From someone who has suffered a proximal long head bicep tendon rupture and had surgery to repair it (tenodesis) and the shoulder (remove a bone spur, debridement & decompression), it is extremely important to see an orthopedic surgeon as soon as possible when a joint related injury occurs. Some tendon injuries are extremely time sensitive and must be repaired within weeks of the injury; otherwise, you run the risk of the injury being permanent, as the tendon will scar and retract over time.

After this has happened,don’t tell people to live with it if they can. Tell them to fix it!quality of life matters!!

@orthopedics

9 ай бұрын

Some people want it fixed, some don't

@markz.5891

27 күн бұрын

A lot of people live with it just fine.

@TK.000

17 сағат бұрын

He said if it doesn't bother you...

Thank you for this Dr. Paul. I have a couple of question please. I understand the tendons don't have blood and nutrition supply like muscles do, so this raises the following questions: 1. Are we able to fortify the tendons and strengthen their bone attachment over time by a significant amount if we work them in the gym? 2. Following inflammation in the tendon due to over workout in the gym, is wear and tear of the tendon-bone connection point accumulating over time even after pain subsided and apparent healing? or does the connection point eventually heal up to 100% strength as before injury?

@Eagle2894

Жыл бұрын

Hello, did you get answers to your questions somewhere?

I tore my bicep elbow tendon and never did anything for it,it still hurts years later and I can't really make a muscle that well on that side but still able to do roofing for a living at 48 yrs old,little tasks like just drinking water on a nightstand hurt ,but no pain with heavy duty work

I have me lower tendon for sure detached I did the hook challenge is not there, its been two weeks I did this while sparring, yet I still worked out at the gym.I def have to go check it out then.

I thought I had a tear but there's no bruising and I can still rotate my hand well. There is an extra lump at the bottom of my bicep near the elbow but only when I bend my arm. If I let my arm hang straight at the side, it doesn't bunch up as of now. I know I need to get it looked at, and will, but it'll be a few days. The pain isn't bad unless I try to pick up something at a certain angle away from my body and then it feels like a pinch or stab. Can you tease muscle belly with out tearing the tendon?

I did the hook test, and I can feel my tendon. I’m wondering if my bicep pain is just tendinitis.

thanks for the this vid. I work out regulary for past 22yrs. I'm 41 now. 4 weeks ago I went to lift my sons computer under his desk to move it close towards wall when i lifted it with my arms extended I felt pop in left elbow. I had some mild pain and discomfort. NO swelling or bruising, no visual change to bicep appearance. Is it possible that even though i felt and herd a pop that it was not tendon tear? Its been almost 5weeks now. I have no pain or any discomfort. BUT i can't curl or do pullups hurts alot. But after week of rest I no issues turning my arm or turning scewdriver no pain.

Are you a orthopedic surgeon? I need one for my torn bicep on the outer arm above the elbow that's where my pain is

Thank you! I’m 72 and very active and have stayed in good shape. However, I experienced the proximal tear and Popeye bicep last week playing pickleball. Where could I find good rehab exercises to get back on the court. Thanks again!

Hi I just had an MRI this morning meeting with the Doctor in a week. My long head tor several years ago, but my doctor is concerned that I tore the short head. I’ve looked at the MRI disc and from what I can tell there is a partial tear in the middle of the short head tendon. I’ve had quite a lot of bruising. Are there any videos on PT for dealing with a short head tear so I can get back to golfing? Thanks for any info, I’m 70 by the way.

Thank you

Pretty sure I just tore mine from the superior Labrem. Big ball in my bicep , lots of bruising and pain. Thanks for the info. Headed to hospital now just to be sure. Informative video !

@jamestetrault3894

Жыл бұрын

I did in fact tear mine (left side) from the superior labrem. Had surgery. Attached at top of arm bone. Started rehab two days after surgery. 6 months later was back in the gym lifting. All good nearly 21 months later. I'm 55. The surgery was, in my opinion, successful. Be sure to do the mobility exercises. They're key!

@khkhkeKOA

Жыл бұрын

Hi, what did the doctor say, what did you decide to do, and how is your recovery going? I just tore my right bicep off the shoulder and canʻt see my doctor until two days...

