Distal Biceps Repair Rehabilitation Protocol

Phase One (Weeks 1-3)

  • Decrease pain.

  • Edema control

  • Brace – 75deg to 90deg ROM allowed from POD #1 for very gentle passive ROM

  • Increase extension 15deg per week

  • Active extension allowed

  • Active flexion is to be avoided.

Phase Two (3-6 weeks)

  • Brace is discontinued at 3 weeks

  • Full extension obtained by 6 weeks

  • Active extension allowed

  • Transition to Active assisted flexion

Phase Three (6-12 weeks)

  • Active elbow flexion is started

  • Lifting is started at 5lbs and increased 5lbs per week if patient can tolerate.

    Phase Four (12 + weeks)

Gradual return to all activities as tolerated without restriction

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