Tilt Sign | Partial Distal Biceps Tendon Rupture 

Tendons need load to recover. Would recommend to start biceps curling with low weights with a maximum pain of 4/10 on the NPRS. Then slowly increase the weight as pain allows.

@@Physiotutors Heartly thanks Sir😍😍😍

For any personal health or rehab questions we recommend to consult with our partners at yourphysio.online for a remote physiotherapy consultation.

Thanks for letting us know 👍🏼 timing of testing surely would be a factor to consider as well

@@Physiotutors For sure, but just to clarify, I found this video a day after I hurt myself. To be extra clear, after I hurt myself, I was able to see a doctor the next day. He gave me the 2 week rest period to re-evaluate. I then did more research that day and found the research paper online and read through it. To be fair, even the orthopedic surgeon thought I only had a low grade partial tear. So, it's always best to follow up with an imaging study.

Did you have lots of bruising?

Fk man ive had pain over two years and had the mri on my wrist… shouldve kept going to the doctors, it’s definitely a bicep problem. Constant inflammation on the elbow

@@DevitoAllPro No, no bruising at all. Maybe with a complete tear. But, I do know someone who just completely tore on of his proximal biceps tendon paddleboarding. He has the Popeye sign. No bruising for him either.

Yes

My advice would be to get surgery I have a old partial tear that has only gotten worse as a avid gym goer and manual worker. I had surgery on my full rupture and hoping to get surgery now on my partial. My physio seemed to think with what I do for hobbies and work at some point the rest of it will probably go.

@@robertthemutant9355 thanks for the encouragement. It's been years and can't load it right in gym or climbing

@@valleruh your welcome! The recovery is actually very easy.

Hard to say in your individual case. Tendons usually take around 6 months to recover

@@Physiotutors i have a 40-50% tear on my bicep long head,does it heal itself?

For any personal health or rehab questions we recommend to consult with our partners at yourphysio.online for a remote physiotherapy consultation.

Clay Dobson can you update me too, I haven’t received any treatment besides rest and I can’t do any bicep exercise without a popping sensation and pain or discomfort.

N/ A I have this popping feeling right now did yours go away?

You're welcome. We'd suggest to follow the advice of your local physio who has questioned and assessed you.

@@Physiotutors Thanks for reply. Physio reckons it's a low grade tear - 10 to 20%. Going for scan to be sure, but I can crack away at the gym in the meantime.

@Jason Jeffries Thanks for the good advice. I've dropped the amount of weight I deadlift and will never mix grips again. Turned out it was a complete tear btw. Had surgery and it is grand now, except that my left bicep looks strange compared to right - bit of a gap between crook of arm and bicep. Not the worst outcome.

@Hunter Biden I tore mine doing warm up curls. How the hell does that work?

@@Voltron4ev4 how long was the recovery? I had a partial tear last year and I fear I tore it again

I'd say so or the tendon.

@@luigiprovencher8888 it has eased over the last few days, massage it sometimes a bit, hoping it heals fully by itself in time, I think it is a muscle tear.

@@roadwarrior8560 It's not going to fix itself.

@@roadwarrior8560 if it is a tendon tear the pain might go even though it won't heal itself. Because you heard a crack I would get it checked out 100%

Torn muscles are usually indicated by movement of the muscle away from a portion of the bone and tendons. If you have no bruising it could be a slight strain or sprain. I'm working through a strain myself. I just went to pick a dumbbell off the floor to set up for my exercise and my elbow snapped causing a pain on the distal portion of the elbow where the bicep connects and then pain at the forearm. Preventing me doing any curls or outer rotary movements of the wrist

For any personal health or rehab questions we recommend to consult with our partners at yourphysio.online for a remote physiotherapy consultation.

Good luck with your rehab Susan!

So, it’s been year since I had the mri that showed a ruptured bicep tendon. I was being treated conservatively from April until Oct. I had it surgically repaired right away. Did very well, no pain pills taken and no prob from the beginning with pt. So, those of you that diagnose this, maybe get mri sooner no matter what the age or shape. It turned out that I had psoriatic arthritis that causes tendons to fail... was diagnosed with it a few months after rupture and the surgeon or the rheumatologist put it together. Just another thing to think about.

im your age and i tore mine scooping dog poo in the yard!! I felt and heard a pop then my arm spasmed every time i moved it for about 12 hours then no pain but my doc said the popeye arm is permanent and im not really a candidate for surgery. Im the one that suggested PT. When the snow melts Im heading in.

