About Ruptured Biceps Tendons

What is it and what are my treatment options?

Ruptured Biceps Tendon Overview

The biceps is a long muscle that helps flex the arm. One of the biceps tendons inserts on the elbow. A biceps tendon rupture occurs when the tendon is torn from its insertion point. The injury is rare but serious. An appointment with a  Carolina Orthopaedic and Neurosurgical Associates’ (CONA) elbow specialist should be made as soon as possible.

Symptoms & Causes

Ruptured bicep tendon symptoms include:

  • An audible pop
  • An arm bulge and gap (the biceps muscles is shortened)
  • Bruising
  • Elbow and forearm weakness
  • Severe pain that usually resides quickly

Lifting heavy objects with the elbow bent is the most common bicep tendon rupture cause. Risk factors include:

  • Age
  • Overuse
  • Steroid use
  • Tobacco use

Common Treatments:

Nonsurgical treatment options may be able to treat some bicep tendon ruptures. After a thorough evaluation, a CONA elbow specialist may recommend:

  • Nonsteroidal anti-inflammatory medications (NSAIDs)
  • Physical therapy
  • Rest and ice

Surgery is a common bicep tendon rupture treatment option. During a bicep tendon repair, a CONA specialist repairs the tendon and attaches it to the elbow bone. After recovery and physical therapy, the tendon is stronger than ever and patients return to normal activities with minimal to no restrictions.


A CONA elbow specialist asks important questions about how the injury occurred and what symptoms presented. A physical examination, which includes bicep strength tests, is performed. Medical imaging studies are usually not needed to make a diagnosis.

Make an Appointment
with An Elbow Specialist

Delaying a bicep tendon rupture diagnosis can make the injury worse and in some cases make surgery harder to perform. Please make an appointment with a CONA elbow specialist as soon as possible after your injury.

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I am happy with this practice all my questions are answered within 24 hours. Dr. Hoenig is great, his bedside manner is wonderful, he is very thorough, and makes personal calls after surgery to check on patients. I would definitely recommend to family and friends!

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This has been one of my most positive experiences at a Dr's office. I was treated with respect and love. They made my surgical procedure less stressful and very positive.

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General Practice

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4 Convenient Locations


1330 Boiling Springs Road
Suite 1600
Spartanburg, SC 29303
Hours: 8:30 a.m. to 5:00 p.m.


115 Deacon Tiller Ct.
Duncan, SC 29334
Hours: 8:30 a.m. to 5:00 p.m.

Greenville Office

220 Roper Mountain Road Ext
Greenville, SC 29615
Hours: 8:30 a.m. to 5:00 p.m.


1075 Boiling Springs Road
Spartanburg, SC 29303
Hours: 8:30 a.m. to 5:00 p.m.

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