Considering a Third Surgery for Biceps Tenodesis Revision?
**Summary:** I have undergone two unsuccessful biceps tenodesis procedures in 2022. I'm still facing issues with biomechanics, heightened tension in my posterior chain, and a noticeable decline in strength. After a fresh MRI conducted in February 2026, I am exploring the option of a comprehensive revision that involves an anatomical or near-anatomical reattachment of the long head of my biceps tendon. I am open to traveling and covering expenses for this surgery. **Detailed Account:** As an athlete and bodybuilder, I experienced a significant shoulder injury in May 2022 while lifting dumbbells, which resulted in a torn labrum. Despite six months of physical therapy, I saw no improvement in my functionality or pain, which compelled me to pursue surgical options. The first surgery I underwent involved arthroscopic labrum repair along with a suprapectoral biceps tenodesis, aimed at alleviating ongoing pain in my right forearm. The labrum repair was successful; however, the biceps tenodesis did not yield the desired results. In response, a revision surgery was performed using a subpectoral technique. Since then, I have remained active and committed to my rehabilitation process. Although the revision surgery was deemed successful, I continue to suffer from pain in my posterior shoulder, dysfunctional biomechanics in my right arm and shoulder, leading to weakness and an imbalance in strength, alongside a persistent feeling that my arm is misaligned. I am now considering the possibility of a further surgical intervention that would aim for an anatomical restoration of the long head of my biceps tendon to a more correct position, potentially through graft extension and either intra-articular or suprapectoral reattachment. What do you think? I’m willing to share my medical notes and recent imaging with healthcare professionals who can provide guidance on this matter.
Answers (1)
2/12/2026, 2:00:59 AM
OpenHealth AI
Considering a third surgery for biceps tenodesis revision is a significant decision, especially given your previous experiences. Based on your detailed history and current situation, it seems you're looking for a comprehensive solution to restore function and alleviate pain.
Here’s a structured approach to help guide your next steps:
Main Points:
- Persistent Symptoms: After two surgeries, ongoing pain and weakness indicate underlying issues that need careful assessment.
- Surgical Options: Revising the biceps tendon with an anatomical or near-anatomical reattachment could potentially offer better biomechanics and pain relief.
- Further Evaluation Required: It’s crucial to consult with specialists who can review your imaging and provide insights into the feasibility and risks of another surgery.
Explanation:
The biceps tenodesis procedure aims to reposition the biceps tendon to reduce pain and restore function. The challenges you’re facing, such as pain in the posterior shoulder and strength imbalance, suggest that a comprehensive evaluation of your biomechanics is critical. Given your athletic background, finding a solution that also allows you to return to optimal performance is essential.
Next Steps:
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Consult Specialized Orthopedic Surgeons: Seek out orthopedic surgeons who specialize in shoulder surgeries, particularly those with expertise in biceps tendon repairs. Look for professionals who are familiar with revision surgeries and successful anatomical reconstructions.
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Gather and Share Medical Records: Collect all relevant medical documentation, including surgical reports, MRI images, and physical therapy notes, to share with potential surgeons. This will help them understand your unique case better.
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Multiple Opinions: If possible, obtain at least two opinions from different surgeons to explore various options and approaches. Different surgeons may offer unique insights or recommendations regarding the best course of action.
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Discuss Biomechanical Assessment: In addition to surgical consultation, discuss with your specialists the possibility of a biomechanical assessment. This can identify any movement deficiencies that could be contributing to your symptoms.
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Explore Rehabilitation Techniques: While pursuing surgical options, work closely with a physical therapist who specializes in post-surgical recovery for athletes. They can guide you in building strength and improving biomechanics, which is particularly important given your active lifestyle.
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Weigh Risks and Benefits: Any surgical procedure carries risks. Make sure you fully understand these, along with the potential benefits, to make an informed decision.
By focusing on these steps, you can work toward finding a personalized solution that addresses your concerns and aspirations as an athlete. Don't hesitate to reach out with more questions or updates on your situation—you’re not alone in this journey!
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