Had surgery to repair it and it was a no pain quick recovery with limit on lifting for a few weeks . It’s like it never happened now

We would advise you to get in touch with our partner from yourphysio.online for individualized advice

What happened with the mri sir?

Yes, actually had one of my best friends tear his proximal part of the long biceps tendon completely pain-free.

Physiotutors Omg, please help, I'm panicking again. So, in February this year on an arm day, I went heavy (with good form though, however my biceps were roast, and somewhat heavy exercises such as "chinups on the pulldown" (underhand grip pulldowns). Had a huge pump. During my workout I also spotted someone bench press, with underhand grip - oh god what an idiot I am - but didn't feel anything wrong). Fast forward after my workout, pump was great, went home with veins all over arms. So I started flexing in front of the mirror and I heard a somewhat loud pop coming from my elbow (distal biceps tendon). I didn't feel anything wrong, or pain, but I certainly panicked when I saw there was a bigger gap between my left bicep ending and inside of the elbow. I freaked out, as I thought this was probably a tear. Cried myself to sleep (as I couldn't do anything - I am 16 and I was staying alone for 1 week or so because my parents were out of the country). Before going to sleep, as I said, my bicep didn't look normal at all, it was deformed and the lower end of it had "deflated" and was soft and with a bigger gap. However no brusings, no pain, no inflammation. Next day, I woke up and immediately checked my biceps and it was the same size as before and shape, had again no bruisings or pain. I still freaked out majorly though. Took a week-two weeks off from the gym, and my parents told me that it was alright when they came back because as I said, it was back to normal shape and it was "hard again" and not deflated. They refused to take me to the doc because I was overreacting, apparently, as they said. I tried to forget everything about that, but it still bothers me that I might have cause injury and since I didn't treat it in the first two weeks (partial tear of distal biceps tendon - left arm? Is it possible?) I will be damaged for life. Now fast forward currently, I started panicking again as my curiousity lead me to watch videos such as yours, and others' along with digging into research and panicking over symptoms. Despite my bicep being normal-shaped now, it feels weird when I do pulldowns (completely left the underhand grip behind to be sure). it feels like it's not stable 100% and some jiggling in my left arm (nerve being dislocated and jiggling or tendon?). Pull-ups are fine though. So Ik this is long, but please reply to me. I have nobody else to seek help.

Like a weird sensation in my arm towards the elbow part of it (inside - tendon? and along the left bicep, nerve?) when I do pulldowns. I tried the hook test, but my tendon is normal. That day though before going to sleep, I couldn't feel the tendon that's also why I freaked out. Now what do I do? Please help

I don't believe I have any loss of strength though (despite now being kinda light, both my arms are the same in terms of strength) and I certainly have no loss of function. Could it be a partial tear? About the test in this video I will try it later again and hopefully I will have a result, but please read all the things I wrote and respond. I need help on what it was-is, and what to do.

T3RM1NAT0R XII too bad they didn’t get back ..do you work? Get insurance n get mei I’m sure your fine ..this is all the matrix n the body do what subconscious mind say..maybe was a strain since no bruising

It’s intended for educational purposes so the language used is appropriate for the audience 👍🏼

Ur welcome!

Did you have that condition? I currently am going through that and was sent to rehab.

@@jessieh.8443 doc said I have a partial tear their and shouldn't need surgery but been seeing that everyone's having surgery for it...how's it going for you?

@@jessieh.8443 Yes, it's been 2 years now. It didn't healed well. It's better than when I tore but I still can't do weighted curls.

@@5driedgrams Same injury but frustrated with my third doctors consultation. I almost feel like there is discrimination with this surgery, doctors won't say it to my face but seem to indicate between the lines that if I was a 25 year old athlete, yes let's do the surgery but I'm 62, can still walk and have a bowel movement, that's good enough, leave it alone, live with it. As if there is no reason for me to be that active.

@@alexisjigalin1006 the problem is the rehab. A 20yo have more healing properties, so it can get back to where it was before. I don't think you should have surgery for a partial, only for a full tear. I had shoulder surgery and was horrible, I was 25 at the time and I still have scapula/neck nerves problems. You can be active, but not like before. Try to strengh your forearm, hand, shoulder and triceps, it helps a lot.