Home > Blog > Physiotherapy & Hand Therapy > Conditions > Biceps Tendon Rupture Physiotherapy
Biceps Tendon Rupture Physiotherapy
A biceps tendon rupture happens when the biceps muscle is torn from
the bone at the point of attachment (tendon) to the shoulder or elbow.
Most of the time, the biceps tendon is torn at the shoulder.
Usually biceps tendon ruptures happens in men more than women; and usually between 40 to 60 years of
age due to chronic wear of the biceps tendon.
For younger patients, biceps tendon tears is usually the result of trauma such as
Of course biceps tendon ruptures can also happen to anyone at any age especially
- those who tend to perform repetitive overhead lifting or
- work in occupations that
require heavy lifting and
- in athletes who lift weights or participate
in aggressive contact sports
What our senior physiotherapists do to help patients revolve around
- regaining flexibility
- regaining strength
- regaining movement
- regaining function in their arms following biceps tendon ruptures
What is a Biceps Tendon Rupture?
Our shoulder is a ball-and-socket joint made up of 3 bones:
upper-arm bone (humerus),
- the shoulder blade (scapula)
- the collar
The ball at the top of the upper-arm bone is called the
head of the humerus.
The socket on the shoulder blade is called the
glenoid fossa. A tendon is a fibrous bundle that attaches a muscle to a
bone. The muscles and tendons of the rotator cuff hold the ball into the
socket of the shoulder.
The biceps muscle has 2 tendons that attach it
to the shoulder and travel the length of the upper arm and insert just
below the elbow. The biceps muscle is responsible for bending (flexing)
the elbow and rotating the forearm.
One of the tendons is called the
"long head" of the biceps muscle; it attaches to the upper-arm bone. The
second area of attachment is called the "short head" of the biceps; it
attaches the muscle to a bony bump on the shoulder blade called the
Most of the time, biceps tendon ruptures will happen at the long head of the
biceps at the upper-arm bone, leaving the second attachment at the
shoulder blade intact. The patient's arm can still be used after this type of
rupture, but will have some weakness will be present in the shoulder and upper arm.
biceps tendon tear can either be
- partial, when part of the tendon remains intact and
only a portion is torn away from the bone, or
- complete, where the entire
tendon is torn away from the bone (100% rupture)
How Does a biceps tendon rupture Feel like?
After sustaining a biceps tendon rupture, you may experience:
- Sharp pain in the upper arm or elbow
- Hearing a "pop" or snap at the shoulder or elbow
- Bruising and swelling in the upper arm to elbow
- Weakness in the arm when bending the elbow, rotating the forearm, or lifting the arm overhead
- Tenderness in the shoulder or elbow
- Muscle spasms in the shoulder and arm
- A bulge or deformity in the lower part of the upper arm (a "Popeye arm")
How Is biceps tendon rupture Diagnosed?
In most cases, a thorough history and physical examination of the
involved arm can diagnose a biceps tendon rupture. Our senior physiotherapist will ask you several questions regarding
- your medical history
- your regular daily tasks at home and at work
- your recreational or
We will ask how the injury
happened and where you are having pain and/or weakness.
We will then continue by examining your entire upper arm for
bruising or swelling, and gently touch it to determine if there is any
tenderness over the biceps region at the shoulder, upper arm, or elbow.
We also will examine the amount of motion and
strength present on the involved side in the shoulder, forearm, and
elbow, compared to the noninvolved side. Functional testing may also be
performed to determine what daily tasks are difficult for you to perform eg
- lifting an object
- reaching overhead
- reaching behind the body
- rotating the forearm to open a door
how our senior physiotherapists can help you
A biceps tendon rupture often is treated without surgery (especially in the case of partial tendon tear; full ruptures will often require corrective surgery)
physiotherapist will design an individualized treatment program to
help heal your injury in the safest and most efficient way possible.
Biceps tendon rupture physiotherapy/hand therapy treatment may include:
Rest. You will be instructed in ways that allows the limb to rest to promote healing.
Cold Therapy. We will show you how to apply ice to the affected area to manage pain and swelling.
Range-of-Motion Activities. We will teach you gentle mobility exercises for the shoulder, elbow, and
forearm, so your arm does not get stiff during the healing process.
Strengthening Exercises. As the pain and swelling ease, gentle strengthening exercises with resistant bands or light weights will be added.
Functional Activities. You will learn exercises to help you return to the activities you performed before the injury.
Education. We will teach you
how to protect your joints from further injury. You will learn how to
properly lift objects once the arm is healed, and how to avoid lifting
objects that are simply too heavy.
Can biceps tendon rupture be Prevented?
To prevent a biceps tendon rupture, individuals should:
- Maintain proper strength in the shoulder, elbow, and forearm.
- Avoid repetitive overhead lifting and general overuse of the
shoulder, such as performing forceful pushing or pulling activities, or
lifting objects that are simply too heavy. Lifting more than 150 pounds
can be dangerous for older adults.
- Use special care when performing activities, such as lowering a heavy item to the ground.
- Avoid smoking; it introduces carbon monoxide into the body and leaves less oxygen for the muscles to grow and heal.
- Avoid steroid use, as it weakens muscles and tendons.
Back to Top
book an appointment today
(or check your pains / injuries)
Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
- Cupping TCM
- Auricular Therapy TCM
- Herbal TCM Medicine & Supplementation
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
do Tell Your Family, Friends And Colleagues About Us =)
We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.
We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.
book an appointment today
(or check your pains / injuries)
Jun 29, 22 08:32 AM
Adele is a registered physiotherapist with over 25 years of experience including treating national athletes as well as recreational athletes having worked in Singapore Sports Council and Singapore Spo…
Feb 03, 22 04:05 AM
Achilles tendon pain is very common among recreational and elite sportspeople. But it is also common among sedentary individuals
Feb 03, 22 12:16 AM
Tendonitis, tendinopathy and tendinosis are all tendon injuries and treated by physiotherapists and hand therapists
Jan 11, 22 02:01 AM
Cervical spondylosis is a general term to describe the degenerative condition in the neck which results in pain and other symptoms
Jan 07, 22 12:28 AM
Tendinopathy (tendon injuries) can develop in any tendon of the body and has many names such as tendinitis and it can be treated with good tendon physiotherapy
Dec 15, 21 01:47 AM
Tendon problems are common in runners and can become a persistent issue if not properly treated.
Dec 14, 21 11:23 PM
Pain and pathology in a tendon, known as tendinopathy, is a common injury in athletes that can be difficult to manage. Physio and hand therapy can help healing
Dec 07, 21 01:31 AM
We use the world’s best tendon recovery programs through cutting edge treatment techniques for all tendon injuries (and tendon injuries differ accordingly)
Nov 28, 21 12:08 AM
Phoenix Rehab Physiotherapy and Hand Therapy at Tampines Singapore
Nov 17, 21 12:30 AM
Mallet finger is an injury to the thin tendon that straightens the end joint of a finger or thumb.