Postoperative Rehabilitation After Biceps Tenodesis According to PD Dr. Florian Grubhofer

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Dear Patients, 

Proper rehabilitation following biceps tenodesis is essential to restore full function and ensure a pain-free outcome. Please follow these structured phases carefully to achieve the best possible result. 

Phase 1: Immediately Postoperative (Days 1–14) 

• Sling Requirement: The arm must be kept in a sling until wound healing is complete. 

• Movement: 

• Fingers, wrist, and elbow may be moved freely. 

• Shoulder movement: Three times daily, passive and active range-of-motion exercises may be performed. 

• Weight-Bearing: No lifting or load-bearing for the first 6 postoperative weeks. 

Phase 2: 3rd to 6th Postoperative Week 

• Movement: 

• Full range of motion is now allowed, both passive and active. 

• Weight-Bearing: Still no lifting or load-bearing in daily activities. 

• Sling: The sling may now be discontinued. 

• Driving Restrictions: Driving is not permitted while the sling is still in use. 

• Wound Care: Between postoperative days 10 and 14, the dressing should be removed by the primary care physician or PD Dr. Florian Grubhofer. 

Phase 3: 7th to 12th Postoperative Week 

• Strength Training Begins: 

• Light resistance training (3–5 kg) is now permitted. 

• Range of Motion: Full mobility is now allowed. 

• Sling: Should no longer be worn. 

Phase 4: From the 12th Postoperative Week Onward 

• Gradual return to full weight-bearing is now allowed. 

• Physical Therapy: 

• Should still be attended once per week to monitor progress, introduce new exercises, and set new goals. 

• Self-Guided Training: 

• Patients should consistently perform rehabilitation exercises multiple times daily. 

Best regards, 

PD Dr. Florian Grubhofer