note, he's had 3 Long Distance All American swims since 2006, so he was definitely able to get back into shape!
    Last edited by gdanner; November 28th, 2012 at 04:34 PM.
    USMS Secretary
    NI LMSC Chair/Webmaster - http://www.niagaramasters.org

  8. #8
    Very Active Member orca1946's Avatar
    Join Date
    Jan 2006
    Location
    schaumburg, il - U S A
    Posts
    7,420

    Re: Biceps Tenodesis

    As a side bar -- I'm having my lower deltoid looked at on
    Thur. for pain/soreness when I DO LOTS OF FREE & FLY~

  9. #9
    Active Member
    Join Date
    Apr 2005
    Location
    Rochester, NY
    Posts
    44

    Re: Biceps Tenodesis

    Kevin...

    wow..looking at the date of this thread...has it been that long?? I s'pose I shouduv done a follow up post revealing the happy ending...because indeed there is...

    I had the decompression first, which may have worked if I hadn't been overly aggressive getting back in the water...The tenodesis was prolly 8 months later, and the recovery was a bit longer, or perhaps I was more enlightened, and was easier on it...anyway, I have had some prolonged periods of pretty intense workouts since (for an old guy), swimming times close to all time bests, and have no more shoulder problems...

    Now, would you like to hear about my knee issues?

    Lemmie know if you'd like me to expound, because, indeed, I can...
    My shoulder problems and my wailing to the cosmos on this forum and others, did more to promote my creative writing than anything since Miss Braymer in 6th grade...

  10. #10
    Participating Member
    Join Date
    Feb 2010
    Location
    San Diego, CA
    Posts
    6

    Smile Re: Biceps Tenodesis

    Bruce,

    Thank you very much for the replay and update. That's all good news.
    Here's my situation:
    a week and a half ago my dog (90 LB Lab) fell from the dock getting into my boat. there was no way to easily lift her up onto the dock. I had assistance from a neighbor of mine and we both lifted the dog out (BTW... she's fine and had this look like it was the most exciting swim she had ever had) However, in the process of lifting I managed to tear the Long Head Biceps tendon on my left side. This is especially disapointing since I had been acheiiving an optimum level of performance in my swims and was even planning to do a meet the following day of my injury.
    I'm 54 and when the Docs first saw the injury they started to give me some research statistics citing minimal loss if the tendon was not reattached. (mainly they cited age and sedentary habits) I may be 54 but I am definetly not sedentary. I pushed to have the tenodesis done but in the back of my mind I still have some reservations and fears.
    Tuesday I go under the knife and I'm really hoping that I may be able to (ever so lightly) get back in and swim in about 6-8 weeks. I'm going to go easy but assertive in my recovery.
    I hope I'm making the right decision and that my swimming level will get back up to speed in about 6-8 months.

    Thoughts, advice and comments always appreciated.

  11. #11
    Active Member jordangregory's Avatar
    Join Date
    Apr 2004
    Location
    Ohio
    Posts
    86
    Blog Entries
    6

    Re: Biceps Tenodesis

    I have enjoyed reading this older thread. Lot of good encouraging stuff.
    Planning to have a biceps tenodesis at the end of the month. It appears I have a rather rare injury to my biceps tendon (longitudinal split tear of the extra-articular cartilage). I tried rehab several times, but the shoulder kept getting reinjured. I never could get to working out as hard as I would have liked.
    Brining this thread back after 5 years.
    Does anyone have any recent experience with a biceps tenodesis with return to swimming? Specifically with a longitudinal tear?

  12. #12
    Very Active Member
    Join Date
    Mar 2011
    Location
    north carolina
    Posts
    159
    Blog Entries
    186

    Re: Biceps Tenodesis

    I had the procedure done in November 2015. I was 37 at the time. My PT cleared me to get back in the pool (breaststroke and kick only) in December. By the end of December I was able to cautiously swim freestyle. By April I had lifetime bests in the 50 and 100 fly. YMMV

    I did not have a longitudinal tear, but in my experience, and according to the surgeon, it's a relatively easy procedure to recover from. Just listen to your PT.

  13. #13
    Very Active Member
    Join Date
    Aug 2011
    Location
    Cedar Park, TX
    Posts
    766

    Re: Biceps Tenodesis

    yep
    i have the $4000 plastic screw as well
    had it done in may 2013

    by no means is this an easy operation but you can get through it
    make darn sure you get the polarpak ice machine with the shoulder cuff
    i pushed rehab pretty hard and was back swimming..first kicking only then 1arms then both arms free and finally fly
    i've done pretty good since then

    steve

  14. #14
    Participating Member
    Join Date
    Jan 2013
    Location
    Tuscaloosa,Alabama
    Posts
    13

    Re: Biceps Tenodesis

    yes...had it done in 2013. Labrum tears, decompression, etc.. Reattached the bicep. You'll be uncomfortable for a few weeks. Like most surgeries, work hard in rehab and extend it if you can. My recovery path was like sickfish's above. Back in water kicking , swimming one armed after a month, up to 40,000 yds a month in 3 months. Full throttle after that. It's better than new

  15. #15
    Active Member jordangregory's Avatar
    Join Date
    Apr 2004
    Location
    Ohio
    Posts
    86
    Blog Entries
    6

    Re: Biceps Tenodesis

    Surgery is complete!! They found more issues with my shoulder than expected. Original MRI just showed a biceps tendon tear, but they found some deep partial rotator cuff tears, labrum tear and bone spurs. MRIs don't show everything!
    I started a blog to outline the surgery and recovery. Hope it helps someone else that had all the questions I did.
    http://forums.usms.org/blog.php?2313-jordangregory

    Interesting journal article on biceps tendon pain.
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4362976/
    Last edited by jordangregory; June 12th, 2017 at 12:30 PM.