@jamestetrault3894

Жыл бұрын

@@khkhkeKOA The doctor told me after scans, that my labrum was torn, not just perforated. Had the surgery, as I said. That was in Dec. of 2020. The doc also cleared a bunch of scar tissue and deposits around the area, as I'm mid 50's and he said he's doing me a favor clearing that for me while he's already in there. Rehab was fine. Mostly mobility for the first 3 months. Not much strength training other than resistance bands. I was able to do light dumb bells (shoulder press, for ex) about 4-5 months after surgery. At the six month post surgery I started lifting program again. Have had ZERO problems with my shoulder since. I did really dial back the pace of increasing weight. No biggie. Just keeping it slow and steady. I'm as strong or stronger than before the injury. I do keep up with the mobility exercises, only not as frequently.

Can you wrap it and will it help

Thanks so much for the descriptions of the two possible injuries in the shoulder. From your descriptions I've been relieved to find I do not have a tear. A month ago without thinking, I maneuvered a barbell in such a way, that it dropped on me. I was not ready for what happened and the barbell fell in such a way that it stretched my shoulders BACK unexpectedly. As a result the joint area where the shoulder attaches to the upper arm was STRETCHED beyond what it was ready for. Only the front R shoulder area continues to ache but per your demonstration I have none of the symptoms you described just a constant dull ache. I'm online now looking for a healing liniment or balm that I can treat it with that will actually help healing, not just numb the pain........Many of the OTC rubs will numb the injury but they dont seem to help mend the tissues inside. Again, thanks for helping me to understand better what I am and am not dealing with.

i head a pop by my elbow, and while i can somewhere hook my tendo, there is some inflammation there so i can really hook it.... getting an mri done on Tuesday, i can feel the tendon and follow it to where it connects in my forearm bone, but its def somewhat sore. I also have pretty good supination with "slight pain" but slowly going away.

Is it possible just to tear the distal bicep tendon and not complete rupture it? Will lifting weights I felt a pop on my bicep side of my elbow and now have slight pain when I subination or pronate my forearm. I actually ruptured my other bicep tendon years back while lifting a very light weight

i had a longhesd bicep tenotomy 4 wks ago. doing fine until a week ago i tried to put my charger into the power - encountered resistance and felt a sudden sting in the bicep muscle. later that day i tried to reposition myself on my couch and i heard this loud pop/click sound. PAIN +++ especially the back of the arm. no bruising or swelling at either injury. US showed i dislocated the longheadbicep tendon 8cm and a subscap tear. elbow hurts from time to time. pain is experienced at different points. i see my orthopaedic surgeon on Wednesday. i hope i dont need surgery.

@alberteinstien4322

Жыл бұрын

Are u good now?

I have just received MRI test results, which describe a "High-grade partial tear of the distal biceps tendon". It's been about 4 months since the injury. Though I went to the emergency room when it happened, it's taken me this much time to work my way through the HMO gatekeepers to finally get an actual diagnosis. While the pain is not intense, it does bother me constantly, and I have significant weakness from the injury. Is it too late for surgical repair? Is surgery typically recommended for a high grade partial tendon tear at the distal end? I'm waiting for my post-MRI appointment with my orthopedic surgeon.

@TheAlmighty

7 ай бұрын

Did you ever get surgery? I got mine two months late and I’m on the way to recovery. I’m always afraid of accidentally returning it because I don’t know how that would feel.

@GadgetyRon

7 ай бұрын

@@TheAlmighty Yes, I finally had the surgery about 10 weeks ago. My tendon was really shredded, and they had to remove about 2 inches of its length to get to tendon healthy enough that the sutures holding the endo button wouldn't rip right through. The surgeon was kind enough to take a photo for me. As a result, they were unable to straighten my arm beyond 90 degrees at first. Fortunately, the bicep compensates, and I was soon able to regain full range of motion. I never had any significant pain after the surgery, which was amazing. Though I haven't yet been cleared for lifting beyond 5 pounds or so, in reality, I've more or less returned to my normal routine (which includes regularly lifting, playing with, and changing the diapers of my twins, 18 months). The arm is feeling really good now, almost totally normal. Unfortunately, I then experienced a shattered collarbone in Mexico 7 weeks after my tendon surgery (trying to reattach a sheet of plywood protecting sliding glass doors during a hurricane, long story), and had to have emergency surgery at 1am after waiting 2 days for the hospital to regain electricity, as they couldn't perform surgery on generator power. I was able to get a photo of that surgery as well. Fun times, lol. The tendon feels great though. And now I have a cool titanium rod and 8 screws holding my clavicle together.👍As for the tendon surgery, I have zero regrets, only wish I'd been able to get it sooner. The arm is back to feeling normal like it did before the injury. Best of luck in your recovery, I hope it goes as well as mine has!

