Ruptured bicep tendon

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A couple of years ago I had several ultra sounds which revealed my right bicep tendon had a full thickness tear and my left whilst not ruptured was slightly damaged. I've had a couple of review appointments since, at both of which I was told surgery wasnt the best option but that it wouldnt repair itself. My right bicep seems to have developed some sort of herniated appearance, where when I flex the muscles it pops up in a mound, quite unlike the left side. It aches continually and I'm very restricted on what I can do with my right arm, not being able to lift anything heavy and my grip is weakened. I have another review meeting on 22 August and dont quite know what to ask or what advice I should be expecting. Is surgery the only option for example.

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