What is Distal Biceps Tendon Rupture?
Distal biceps tendon rupture is a significant injury that occurs when the tendon attaching the biceps muscle to the forearm bone tears away from the bone. This injury commonly results from a sudden overload of the muscle, often during lifting heavy objects. Physical therapy plays a crucial role in the recovery process, whether the treatment approach is surgical or non-surgical.
Physical Therapy for Distal Biceps Tendon Rupture
In the case of non-surgical management or post-surgical rehabilitation, the initial focus of physical therapy is to reduce pain and inflammation while protecting the tendon repair or the healing tissue. This may involve the use of ice, gentle compression, and modalities such as ultrasound or electrical stimulation. The use of a brace or sling is often recommended to immobilize the elbow and allow the tendon to heal.
As healing progresses, the physical therapist will introduce gentle range-of-motion exercises to prevent stiffness and maintain joint mobility. These exercises are performed within a safe range to avoid putting undue stress on the healing tendon. Strengthening exercises are gradually incorporated as the tendon's strength improves, starting with isometric exercises and progressing to more dynamic movements involving the biceps and surrounding muscles.
The final phase of rehabilitation focuses on restoring full strength and function. This includes exercises that target the entire upper extremity to ensure a balanced recovery and prevent compensatory patterns. For athletes or individuals with physically demanding jobs, sport-specific or job-specific training is integrated to prepare them for a safe return to their activities. The physical therapist will also provide guidance on injury prevention and techniques to avoid future injuries.
With a comprehensive and individualized physical therapy program, most individuals can achieve a successful recovery from a distal biceps tendon rupture and return to their normal activities with full function and strength.