Last month, on his 30th birthday , Scott Gams, physiotherapist in Greenville , SC , celebrated with a wink ! However, what is not immediately obvious is that her traumatic injury may have been years in the making and could have been avoided . Scott was kind enough to share their experience in the treatment of the injury, as well as offering advice and perspective on / Biceps Tendinitis Tendinitis, based on anatomic and clinical experience bicep tendon tear.
How did your bicep tendon tear and how you will feel?
After a session of physical therapy , I went with my patients. Unfortunately, she lost her balance and fell forward . In an attempt to stabilize or at least reduce the impact of the fall , I reached around his hips . In the process , I felt a noise. Patient care after the fall (the patient was not injured ) , I noticed some pain in his right elbow . After trying to shake a few times, looked to my right arm and I noticed a distinct bulge in the biceps region , consistent with a " Popeye sign " with a torn biceps. My fear that I had broken distal bicep tendon tear was confirmed after a trip to the orthopedist later in the day. Although the distal bicep tendon tear ruptures in rare cases , rapid eccentric loading with elbows slightly bent was the typical mechanism of injury to breakage. Fortunately there was a minimum of pain associated with the breakdown as it was a complete tear . I experienced a slight swelling in the arm and weak supination elbow flexion / forearm bicep tendon tear.One of the main points I want to highlight in this post , is that it may have begun with a bout of tendinitis. When you develop distal biceps tendinitis and how it started?
I began to experience the distal biceps tendinitis four years ago in both arms. He began to follow a routine of low / strength training high repetition weight bicep tendon tear.
How have you dealt with the management and treatment of biceps tendinitis before finally broken?
Initially , I spoke restricted flexibility in my biceps , shoulder, forearm , and scapular regions with stretching . I also started to take over the counter NSAIDs to treat any inflammatory process. As the symptoms persisted and became more chronic , started light eccentric elbow flexion to address the risk of tendinitis. I also stopped resistance training in both upper limbs . I also started mobilizing soft tissue of the biceps bicep tendon tear technical Graston . Unfortunately we spent almost three months for the symptoms disappear and if six months before he can start training intensity levels of force before. In the past three years I have not met with my biceps tendinitis leisure activities , such as weightlifting, workout kettle bell , running and playing tennis.Would you mind explaining the difference between tendonitis and tendinitis bicep tendon tear?
Tendinitis is an acute inflammation of a bicep tendon tear due to excessive use and microtrauma , causing pain , sensitivity to movement, and swelling. Tendonitis is a chronic disease with no inflammation . Is characterized by a degeneration of collagen fibers and abnormal wound healing bicep tendon tear. Tendinitis is usually controlled with ice, NSAIDs, relative rest, which extends and usually disappears in 3-6 weeks. Tendonitis is a chronic condition that responds to treatment re- initiation of the healing response to deal with abnormal collagen fibers . These treatments may include eccentric , soft tissue mobilizations instrumented puncture and intramuscular dry stretch.Can you briefly describe what the recovery / rehabilitation will look like for you ?
The bicep tendon tear was surgically repaired using a method endobutton bicep tendon tear. I am a splint at 90 degrees of elbow flexion and neutral forearm position week post surgery , then a brace locked at 90 ° of flexion is given .I started two weeks of postoperative physical therapy to reduce swelling , joint mobilizations , and the range of passive movement of the elbow and forearm. Although the specific procedure used for more aggressive rehabilitation , we included active ROM as soon as two weeks, we decided to be cautious bicep tendon tear.
Currently , I am five weeks postoperatively and work in passive and active range of motion in the right arm . Strengthening begin after week 8 op with a gradual progression of full and recreational activities. The main door reinforcement elbow pain, which is set to 10 degrees elbow extension weeks . The corset is mainly necessary at this time to avoid another unexpected eccentric load weight and reduce cyclic loading.