I tore 'something', and heard it rip during training, but the hook test is negative and tendon thickness seems the same as my other arm. Ultrasound also shows that long headed tendon is still there although it's very thin they say. I have slight bulging at the bottom of my bicep despite that, and the first few days I had muscle spasms in the body of the bicep near the distal area, and fluid retention in my hand. Three weeks later, I've got weakness in the bicep, and I get a burning sensation in the crease of the elbow and a bit up into the forearm when I try to strain my arm (lifting shopping bags etc). I also have a supraspinatus tear according to the ultrasound, but it's partial and I still have a lot of function. Any ideas if it's a long headed tendon problem anyway, or some other soft tissue tear in the crease of the arm? My bicep seems to be in place, but I cannot flex it fully like I usually can, and it's no longer hard when I flex it.

@IamAgrocerybag

2 ай бұрын

Same boat sorry you didn't get a response. Any updates friend?

@finite934

2 ай бұрын

@@IamAgrocerybag Had 2 ultra-sound scans, an MRI and visits to orthopedic surgeon. Inconclusive results. nothing obvious ripped, not tendons at least, but probably other tissue structures around inside of elbow, Could be the second attachment at the lower end of the bicep that attaches to the forearm. Slowly gainging strength back, feels less swollen now and looks like it might be on track for decent recovery in next 2-3 months. I was probably lucky it wasn't a tendon rip.

@nealamesbury7953

Ай бұрын

I heard a bad tear too. Yep heard it

@finite934

Ай бұрын

@@nealamesbury7953 its the most depressing sound I know. Hope rehab goes well for you.

So around 6 months ago I was working out when I felt discomfort in my bicep after I visually could see a line going from bicep to the tricep and feel the suspected torn muscle fibres 6 months on I can still feel the line where the tear in the fibres was but it feels like new fibres have grown there I can feel the difference between the new fibres and the fibres I already had I stopped working out due to fear I'd end up like popeye can I get back working out or what would you suggest

I have right arm torn bicep from the shoulder it’s been about five years since I tore it no pain or nothing. It’s already healed from what it was torn, but it’s not attached. Is it possible to get it reattached

I I tore my left arm bicep from the elbow. It’s been about six years for it. Is it possible to get it reattached

I just tore my right bicep from the shoulder... how long is my recovery if I do not go to the doctors? Anyone? I am 46 and an active person. I was into weights and CrossFit although since my 2 year old daughter was born I haven't done any serious workouts. My job and my family need my physical health and of course this could not have happened at a more delicate time.

Hi, I know this video is over a yr old but thought I'd ask a Q anyways. Great video btw and I liked how quick it was. Please press like button. If the tendon is ripped off of shoulder joint, is there a crucial time frame for surgical repair? For example: can 2 or more yrs go by before I pursue a surgical fix? Thank you for any answer I may receive, from Dr or viewers, all is welcome.

@orthopedics

11 ай бұрын

You can repair it even years later, the biceps is still attached to the coracoid so the muscle shouldn't atrophy or shorten significantly. Tearing it at the elbow is a different story, that needs to get repaired ASAP

@aadarshdandriyal

2 ай бұрын

had the same thing and want to get it done in 2-3 year, my doctors tells me it can be done in 6 months or so

How late is too late to get a distal tendon tear repaired? Would 12 weeks, approximately, be more harm than good?

