• Dr. Domb!

    Thanks a lot for getting my hip right. Looking forward to a full recovery and a great season. Thanks again for everything.

    Corey WoottonChicago Bears and Detroit Lions
  • Thank you for all that you have done for me and the team. My hip feels so much better, and because of you I'm pain free.
    Sylvia Fowles WNBA Finals MVP, 2-time Olympic Gold Medalist
  • Thank you for working your magic! You're the best!
    Zakiya BywatersChicago Red Stars, National Women's Soccer League
  • Thanks for all the love and positive Energy that was put into my surgery. May the Lord bless you and your family.
    Atari BigbyGreen Bay Packers and San Diego Chargers
  • Dr. Domb, Thanks for fixing me up
    Rashied DavisChicago Bears
  • Huge thank you to Dr. Domb for always taking care of me and getting me back on the court in no time!
    Elena Delle DonneChicago Sky, MVP of the WNBA
  • Dr. Domb! Thanks for taking care of the hip! All the best to you and your staff
    Roosevelt ColvinChicago Bears' All-Decade Defense team
  • Thanks doc for fixing my hip!
    Ryan ChiaveriniWindy City Live Co-Host on ABC7

Bicep Tendon Tears and Tendonitis

The biceps tendon originates from the top of the shoulder socket (the glenoid) and exits through a bony depression known as the biceps groove. Below the shoulder, the tendon becomes the long head of the biceps muscle; thus, the biceps muscle, which functions to flex the elbow and rotate the forearm, is anchored in the shoulder region.

Injuries to the biceps tendon can come in two varieties: partial and full thickness or complete tears. Most tears of the tendon are the result of continuous or repetitive strain. In the younger population, tears are often seen during heavy resistance training. In most cases, tearing is a gradual process, and partial tears are a source of continued pain.

If the tear is a complete tear in the proximal tendon (near the shoulder), the bicep muscle may roll down and form a muscular ball, known as a “Popeye sign" (image). Symptoms of a full biceps tendon tear include sharp, sudden pain in the upper arm, and in some cases, an audible pop or snap. Symptoms may also include pain or tenderness near the shoulder, difficulty flexing the elbow and rotating the forearm.

For those who have a painful partial tear in the tendon, treatment includes rest, ice, anti-inflammatories and physical therapy to help restore muscular strength and flexibility.

Surgical treatment, known as a biceps tenodesis, is an option for those who do not have relief or improvement from conservative methods. Several new, procedures have been developed to repair the tendon in a minimally invasive fashion. The goal of the surgery is to re-attach the tendon to the bone. At the level of the shoulder, the biceps tendon will usually be reattached or anchored to the proximal humerus using a small screw and suture.

Recovery

Shoulder arthroscopy is generally an outpatient procedure. The averagepostoperative course involves 2-6 weeks in a shoulder sling to protect the work done on the shoulder. A sling may be required for 6 weeks if the shoulder's condition requires a more extensive surgery. Most patients begin physical therapy 2-6 weeks after surgery. Patient's return to work is extremely variable  after their procedure, depending on their surgery and their work type. Athletes can expect to return to sports between 6 months and 1 year after surgery. High-level athletes participate in an intense physical therapy course after surgery, gradually increasing their workout intensity.