JOCK DOC

Jock Doc: Surgery might be needed to repair biceps tendon

 
 
Selesnick
Selesnick
c.w. griffin / herald staff

HarlanS@baptisthealth.net

Q: I was working out last week and felt a pop in my left arm. It hurt some. Then I noticed a bump in my biceps muscle. The pain has improved, but I still have some weakness. I do not like the way it looks. I have been afraid to go back and work out. I would like to know if this bump can heal itself and what type of doctor I need to see.

A: A very common injury in people who work out with weights is an injury to the longhead of the biceps tendon. The biceps muscle near the shoulder has two heads; the “shorthead,” which attaches to the front of the shoulder, and the “longhead,” which attaches inside the shoulder joint. The longhead is the biceps tendon that usually tears, and in some patients the tendon retracts into the arm and one is left with a deformity that looks like “Popeye.” I recommend you see an orthopedic surgeon to confirm the diagnosis and make certain that no additional injuries have occurred around the shoulder. In many patients, when the longhead of the biceps tendon is injured they have associated problems with the rotator cuff tendon or subscapularis tendon of the shoulder. If the only injury is to the longhead of the biceps tendon, two treatment options exist. Some patients will choose to live with the deformity and mild weakness in both flexion of the elbow and rotation “supination” of the forearm. In the nonsurgically treated patients, a physical therapy program can be effective in decreasing the pain and restoring as close to normal function as possible. But the deformity of the muscle without surgery will be permanent. Surgery is an option for patients who are concerned about the appearance of the biceps muscle or obtaining maximal strength. The surgical procedure allows reattaching the biceps tendon to a portion of the humerus. Surgical results are usually quite good in terms of strength and appearance. Once again, I recommend you see an orthopedic surgeon as quickly as possible as the best results are derived from quick treatment.

Dr. Harlan Selesnick is team physician of the Miami Heat and director of Miami Sports Medicine Fellowship,

Doctors Hospital. Send your questions to:

Dr. Harlan Selesnick

HarlanS@baptisthealth.net

Read more Jock Doc stories from the Miami Herald

  • JOCK DOC

    Jock Doc: A pop in shoulder can mean injury from weight-lifting

    Q. I was lifting weights and felt a pop and a sharp pain in my left shoulder. I stopped lifting and didn’t any significant swelling. However, whenever I flex my arm or rotate my hand upward, I develop a sharp pain and click in the left shoulder. I have been able to work out with some light weights but have not been able to go back to my regular workout routine over the last month. Do you think this is something that can heal and when can I go back to working out?

  • JOCK DOC

    Jock Doc: New advances in hip-replacement surgery can help in the long term

    Q. I have been having hip pain that has gotten worse for several years. I saw my orthopedic surgeon, who said I had bad arthritis and needed a new hip. I have been reading online about minimally invasive hip surgery, robotic hip surgery and traditional hip surgery. Do you have any advice on what I should do?

  • JOCK DOC

    How Miami Heat players prepare during the off-season

    Q. Now that the Miami Heat season has ended what do you do with the players in the off-season?

Miami Herald

Join the
Discussion

The Miami Herald is pleased to provide this opportunity to share information, experiences and observations about what's in the news. Some of the comments may be reprinted elsewhere on the site or in the newspaper. We encourage lively, open debate on the issues of the day, and ask that you refrain from profanity, hate speech, personal comments and remarks that are off point. Thank you for taking the time to offer your thoughts.

The Miami Herald uses Facebook's commenting system. You need to log in with a Facebook account in order to comment. If you have questions about commenting with your Facebook account, click here.

Have a news tip? You can send it anonymously. Click here to send us your tip - or - consider joining the Public Insight Network and become a source for The Miami Herald and el Nuevo Herald.

Hide Comments

This affects comments on all stories.

Cancel OK

  • Marketplace

Today's Circulars

  • Quick Job Search

Enter Keyword(s) Enter City Select a State Select a Category