@orthopedics

Жыл бұрын

Normally you want to get to it in the first two weeks, otherwise it scars down and the repair can be hard

sir 2 years back i was bench pressing and during the descending (eccentric) phase i felt a pop in both my inner elbows with a (3/10) pain, i was able to re rack my weight, since i had no bruising/swelling and pain went away in 2days with no reduction in Range of motion i just didn't care enough (although from that i day onwards i developed both golfers and tennis elbow when i completely extend my elbows) since now i learnt that it could have been a rupture I'm extremely paranoid. does it sounds like a partial rupture and would it have been repaired on its own in last 2 years. will it completely rupture if i continue physical activity? I'm from India and by default every doctor physio just say to stop doing every excercise forever no doctor is into fitness culture here.😢

@deepakdubey1130

6 ай бұрын

Bhai mere ko koi solution bata de yar India mei doctors ko logo ko pata hai kya distal bicep tendon rupture hota kya hai aur mujhe jab ye hua tha tab Maine koi pop sound nhi suna bicep mei sujan thi aur hath sidha nhi kar pa rha tha mei fir uske bad normal medicine liye thik ho gya but 2-3 mhine bad gym chalu Kiya tab meri strength mujhe Kam lgi injured hath ki jo ki right hand hai but bicep curl wagera marte wakt koi pain nhi hota mei but 20-25% strength Kam ho gyi aur agar mei abhi hook test Karu toh mujhe tendon feel hoti hai.. aur agar mujhe pata lagana hai ki Mera distal bicep tendon join hua ya tuta hi toh kaun sa scan karau abhi mujhe 8 mahine ho gye hai bhai reply de Dena

If you do tear the upper bicep tendon, and have that bulging bicep appearance (popeye arm), can you still lift weights safely, and how significant will it's strength be affected?

@orthopedics

Жыл бұрын

You can still lift weights safely after the pain has gone away, since the biceps is still attached at the coracoid strength loss is usually not very significant

@wackiestgravity8857

Жыл бұрын

@@orthopedics I’m very relieved to hear that. This injury just happened a couple nights ago. The Popeye effect visually looks awesome. Lol. I’ve been researching orthopedic doctor channels on YT, and it seems there’s a surgery they often perform called a Biceps Tenotomy(I believe that’s the correct spelling). It’s prognosis sounds similar to a spontaneous proximal injury/tear of the long head of bicep. Is that a fair comparison? I’m just looking for a silver lining here, in that there may be an upside to all this in the long run as far as having less pain in shoulder.

@orthopedics

Жыл бұрын

@@wackiestgravity8857 Yes, a tenotomy is the same as tearing it yourself. Brett Favre had a tenotomy if it makes you feel any better

@wackiestgravity8857

Жыл бұрын

@@orthopedics ❤️🙏Thank you so much!

What exercises help strengthen a muscle with one upper torn bicep tendon? I have a Popeye muscle.

Thanks for sharing. I recently ruptured my upper tendon in bicep. Decided to let it be.

@raeezdramat3452

Жыл бұрын

How is it now ? Greetings Sean is your bicep fully functional?

@KILLTHEM851

Жыл бұрын

@@raeezdramat3452 Yes, but cramps easily if I was doing bicep curls

@raeezdramat3452

Жыл бұрын

@@KILLTHEM851 thank you for replying, I hope you'll get better though you are lucky it is not your lower tendon ( distal ) I think I ruptured mine and need to make a plan for it to get checked

@ShadowNelt

Жыл бұрын

​@@raeezdramat3452 did you have a full or a partial distal tear?

@raeezdramat3452

Жыл бұрын

@@ShadowNelt it was a full tear my arm is useless now

Hello, I need a clarification please: I injured my bicep while working out with still rings. I felt absolutely NO pain during the workout or afterwards, but a couple of days after I began to feel some pain right in the middle of the bicep. Pain sort of feels sharp but it only occurs when I flex my bicep as in "the lower part of a pullup" so to say, or when I try to grab my wallet in my back pocket. I was at rest 2 weeks and then started working out again LIGHTLY, the pain is sort of still there altough manageable, but upon looking at myself in the mirror I noticed that my bicep looks shortened and it's different from my left bicep: It sort of looks like it's a popeye syndrome but I'm sure it's not since the "ball" is curling from the bottom, not from the top, so it looks like it got shortened on my distal tendon. I had or have absolutely no swelling, no bruising, nothing, just light pain and discomfort. Am I overthinking it, and maybe it was always like that and I never noticed? I can hook it just fine the way you explained it but it hurts lightly and it feels somewhat different when compared to the other bicep tendon, the other feels stronger and a bit harder, so to say. Could it be a partial tear? And if so, is it normal that it hurts "this little"? What should I do? Thank you a lot for your time.

what if it does rear in rhat spot you say it rarely does? What do you do then?

