Procedure

Biceps Tenodesis

What It Is

Minimally invasive arthroscopic biceps tenodesis to treat biceps tendonitis and SLAP tears.

Who Needs It

Patients with biceps tendonitis, SLAP tears, or biceps tendon pathology that has not responded to conservative treatment and who are candidates for a tenodesis approach rather than repair.

Recovery

Sling for 2–4 weeks. Physical therapy begins shortly after surgery. Full recovery typically takes 3–4 months.

Procedure Details

About This Procedure

Biceps tenodesis is a minimally invasive arthroscopic procedure used to treat biceps tendonitis and SLAP (Superior Labrum Anterior to Posterior) tears. Instead of repairing the damaged tendon at its original attachment, the procedure reattaches the long head of the biceps to the upper arm bone, eliminating pain while preserving arm strength and function.

Dr. Jay Levin performs biceps tenodesis at Duke Health in Durham, serving patients from Cary, Chapel Hill, and across North Carolina who have not found relief with nonsurgical treatment.

The Procedure

Biceps tenodesis is performed under general anesthesia with a nerve block. Dr. Levin uses an arthroscope to visualize the shoulder joint, release the biceps tendon from its origin, and secure it to the humerus using a suture anchor or interference screw. The procedure is typically completed in about an hour as an outpatient.

Recovery at Duke Health

After surgery, you will wear a sling for 2–4 weeks to protect the tenodesis. Physical therapy begins early to restore range of motion and progresses to strengthening. Most patients achieve full recovery within 3–4 months.

Recovery Timeline

Weeks 1–4

Protection Phase

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Weeks 4–12

Motion Phase

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Months 3–4

Strengthening Phase

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For full PT protocols, see PT Protocols.

Frequently Asked Questions

What is biceps tenodesis?
Biceps tenodesis is a procedure that detaches the long head of the biceps tendon from its attachment inside the shoulder joint and reattaches it to the upper arm bone (humerus). This relieves pain from biceps tendonitis or SLAP tears while preserving biceps function.
How is biceps tenodesis performed?
Dr. Levin performs biceps tenodesis arthroscopically through small incisions. The tendon is released from its origin and secured to the humerus using a suture anchor or interference screw. The procedure typically takes about an hour and is done as an outpatient.
When can I return to activities after biceps tenodesis?
Most patients wear a sling for 2–4 weeks, then gradually progress through physical therapy. Light activities can often resume by 6–8 weeks. Full return to sports or heavy lifting typically takes 3–4 months.

Ready to Discuss Your Treatment Options?

Schedule a consultation with Dr. Levin.

Request an Appointment Call 919-613-7797