Biceps Tenodesis Protocol

Weeks 1-2

– Patient wearing sling
– Pendulum exercises as instructed post-operatively
– Ice for pain management

Week 2-6

– Start PT at 2 weeks
– Focus on shoulder PROM/AAROM through week 4
– Encourage grip strengthening and elbow PROM
– After week 4, progress shoulder ROM to AROM as tolerated.
– Goal: full shoulder PROM at 6 weeks; full elbow PROM at 4 weeks
– Initiate elbow and forearm AROM at 6 weeks – no resisted supination or elbow flexion

Week 6-12

– Begin elbow AROM without resistance
– May begin forward UBE
– Initiate rotator cuff, deltoid and scapular strengthening exercises at 6 weeks

Week 12+

– May begin reverse UBE
– Begin biceps and forearm strengthening.
– Progress to sport-specific rehab exercises as tolerated after 3 months