@orthopedics

Жыл бұрын

Tears near the shoulder can leave it, tears at the elbow should get it surgically fixed

I believe I tore my bicep in late april, 2022. I picked up a crate and went to throw it. My doctor says it is tore. But I never had a bruising. There was a pop followed by a shredding feeling when this happened. I do work out daily, and have for decades. I’m currently 64 years of age. But I question did I actually tear the bicep?

@Th3BigBoy

Жыл бұрын

Did you ever fet an answer?

I can't believe the bicep connection to the shoulder couture and it's just okay to leave it that way. What about when you trying to use your arm? You have mobility loss and pain right? If one of the three connections to the bone is broken, you're going to have strength lost too aren't you?

@orthopedics

Жыл бұрын

There is no significant strength loss because the biceps is still very much attached to the coracoid. Distal biceps rupture is a different issue

@BARBELLS-AND-BUDS

Жыл бұрын

@@orthopedics does that mean it's still connected to the forum in some way?

@orthopedics

Жыл бұрын

@@BARBELLS-AND-BUDS Yes, unless you tear it down there

what about total tear of your triceps down to your elbow? do i need to reattach if I want to have full strength? Thanks

@orthopedics

6 ай бұрын

Triceps tendon tears almost always require surgery

@CryptoGrit

6 ай бұрын

I have almost total rapture... like it sticks on 6mm and it raised for 13mm not sure what to do :/ @@orthopedics

@orthopedics

6 ай бұрын

@@CryptoGrit I'm sorry I can't legally give medical advice on this platform, or any other unless you live in Colorado

Im getting a mri

Really helpful, and sadly I need to go to see a doctor soon 🤦🏼‍♂️😂

@lorenzo871

Ай бұрын

Same😢

@samuelhenry5012

Ай бұрын

Get it reattached asap, it’s actually not too bad, was back in the gym within 6-8 weeks after. Less than a year I was back to full strength.

What about partial rupture?

@orthopedics

Жыл бұрын

Good question, if it's the distal biceps (elbow) and it's painful then it can be detached and repaired. For the shoulder, the tear can also be completed and reattached if it is painful, or just completed and left alone

??????? ?

I tore mine a month+ ago. The recovery is the worst. Cant lift anything at all with right arm. Starting to think it’s never going to heal.

@jamesdemoss4931

6 ай бұрын

any progress?

@matthank5044

6 ай бұрын

@@jamesdemoss4931 yeah. Bicep feels almost 100% now. Still a bit weaker than before but the pain and discomfort is gone.

@jamesdemoss4931

6 ай бұрын

@@matthank5044 distal tear or proximal tear? i did some assisted pull ups yesterday on the machine but too heavy on the eccentric and i ripped something. surprisingly doesnt hurt. at the doctors now to see whats going on

How about the superior anterior migration thank you

@orthopedics

Жыл бұрын

Usually only get superior migration of the humeral head when the rotator cuff is fully torn

@yabutjjuan6055

Жыл бұрын

@@orthopedics thank you 😊

@yabutjjuan6055

Жыл бұрын

@@orthopedics how about fall with elbow humeral head pop up upward it is shoulder migration?

why do you say "tear" when you mean "rupture" or vice vera , Two different things surely??? I mean, I would imagine that a tear might have some chance of eventually healing albeit partially, whereas a rupture would not. That`s a big difference.

@orthopedics

Ай бұрын

The terms are generally used interchangeably, however tears can be partial or full thickness while ruptures would generally be considered full thickness

Cut your tendon and just let it fly? Wtf?

@orthopedics

Жыл бұрын

slate.com/news-and-politics/2009/07/does-brett-favre-need-his-biceps-tendon-to-play-football.html

Really Dr??? I'm so sorry, but when my right shoulder had been ripped out of place...a Human Being doesn't Suffer from Mild Pain it's Severe!! Do u know what it's like to half to Adapt to the realization of waiting several weeks to get Surgery done!! No u probably don't, and I hope that you'll Never have to....But having a shoulder out of place puts, so many thing's in perspective, u have to learn how to use the other part of yr Brain, and start from 1st grade level. So plz give yr current, and future patients some kind of remedy to Help them .

@cookiemonstermama36936

8 ай бұрын

Sorry. Wrong. All the structures need to be looked at. The bicep tear or subluxation can be a symptom of a ligament tear