Treatment for Full Thickness Tear of Semitendinosus and Long Head Biceps Femoris

Conservative Management

• The American Academy of Family Physicians recommends relative rest, avoiding complete immobilization, eccentric exercise programs, NSAIDs for pain management, stretching exercises, and cryotherapy as components of conservative treatment for full thickness tear of semitendinosus and long head biceps femoris 1
• The American family physician suggests that tensile loading stimulates proper healing and complete immobilization causes muscular atrophy and deconditioning 1

Critical Pitfalls to Avoid

• The American family physician advises against corticosteroid injections, except for limited single injections for short-term relief only, due to deleterious effects when injected into tendon substance 1
• The Praxis Medical Insights guideline recommends avoiding repeated corticosteroid injections for full thickness tear of semitendinosus and long head biceps femoris 2