What Is Biceps Tenodesis & How Does It Work?
Biceps tenodesis is a specialized surgical procedure designed to relieve shoulder pain caused by severe tendonitis, instability, or tears of the long head of the biceps tendon. For many active individuals in New York, persistent shoulder pain can limit function and hinder athletic performance. This surgery involves detaching the damaged tendon from its original attachment point in the shoulder joint (the labrum) and reattaching it to the humerus (upper arm bone).
By moving the tendon to a more stable location, surgeons can effectively eliminate the “anchor” pain caused by pulling on damaged tissue while preserving the muscle’s function and cosmetic appearance. It is a highly effective solution for those who have not found relief through conservative treatments like physical therapy or cortisone injections. At Manhattan Orthopedic Care, Dr. Armin Tehrany utilizes advanced techniques, often including arthroscopic biceps tenodesis, to minimize recovery time and maximize results for our patients.
When Is Biceps Tenodesis Necessary?
Biceps tenodesis surgery is primarily used to treat painful pathology of the long head of the biceps tendon, often when conservative measures fail. It is frequently indicated for active adults and overhead athletes suffering from:
Biceps Tendonitis
Chronic inflammation of the long head of the biceps tendon leads to fraying and deep, aching pain in the front of the shoulder, often worsened by overhead lifting.
SLAP Tears (Superior Labrum Anterior to Posterior)
A tear in the ring of cartilage (labrum) where the biceps tendon anchors. Tenodesis relieves the tension on this torn cartilage, effectively eliminating pain and clicking sensations.
Biceps Subluxation
This occurs when the tendon repeatedly snaps out of its groove (the bicipital groove) due to a tear in the subscapularis tendon or ligament instability, causing sharp, snapping pain.
Partial or Full Biceps Tendon Tears
Degeneration or trauma can cause the tendon to tear partially or completely. Tenodesis repairs the remaining healthy tendon, restoring strength and preventing muscle deformity (the “Popeye” muscle).
Our Surgical Options: Types of Tenodesis
There are different surgical approaches adapted to the patient’s anatomy and activity level. Dr. Tehrany will determine the best biceps tenodesis protocol for your specific injury.
Arthroscopic Biceps Tenodesis
This minimally invasive “keyhole” approach uses small incisions and a camera. It offers less scarring, reduced post-operative pain, and a faster return to daily activities for most patients.
Open Biceps Tenodesis
A small incision is made at the front of the shoulder or armpit. This is often necessary for chronic cases where the tendon has retracted or if complex hardware is required.
Soft Tissue Tenodesis
The tendon is sewn into the surrounding soft tissue or rotator cuff. This is occasionally used but is generally less secure than bone fixation methods for high-demand athletes.
Bone Anchor Fixation (Subpectoral)
The tendon is anchored into the humerus bone using a specialized screw or anchor. This provides robust fixation, allowing for early range of motion and high-load activities later.
Why NYC Locals Choose MOC for Biceps Surgery
Manhattan Orthopedic Care is the premier destination for Manhattan and Staten Island residents seeking world-class shoulder surgery closer to home. We set the standard for biceps tenodesis and orthopedic excellence in New York, offering a private, high-end environment for your recovery. Dr. Armin Tehrany, an Honorary Surgeon for the NYPD, brings elite expertise to every case, ensuring you receive the same level of care provided to the city’s finest.
- We believe in healing that extends beyond surgery. For self-pay consultations, we donate a portion of the fee to a charity of your choice from our curated list, directly supporting the causes you care about.
- We offer transparent insurance options and a holistic biceps tenodesis protocol designed to accelerate your return to activity. Our focus is on getting you back to your busy lifestyle with minimal downtime.
- Dr. Tehrany offers exclusive benefits and preferred rates for first responders. We guarantee a bespoke, discreet patient experience from your first call through your final rehabilitation session.
What to Expect during The Biceps Tenodesis Process
Your journey to recovery is structured and supported at every step. Here is a brief timeline of the biceps tenodesis process at MOC.
Biceps Tenodesis Consultation
Following a comprehensive evaluation and MRI, we prioritize conservative care. If these options fail to provide relief, we then discuss your candidacy for biceps tenodesis surgery.
Pre-surgery preparation
You will receive a customized guide on halting certain medications, fasting instructions, and organizing post-op assistance to ensure a smooth surgical day.
Day of Surgery
The procedure typically takes under 90 minutes. You will be comfortable under anesthesia, and you will return home the same day to recover.
Follow-up Appointment
Your first visit usually occurs 7-10 days post-op to check incisions, remove sutures, and initiate the biceps tenodesis protocol for rehabilitation.
Social Readiness
Most patients feel comfortable attending social events or returning to desk work within a week, wearing a sling for protection during the initial phase.
Is Biceps Tenodesis Right for You?
Candidates are usually active individuals who have exhausted non-surgical options without relief.
- Active adults aged 35–60 with shoulder pain
- Patients with confirmed SLAP tears or severe tendonitis
- Individuals wishing to avoid cosmetic “Popeye” deformity
- Those unresponsive to physical therapy or injections
- Manual laborers needing restored arm strength
- Athletes requiring high-level shoulder function
Your Road to Recovery & Rehabilitation
Recovery following biceps tenodesis surgery is a gradual process that prioritizes protecting the repair while restoring motion. Initially, you will wear a sling for about 4 to 6 weeks to allow the tendon to heal to the bone. During this time, passive range-of-motion exercises begin under the guidance of a physical therapist.
Active motion usually starts around the 6-week mark, with strengthening exercises introduced progressively after that. Most patients achieve full range of motion by 12 weeks. Complete return to heavy lifting or overhead sports typically occurs between 7 to 9 months. Our specific biceps tenodesis recovery protocol ensures you advance safely, minimizing the risk of re-injury while aiming for a full return to your active New York lifestyle.
Top Benefits of Biceps Tenodesis
This procedure offers reliable pain relief and restores functional strength for daily activities.
- Significant, long-term relief from anterior shoulder pain
- Prevention of the “Popeye” muscle deformity
- Restoration of nearly normal arm flexion strength
- High satisfaction rates among active patients
- Correction of associated SLAP tear symptoms
- Ability to return to overhead sports and lifting
Understanding Surgical Risks & Safety
While biceps tenodesis is a safe and common procedure, all surgeries carry some inherent risks. Dr. Tehrany takes every precaution to minimize these complications.
- Infection or bleeding at the incision site
- Nerve injury causing numbness or weakness
- Stiffness or “frozen shoulder” during recovery
- Failure of the tendon to heal to the bone
- Cosmetic asymmetry in the upper arm
Start Your Journey to Pain Relief Today
Don’t let shoulder pain limit your life any longer. Contact MOC today to schedule your consultation for biceps tenodesis in New York. Experience premium care and expert results in Manhattan or Staten Island.
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