Post-Operative Care and Rehabilitation After Biceps Tendon Repair - Orthopedics

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Post-operative care and rehabilitation after biceps tendon repair are crucial for ensuring optimal recovery and regaining strength and function in the affected arm. After undergoing shoulder arthroscopy for a biceps tendon tear, it is common to experience some limitations in movement, weakness, and discomfort during the early stages of recovery. Here’s a comprehensive overview of what to expect and how to manage your rehabilitation effectively.


Understanding Your Symptoms
1. Weakness and Pain: It is normal to experience weakness and pain in the shoulder and arm after surgery. The surgical procedure involves repairing the tendon, which can lead to inflammation and muscle atrophy due to disuse. Pain may also arise from the healing process itself, as the body repairs the damaged tissue.

2. Limited Range of Motion: Feeling like your arm is "stuck" or unable to move freely at certain angles is also a common experience post-surgery. This can be attributed to swelling, stiffness, or the protective mechanisms of your body that prevent you from moving the arm too much too soon.

3. Gradual Recovery: Recovery from biceps tendon repair typically involves a gradual increase in activity. The timeline for recovery can vary based on individual factors, including the extent of the injury, the surgical technique used, and your overall health.


Rehabilitation Steps
1. Follow Your Doctor's Instructions: It is essential to adhere to the rehabilitation protocol provided by your surgeon or physical therapist. They will guide you on when and how to start specific exercises based on your healing progress.

2. Gentle Range of Motion Exercises: Start with gentle range of motion exercises as advised by your healthcare provider. These exercises help maintain flexibility in the shoulder joint without putting undue stress on the healing tendon. Examples include:
- Pendulum swings: Lean forward and let your arm hang down, gently swinging it in small circles.

- Passive stretching: Use your unaffected arm to assist in moving the affected arm gently through its range of motion.

3. Strengthening Exercises: Once you have regained some range of motion and your doctor gives the green light, you can begin strengthening exercises. Start with isometric exercises (contracting the muscle without moving the joint) and gradually progress to resistance exercises using bands or light weights.

4. Pain Management: Use ice packs to reduce swelling and manage pain. Over-the-counter pain medications may also be helpful, but consult your doctor before taking any medication.

5. Physical Therapy: Engaging in physical therapy can significantly enhance your recovery. A physical therapist can provide tailored exercises, manual therapy, and modalities to facilitate healing and improve function.

6. Monitor Your Progress: Keep track of your symptoms and progress. If you experience increased pain, swelling, or any unusual symptoms, contact your healthcare provider for advice.


When to Seek Help
If you notice persistent or worsening symptoms, such as severe pain, significant swelling, or inability to move your arm, it is crucial to consult your doctor. These could be signs of complications, such as re-tearing of the tendon or other issues that may require further evaluation.


Conclusion
In summary, experiencing weakness and pain after biceps tendon repair is a normal part of the recovery process. Focus on gentle exercises, follow your rehabilitation plan, and communicate openly with your healthcare team. With time, patience, and appropriate care, you can expect to regain strength and function in your shoulder and arm. Always remember that recovery is a gradual process, and listening to your body is key to a successful rehabilitation journey.