After repair of the distal biceps tendon
DISTAL BICEPS REPAIR Protocol in PDF
Day 0-10
- Rest – Gentle range of motion exercises for the wrist and hand. The elbow should be kept in a sling while out and about. While at home the elbow may be out of the sling if comfortable.
- The bandages can be debulked at day 3. The wound should be kept dry for the first 10 days. Ice may be used to reduce swelling and relieve pain. Elevation can be helpful while swelling is present. Desk based office work may be restarted when comfortable.
Day 10 – 6 weeks
- The wound should be reviewed at the 10 day mark.
- From 10 days to 6 weeks active assisted range of motion exercises may be commenced in flexion/extension and pronation/supination at 90 degrees of flexion.
- The arm should not be used to lift more than 500gm.
6 to 8 weeks
- Start to use the arm for activities of daily living.
- Begin light strengthening exercises.
8 – 12 weeks
- Ensure full range of pro/supination with passive stretches.
- Continue strengthening exercises.
3-4 months onwards
- Graduated return to heavy manual work.
Full strength and recovery may take up to 6 months.