Quoted:
Quoted:
Go see an orthopedic surgeon, some partial thickness distal biceps tears do better with operative repair, but first you need a diagnosis to work from. All the recommendations for PT, DO, ART, etc. are bull crap until you know what you're dealing with.
First of all the injury was done a while ago, if I understood what was said. Second, seeing a DO or PT (especially who specializes in manual therapy, which is very different from MDs and other PTs) isn't going to hurt anything as they should know what can and can't be worked on. Third, given the nature of the injury (being diagnosed as slight tear, so he does know what it is) you would still want to see a DO or PT with specialty in manual therapy because there is a high probability that there is an issue they should resolve before getting a surgery if necessary. Also, if a surgeon says a surgery isn't necessary, probably a good chance it isn't because that is how surgeons make money. Not saying maybe revisit the idea since there is still an issue and the healing didn't take as much as they initially thought. But avoiding a surgery is always concern numeral uno and seeing a DO (who can do everything an MD can, just from a different schooling perspective) or a really good PT isn't going to do any harm and will know what can and can't be done, so it's not bull crap.
Avoiding surgery is not always "concern numero uno", the primary concern is treating the injury appropriately, sometimes surgery is the correct answer right out of the gates. I know what a DO is, went to the same basic science classes as them in med school (they had an MD and a DO school), pass level was set 5% lower for the DO students. Unless the DO is an orthopod, the likelihood of him/her knowing even a basic differential of elbow pain is small.
As fpr PT, with a bunch of insurances limiting the number of visits, you are generally better off getting a solid diagnosis so you don't burn all your visits prior to surgery, if it becomes necessary. Most PTs don't have x-ray machines, can't order x-rays, aren't trained in their interpretation, ditto for MRI, CT, nuclear medicine bone scans, etc.
Right now we can't tell if the injury is an avulsion fracture, intra-articular loose body, partial distal biceps tear, ligamentous injury, OCD lesion, OA, etc. Going to an Orthopedic Surgeon gives you the best shot of getting the correct diagnosis and treatment, and most orthopods can direct patients to a "really good PT" if that is the best course of action.
Bottom line, if it hurts more than your typical "rub some dirt on it" boo boo, go see an Orthopedic Surgeon, the rest is bull crap.