A surgeon discussing Biceps Tenodesis options with a patient in Florida
Treatment/Treatment Details

Biceps Tenodesis

Biceps tenodesis reattaches the long head of the biceps tendon lower on the arm to relieve pain and restore function.

Experiencing Shoulder Pain?

Get expert relief — we'll call you to schedule

Free consultation • Same-day callbacks • No obligation

Relieving Biceps Tendon Pain

Biceps Tenodesis is a surgical procedure that reattaches the long head of the biceps tendon from its attachment at the top of the glenoid socket to a lower point on the humerus (upper arm bone). This procedure is performed to treat biceps tendonitis, biceps tendon tears, or when the biceps tendon is causing pain and limiting shoulder function. At Mountain Spine & Orthopedics, our shoulder specialists use arthroscopic techniques to perform this procedure, resulting in less pain and faster recovery compared to open surgery.

Biceps tenodesis is often performed in conjunction with other shoulder procedures like rotator cuff repair or subacromial decompression. The procedure relieves pain by removing the damaged portion of the tendon from the shoulder joint and reattaching it in a location where it's less likely to cause problems.

Explore Shoulder Conditions & Treatments

View all shoulder conditions and treatment options →

Who Is a Candidate?

  • Patients with biceps tendonitis that hasn't responded to conservative treatment
  • Individuals with biceps tendon tears or instability
  • Those with persistent pain in the front of the shoulder from biceps problems
  • Patients undergoing rotator cuff repair with biceps involvement
  • Athletes with biceps-related shoulder pain affecting performance
  • Those seeking to preserve biceps function while relieving pain

What Conditions does Biceps Tenodesis Help Ease?

This procedure may help with:

Rotator Cuff TearLabral TearsShoulder ArthritisShoulder TendonitisShoulder PainShoulder Impingement
Arthroscopic view of biceps tenodesis procedure

The Tenodesis Procedure

  1. Following consultation and diagnostic imaging, the procedure is performed arthroscopically
  2. The long head of the biceps tendon is identified and released from its attachment
  3. A small incision is made lower on the arm
  4. The tendon is reattached to the humerus using a suture anchor or interference screw
  5. The repair is tested for stability
  6. The incisions are closed, and the arm is placed in a sling

Benefits of Biceps Tenodesis

  • Relieves pain from biceps tendon problems
  • Preserves biceps muscle function
  • Minimally invasive arthroscopic technique
  • Faster recovery compared to open surgery
  • Allows return to sports and activities

Recovery Timeline

Recovery Timeline: 3-4 Months for Full Recovery

Recovery from biceps tenodesis involves protecting the repair while it heals. A sling is worn for 4-6 weeks. Physical Therapy begins with gentle motion and progresses to strengthening. Most patients experience significant pain relief within the first few weeks. Full recovery typically takes 3-4 months, with return to most activities including sports. The arthroscopic approach allows for faster recovery with minimal scarring.

Related Shoulder Treatments

Explore other shoulder treatment options:

Resurfacing Shoulder Replacement TreatmentRotator Cuff Repair SurgeryShoulder ArthroscopyTotal Shoulder ReplacementReverse Shoulder ReplacementLabral Repair (Shoulder)Shoulder Instability SurgeryAcromioplasty

Frequently Asked Questions

What is biceps tenodesis surgery?

Biceps tenodesis detaches the long head of the biceps tendon from its attachment in the shoulder and reattaches it lower on the humerus bone. It treats chronic biceps tendonitis, SLAP tears, or partial rotator cuff tears by removing a pain generator.

When is biceps tenodesis recommended?

Tenodesis is recommended for chronic biceps tendonitis unresponsive to conservative treatment, irreparable SLAP tears (especially in patients >40), partial rotator cuff tears with biceps involvement, or painful biceps subluxation. It's often combined with rotator cuff repair.

What is the recovery time for biceps tenodesis?

Recovery takes 3 to 4 months for return to full activities. Patients avoid lifting with the affected arm for 6 weeks to allow tendon healing. Physical therapy focuses on shoulder motion initially, then progressive strengthening. Sports return requires 4-6 months.

What is the difference between tenodesis and tenotomy?

Tenodesis reattaches the tendon to bone preserving biceps function and cosmesis. Tenotomy simply releases the tendon, allowing it to retract. Tenotomy is quicker with faster recovery but may cause a "Popeye" deformity (20-30%) and potential cramping/weakness.

What are the results of biceps tenodesis?

Results are generally excellent. Pain relief rates exceed 85-90%. The "Popeye" deformity is rare (5%) compared to tenotomy (20-30%). Minimal functional strength loss occurs. Patient satisfaction is high, especially when combined with rotator cuff repair or other procedures.

Schedule a Consultation Today

Pain in the front of your shoulder from biceps problems? Our shoulder specialists provide comprehensive evaluation to determine if biceps tenodesis is right for you. Book an appointment with Mountain Spine & Orthopedics today.

Locations Offering Evaluation

Our board-certified specialists offer biceps tenodesis evaluation and treatment at locations across Florida, New Jersey, New York, and Pennsylvania. Schedule a consultation at a clinic near you.

View All LocationsFlorida LocationsNew Jersey LocationsNew York LocationsPennsylvania Locations