You are here

Distal Biceps Repair Rehab Protocol

distal biceps tendon rupture picture

elbow cross sectional anatomy

distal biceps tendon repair xray

distal biceps tendon repair xray


Goal: Regain strength and obtain functional range of motion (ROM).

  • Active ROM exercises should be performed with the elbow close to the body to avoid excessive stretch of the reconstructed elbow collateral ligaments.

Phase I  (0 to 3 days)

  • Teach shoulder, wrist and hand ROM exercises
  • Once dressings are removed POD #2, fit with elbow extension brace to be worn when not exercising and at night.
  • Begin active ROM exercises for the elbow once dressings are removed.  Exercise should be done 6 times per day for 15 minutes.

Phase II (4 to 14 days)

  • Continue with ROM exercise of elbow and gradually increase range.

Phase III (2 to 5 weeks)

  • Begin passive ROM exercises to elbow.
  • Functional electrical stimulation (FES) may be begun to stimulate biceps or triceps.

Phase IV (6 to 7 weeks)

  • Discontinue elbow extension splint during the day if elbow stability is adequate.
  • Begin elbow ROM exercise with elbow away from body.

Phase V (8 to 12 weeks)

  • Discontinue elbow extension splint at night.
  • Initiate gradual, gentle strengthening exercises for hand and forearm.  Light resistance may be begun to the elbow.
  • Work on any deficits.


The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer