Understanding Biceps Tenodesis: A Solution for Shoulder Pain

Shoulder pain can be incredibly limiting, especially when it interferes with your ability to lift, carry, or even perform simple daily activities. One of the lesserknown causes of shoulder discomfort is a problem with the biceps tendon,
particularly where it attaches to the shoulder. When conservative treatments fail, biceps tenodesis may offer long-lasting relief and help restore full shoulder function.

What Is the Biceps Tendon?

The biceps muscle has two tendons that attach it to the bones of the shoulder. The long head of the biceps tendon (LHBT) runs through the shoulder joint and attaches to the top of the shoulder socket (glenoid). This tendon is particularly prone to wear and tear, especially in people who perform repetitive overhead motions or in athletes like swimmers and weightlifters.

Over time, this tendon can become inflamed, frayed, or even torn, leading to persistent pain at the front of the shoulder.

What Is Biceps Tenodesis?

Biceps tenodesis is a surgical procedure that involves removing the damaged portion of the long head of the biceps tendon from the shoulder socket and reattaching it to the upper arm bone (humerus). This relieves tension on the
inflamed area while preserving the function and strength of the biceps muscle.

It is often performed as an arthroscopic (minimally invasive) procedure, sometimes in combination with rotator cuff repairs or treatment of labral tears.

Who Needs Biceps Tenodesis?

This procedure may be recommended if:

• You have chronic shoulder pain due to biceps tendinopathy
• There’s a partial or full-thickness tear in the biceps tendon
• You’ve had a failed response to physical therapy, rest, or medications
• You’re an active adult or athlete wanting to preserve biceps strength and appearance

Benefits of Biceps Tenodesis

• Reduces or eliminates chronic shoulder pain
• Preserves biceps function and cosmetic appearance (avoids “Popeye” deformity)
• Provides long-term relief for tendon-related shoulder conditions
• Allows patients to return to active lifestyles and sports

Recovery After Biceps Tenodesis

Recovery typically includes:

• Immobilization in a sling for 2–4 weeks
• Physical therapy starting with gentle range of motion exercises
• Gradual return to strengthening and overhead activities over 2–3 months
• Full recovery often achieved within 3–6 months

Surgeon will tailor your rehab plan based on your specific condition and if any other shoulder procedures were done simultaneously.