  16. #16
    Very Active Member
    Join Date
    Aug 2011
    Location
    Cedar Park, TX
    Posts
    766

    Re: Biceps Tenodesis

    great news!
    and yes always more is found

  17. #17

    Re: Biceps Tenodesis

    Hi Jordan - I just found out I have a longitudinal tear of the long head of my biceps too - just discussed my surgery options this morning. I read your blog (very helpful!) and am wondering how you are doing now a month later?!

    Thanks!

  18. #18
    Active Member jordangregory's Avatar
    Join Date
    Apr 2004
    Location
    Ohio
    Posts
    86
    Blog Entries
    6

    Re: Biceps Tenodesis

    I have had a very long recovery. Just swam in my first meet this weekend (USMS Nationals). Virtually no swim training because I just couldn't get my arm to do what it needed to do without pain. Not pain that I couldn't tolerate, pain that told me I was really irritating and impinging my rotator cuff. I am not messing with that again. Not going to swim through the pain and hurt something again.
    My physical therapists have been wonderful. They now tell me I had frozen shoulder after surgery. My surgeon said I progressed slower than most. Nobody knows why, just some people do. Maybe because of the extent of the surgery, maybe because I am a big baby. Some people are just more inflamed and develop more scar tissue.

    All biceps pain I had before surgery is gone. The tenodesis worked well. Just the lingering rotator cuff / impingement pain.

    Flexibility is still not back to normal, nor is the rotator cuff strength. It is just now to the point where I can hold my arm above my head and streamline off the wall without pain AND to where I can hold it stable. In February, just pushing off the wall and holding my right arm in a streamline position was a workout.
    I am still having some impingement pain. PT says that if I can get a bit more strength in the rotator cuff (specifically external rotation) and better flexibility (specifically in internal rotation), the shoulder should sit in the proper position and the impingement + associated pain will go away.
    I didn't know recovery would take this long. I have seen others stories and they were back in swimming their best in much less than a year.
    Would I have surgery again if I could go back in time, knowing how it would go? Still not sure I would. Hopefully my answer will be yes in a few more months.

  19. #19

    Re: Biceps Tenodesis

    In March of 2018 I had a bicep tenodesis, a subacromial decompression, removal of bone spurs, and repair of a small rotator cuff tear. My tenodesis repair was a type where they place the relocated bicep tendon into a sleeve and pull it into a hole in the humerus with stitches; there was no peg involved like others have mentioned. I was in a sling for 6 weeks and restricted to light duty until week 13 when the tenodesis repair was considered fully healed. After 6 weeks in a sling my right arm had atrophied to the point of looking very thin, and I was somewhat concerned at that point. I am back in the pool 5 days a week now and slowly regaining ability, at about 50% yardage and intensity, doing a lot of kicking. Streamlining is still difficult and painful. I am guessing I have another 3-6 months to go until I am back to normal, but it feels good to be back in a swimming routine. I believe I can feel the effects of the decompression in the sense that my shoulder rotates freely and I feel no impingement or pain. I was told that I should do rotator cuff exercises every other day for the rest of my life or at least while I am actively swimming. I still go to physical therapy twice a week. I asked the therapist why the process hasn't been as painful as many describe, and I was told that I had an good outcome because I stuck with my prescribed post-surgery exercises and that I was physically active prior to surgery. I am confident I will be back to 100% at some point. The worst thing about the timing of the surgery was that I'd just swam my first meet in ~35 years and had a really fun time, and then I had to pause to fix a bum shoulder. I can't wait to go to another meet.


    Sorry if that's a wall of text but I thought some might like to know what the process is like.

    My understanding of rehab is that if you slack off and ignore the process for any length of time, it can really diminish your outcome.

  20. #20
    Very Active Member __steve__'s Avatar
    Join Date
    Aug 2009
    Location
    s c
    Posts
    2,492
    Blog Entries
    742

    Re: Biceps Tenodesis

    Rt shoulder surgery May 4: LH bicep tenodesis, extensive debridement, chondroplasty w/t 3 anchors. I feel about 60% recovered and expect a good outcome. On the other hand, my Left shoulder now needs serious repair. Years ago it would dislocate, but I managed to nurse it back to decent function through strength and swimming. Unfortunately it loosened up from daily activity while the other arm was in brace. I am relieved to have my right arm step back up and come back to life. It was frustrating trying to function with my free arm slipping around in its socket, popping, and crap. I actually look forward to fixing this one.

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •