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Reijury to distal bicep tendon 2 yrs post op

Hello and thank you for your time. I am a 39 year old male. Just over two years ago I tore my right distal bicep tendon which was surgically repaired. I completed physical therapy and was fairly consistent with my workouts for about six months post op. I then became lazy and stopped working out entirely for about 1.5 years. This week I decided it was time to get back to it. My first workout involving my right arm was using a 35 lb kettlebell. After four sets of 15 reps, my biceps were tight but no pain. The next morning I had significant pain at my right elbow at the same spot of the previous injury, only the pain was more severe. I did not see and swelling or bruising and I did not hear or fell any pops during the workout. The second day (today), the pain was much worse. I have very little lifting strength with my right arm. I feel very little pain so long as I keep my arm bent less than 90 degrees. If I extend my arm past 90 degrees, the pain intensifies, however once nearly fully extended, the pain will subside somewhat but not completely. I have not been able to completely straighten my arm. If I bent back to less than 90 degrees, it feels like the tendon shortens. I was hoping to wait a few more days to see if the pain subsides before going back to a doctor, but I'm not certain the best treatment in the mean time. Do I use ice or heat? Should I go back to the doctor right away or is it likely that I just used too much weight too quickly and over strained the tendon. Thank you again for your help.
1 Responses
1711789 tn?1361311607
MEDICAL PROFESSIONAL
Hi there!

Well, without a detailed clinical evaluation it would be difficult to determine the cause of the symptoms. Possibilities that may need to be considered include inflammation, re-tear, injuries to ligaments etc. I would recommend getting this examined by an orthopedician at your earliest convenience for an accurate diagnosis and appropriate management. Meanwhile you may try using warm compresses/ ice-packs (whatever you feel helps) and OTC NSAIDS for symptomatic relief.
Hope this is helpful.

Take care!
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