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Surgery or Not - Distal Bicep Tendon Full Tear?

Posted on 8/2/22 at 8:59 am
Posted by Walkboo4
Member since Dec 2019
20 posts
Posted on 8/2/22 at 8:59 am
Unfortunately, I tore my bicep catching a falling lady about 2 weeks ago. Now I have decision to make of surgery or not. Has any here had the surgery and or opted out?
My main hold backs are the down time/recovery (3months from lifting anything really) and cost.

Cosmetically, is not a concern and it actually looks ok now.
The strength will likely never be fully even with surgery. Without surgery the main strength loss is not what most think of like curling but more supination/wrist rotation. The tendon will scar down somewhere but never be really strong again.

Also, this is my left arm and non dominant.
Thanks for input!
Posted by Blutarsky
112th Congress
Member since Jan 2004
11528 posts
Posted on 8/2/22 at 10:00 am to
I’d fix a distal tear if I were you.

And whoever said strength wouldn’t be the same is a liar. If you rehab it correctly and put the work in, you can fully recover from it.

One of our gym bros tore his unloading something from his truck. The weight shifted and it popped. He had surgery and was probably fully recovered back to where he was in less than a year.
This post was edited on 8/3/22 at 10:34 pm
Posted by mtcheral
BR
Member since Oct 2008
2036 posts
Posted on 8/2/22 at 1:02 pm to
Fix it
Posted by h0ll@yaboy
Baton Rouge
Member since May 2013
168 posts
Posted on 8/3/22 at 8:16 pm to
FIX IT

Do some prehab for 4-6wks. Get survey on that 4th or 6th week. Start your post op therapy as quick as possible.

Don’t think you are superhuman and can get away without surgery, unless you are happy with strength limitations the rest of your life
Posted by TheZaba
FL
Member since Oct 2008
6191 posts
Posted on 8/4/22 at 8:15 am to
Distal tear - fix it

Proximal tear - don’t fix it
Posted by RC
Member since Apr 2009
989 posts
Posted on 8/4/22 at 9:26 am to
Don’t wait 4-6 weeks. If it’s already been a couple weeks then you need it fixed asap. If you wait more than a few weeks the tendon can start to scar down in a retracted position and the area that the tendon normally passes through will start to scar down. This makes the repair more difficult and will make it harder to regain motion after surgery.
Posted by Florida_Man1981
Member since Jan 2024
415 posts
Posted on 2/24/25 at 7:17 pm to
Bump.

How did you recover? I'm 7 weeks post surgery right now for a distal bicep tear in my dominant arm. I feel like the bicep sits higher than on the other arm and the worst part of recovery is constantly worrying that it has retorn.
Posted by Circumlocution
two doors down
Member since Sep 2024
154 posts
Posted on 2/25/25 at 8:36 am to
With a full tear, you're probably not going to be lifting much of anything for at least two months regardless. The cost side of it is real. Good luck whichever route you take.
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