Ugh. I'd prefer to spare you my story, but I'm 47 and had a bicep tenodesis procedure 12 months ago (my shoulder had "frozen" the summer before, and I couldn't get rid of chronic bicep tendonitis).
The Shoulder specialist in Boston found long head to be pathological and torn longitudinally.
Unfortunately other findings (while in there) included compression problems, bursitis, superior & posterior labrum tears, full thickness cartilage loss, arthritis, etc.
The joint was "cleaned up"...but I wish it weren't... far worse now. First follow up, Doc told me I'm "a cardio guy from now on" and too young for the full shldr replacement I need. Now sucking it up (cortisone and lots of "Vitamin i") in hopes of improved medical technology.
While I believe that the tenodesis procedure statistically is highly successfuly, I still have pain around the bicipital groove...as well as a whole bunch of new pain in the joint. In hindsight, I wish my
bicep had severed. As you probably know, you can easily get by and ski without the long head. While I would have had the "popeye" thing, at least I wouldn't have been made aware of my toasted shoulder.
Fortunately, skiing is one of the things I can still do (really helps to keep the handle low, and let the boat pull/traction the handle up on my offside.)
Should mention, post-op pain wasn't too bad. I wasn't a candidate for nerve block. I only did a day and a half of oxy, then Ibuprofen. Ice, sling, light PT
I wish you the best of luck and relief.