Subpectoral bicep tenodisis for superior labrum tear
Deciding if I should move forward with Subpectoral bicep tenodisis procedure to address superior labrum tear. I'm 32 male and the injury happened six months ago after bench pressing. Initial X-ray two months ago didn’t show anything so I tried PT and at home exercises for a month which didn’t help. I got an MRI a few weeks ago which showed the superior labrum tear.
I was initially surprised my doctor recommended sub pectoral bicep tenodis procedure over SLAP repair, but I understand the former is more likely to be successful at my age. I generally understand the procedure, but since this doesn’t actually repair the torn superior labrum, will I eventually stop feeling the sharp pain in my shoulder when I resume lifting post-recovery?
From a day-to-day perspective, I have full range of motion and no pain so it’s very easy to live with. The problem is I really don't see myself resuming heavy weight lifting without this getting addressed.
Damage is done on the tear but I could keep trying PT to see if I could build strength and try to manage the pain, but I'd hate to try that for three months just to still need to get surgery. I'm also in a pretty good spot work wise where I'd be able to take the next couple months to be in a sling and do the PT. Insurance is also really good and I don't anticipate this being an issue.
Besides the cost and recovery process, what else should I consider? I mostly want to understand the implications for not actually addressing the torn superior labrum and making sure this procedure has a high probability of eliminating my shoulder pain. Any other long-term implications to think about?
It sounds like the right bicep will be smaller but hardly noticeable to someone like me who isn’t a bodybuilder, but I’m curious if the right shoulder will just always feel weaker/off or if there are some compelling reasons to not move forward with the surgery at this time. I’m leaning toward doing it since I feel pretty limited and pushing through the pain will make things worse. Appreciate any thoughts from people with similar experience