• Suite E Level 3 (Head Office) 20-22 Mons Road Westmead NSW 2154

Call Us: (02) 9687 8344

Distal Biceps Repair Protocol

You will achieve the best rehab outcome if you follow up surgery with a matching course of rehabilitation. The below outlines recommendations of your rehab over the first 3 months following your procedure;

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    Overview

    Pre-Surgery Preparation

    Prior to distal biceps repair surgery for a distal biceps rupture, Dr Gupta recommends the following;

    • See Dr Gupta for a complete diagnosis of your condition
    • Game Ready ice and compression therapy fitting and instructions explained
    • Your Post Op Rehab Protocol explained

    Post Operative Rehab

    You will achieve the best rehab outcome if you follow up surgery with a matching course of rehabilitation. The below outlines recommendations of your rehab over the first 3 months following your procedure; Self Guided Activities  Whilst Dr Gupta, your GP and your physio will help guide and motive you through your recovery, the more you can help on your own, the better the result for all. A checklist below will help remind you what to do along the way;

    • If you have surgery, make sure you keep your wound dry
    • Wear a sling day and night for 2 days and then day only for 6 weeks
    • Confirm your 2 week post op appointment with Dr Gupta (if you needed an operation)
    • Use your pain medication as prescribed by your GP doctor
    • Use your rented Game Ready ice treatment as recommended from 0-4 weeks
    • Visit your physiotherapist 2-3 times a week and repeat your physio session by yourself daily from 0-4 weeks
    • Decrease your physiotherapy visits to 2-3 times a week and repeat exercises daily from 4-8 weeks
    • Confirm your 2 month post op follow up appointment with Dr Gupta

    Physiotherapy  1-6 Weeks Priority no.1 is to protect the area of surgical repair to allow for healing. Minimise active movement, maintain passive movement, maintain contra lateral strength and strength of muscles close to condtion.

    • Remove sling for exercises
    • Full elbow straightening exercises are contra indicated (not allowed)

    Passive Movement Exercises

    • Combined elbow and shoulder Flexion/ Extension exercises using pulley or cycle device 3×5 minutes continuous

    Strength Exercises

    • Wrist curl 3×15 reps using theraband resistance as tolerated
    • Grip strength exercises, 3x 15 with 10 second holds
    • Specific Elbow Flexion/ Extension 3×15 reps using theraband in ROM as tolerated
    • Non-affected elbow exercises as per above

    Recovery and Pain

    • Scar and swelling massage
    • Ice and compression therapy like Game Ready
    • Interferrential if preferred

    6 Weeks to Full Recovery Priority no.1 is completing max elbow ROM and improving strength during this phase.

    • Full elbow straightening exercises are now allowed at home

    Passive Movement Exercises

    • Combined elbow and shoulder Flexion/ Extension exercises using pulley or cycle device 3×5 minutes continuous

    Strength Exercises

    • Wrist curl 3×15 reps using theraband resistance as tolerated
    • Grip strength exercises, 3×15 with 10 second holds
    • Specific Elbow Flexion/ Extension 3×15 reps using theraband in ROM as tolerated
    • Leaning on elbow as tolerated
    • Weight bearing triceps extensions as tolerated
    • Non-affected elbow exercises as per above

    Recovery and pain

    • Scar and swelling massage
    • Ice and compression therapy like Game Ready
    • Interferrential if preferred

    If you’ve got a elbow condition and don’t know what to do, contact Dr Gupta on 02 9687 8344 or make an online booking here.

    Dr Manish Gupta | MBBS FRACS FAOrthoA

    Dr Manish Gupta | MBBS FRACS FAOrthoA

    Dr Manish Gupta is a renowned expert surgeon in the field of Orthopaedic Surgery specialising in Upper Limb including Shoulder, Elbow and Wrist.


    Contact us today

      Clinic Locations

      Penrith

      (02) 9687 8344

      reception@mgorthopaedics.com.au

      Monday to Friday: 8:30am to 4:30pm

      One Point Health, 510-536 High Street, Penrith, NSW, 2750

      Bella Vista

      (02) 9687 8344

      Bella Vista, Hospital for Specialist Surgery, Level 1,Suite 1, 17-19 Solent Circuit, Bella Vista, NSW, 2153

      Westmead (Head Office)

      (02) 9687 8344

      Suite E Level 3, 20-22 Mons Road Westmead NSW 2154

      Qualification and Experience