Bicep Problems: Treatment options

Non-surgical treatment

SLAP lesion
Painkillers and anti-inflammatory medication will help control the pain and reduce any swelling. These may be in the form of an injection directly into the damaged joint.

Biceps tendonitis
Complete rest from lifting heavy objects will give your tendon the chance to heal. Treatment will include painkillers to make you feel more comfortable and anti-inflammatory medicine to reduce any swelling. These may be administered directly into the site of the inflammation via an injection. To help locate the exact point, ultrasound may be used. A course of physiotherapy will be devised for you to help strengthen your shoulder muscles and regain full movement in your biceps.

Biceps tendon rupture
Painkillers will help you to control any pain you may feel. However, to reattach your tendon to the bone, you will need an operation.

Surgical treatment

SLAP lesion
The tear or break in the cartilage can be repaired during keyhole surgery. Using special bone anchors (screws) and stitches, the torn labrum is attached back into its normal position. Sometimes, the injury is too severe to be repaired, or too minor to need reattachment. In such cases, it is smoothed down (debrided) to create a stable surface.

 

Biceps tendonitis
If conservative treatment fails, Mr. Cole may suggest an operation. Isolated biceps tendonitis can be treated with an arthroscopic (keyhole) operation and either dividing the long head of biceps (tenotomy) and this stops it from rubbing and causing pain, or by pinning it to the top of the humerus bone (tenodesis). If your rotator cuff is damaged, Mr. Cole may suggest an arthroscopic rotator cuff repair. This is normally completed as day surgery and you will be able to go home on the same day as your operation.

 

Biceps tendon rupture
In a procedure called a biceps tenodesis, the LHB tendon is reattached to the bone just below the shoulder. Special screws are used to anchor it to the bone. The screws are strong enough to enable you to move your arm relatively soon after surgery, without the need for a lengthy period of immobilisation. The operation is arthroscopic keyhole surgery and will not require you to stay overnight in hospital.

Following your surgery, your team of physiotherapists will work with you to devise an exercise programme. This will be designed with advice from Mr. Cole to help you recover as quickly and efficiently as possible.