- Upper Body Conditions
- Brachial Plexus Block (Infraclavicular Approach, Ultrasound-guided)
- Brachial Plexus Block (Supraclavicular Approach, Ultrasound-guided)
- Caudal Epidural Steroid Injection
- Celiac Plexus Nerve Block
- Costovertebral Joint Injection
- Epidural for Cancer
- Epidurals Injections
- Facet Joint Injections
- Facet Nerve Blocks
- Fluoroscopic Guided Piriformis Injection
- Interscalene Brachial Plexus Block
- Intracapsular (Glenoid) Injection
- Joint Injection (Therapeutic, Shoulder)
- Kyphoplasty
- Lumbar Epidural Steroid Injection (With and Without Contrast)
- Lumbar Radiofrequency Neurotomy
- Lumbar Sympathetic Block
- Lumbar Transforaminal Epidural Steroid Injection
- Medial Branch Blocks
- Multimodal Anesthesia & Pain Control
- Myofascial Release
- Neuromuscular Re-education Therapy
- Neurostimulation Therapy (Spinal Cord Simulation)
- Peripheral Joint Injections
- Radial Nerve Block
- Radiofrequency Nerve Ablation
- Regenerative Injection Therapy
- Soft Tissue Injection: Shoulder
- Steroid Injections
- Subacromial Injection
- Tenex Health TX (Minimally Invasive Chronic Tendonitis Treatment)
- Thoracic Epidural Steroid Injection
- Thoracic Facet Radiofrequency Neurotomy
- Thoracic Transforaminal Epidural Steroid Injection
- Trigger Point Injections
- Ultrasound Guided Joint Injections
- Ultrasound Guided Ilioinguinal Nerve Block
- Ultrasound Guided Injection for Knee Pain
- Vertebral Augmentation
- Vertebroplasty
- Visco-Supplementation for Arthritis of the Knee
About Procedure
Tendonitis, an inflammation, irritation, and swelling of the tendon, comes from an injury or doing the things you love or need to do over and over again. Repetitive motions, no matter how ordinary, can cause small micro-tears that occur each time you use your tendon. When the micro tears do not heal properly, tendinosis (tendon degeneration) can occur.
Percutaneous tenotomy or percutaneous fasciotomy, using ultrasonic energy powered by the Tenex Health TX® System, is a safe and quick procedure specially designed for those who are suffering from painful conditions associated with chronic tendon damage. The procedure treats tendinosis or fasciitis in the shoulder, elbow, knee, ankle, and foot, and is commonly referred to as swimmer’s shoulder, tennis, or golfer’s elbow, runner’s, or jumper’s knee, Achilles tendonitis, or plantar fasciitis.
Tenex Health TX is based on advanced technology developed in collaboration with the world-renowned Mayo Clinic.
Tenex Health TX benefits:
If you have tried physical therapy, cortisone injections, medication, or just taking time to ice, stretch and rest and are still in pain, talk to us. We now have a solution that does not involve general or open surgery, may give you quick pain reduction and should have you back to enjoying the things you love in a few weeks to a few months.
Patient benefits may include:
- Quick pain relief
- Rapid return to normal activities
- Local anesthetic used instead of general anesthesia
- No sutures, no stitches (requires only a small, adhesive bandage)
- 20-minute, minimally invasive procedure (not open surgery)
- Coverage by most insurances
How does Tenex Health TX work?
Precisely targets your damaged tissue. Your doctor uses ultrasound imaging, just like the kind used to see babies in the womb, to visualize and identify the specific location of the damaged tendon tissue.
Gently removes damaged tissue. Once the source of your tendon pain is identified, your doctor numbs the area with a local anesthetic, allowing you to stay awake the entire time. Many people say after the numbing process which feels like a bee sting they felt only a slight pressure during the procedure (if they felt anything at all). Your doctor then uses gentle ultrasonic energy designed to safely breakdown and remove the damaged tissue. The ultrasonic energy is applied with the TX MicroTip, which requires only a microincision to reach the damaged tissue. Because the incision is so small and the ultrasonic energy precisely treats only the damaged tendon tissue, the surrounding healthy tissue is left unharmed.
Requires no stitches. When the procedure is completed, your doctor applies a small adhesive bandage; no stitches are required. Because you are awake during the procedure (no general anesthesia), many people are able to drive home after the procedure.
Can offer nearly instant pain relief with a rapid recovery. Recovery is rapid with many people being back to normal activity within 6 weeks or less. Because the surrounding healthy tissue is not disturbed, and no stitches or general anesthesia is required, there is minimal downtime and less discomfort compared to open surgery. The speed of your recovery depends on the location of your tendinitis and your individual results may vary.
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Frequently Asked Questions (FAQ's)
A combination of local anesthetics (to numb pain) and opioids (to provide stronger pain control) is commonly used. The mix is tailored according to each patient’s condition and level of pain.
Doctors may recommend an epidural when oral or intravenous pain medicines are no longer providing adequate relief, or when side effects from systemic medications become difficult to manage.
Most patients feel only mild pressure or discomfort during the procedure. Risks are minimal when performed by a trained pain specialist, though possible complications include infection, bleeding, or temporary numbness.
In some cases, patients can manage a portable epidural pump at home under close supervision by a healthcare team. Regular follow-ups ensure proper functioning and safety.
- Upper Body Conditions
- Brachial Plexus Block (Infraclavicular Approach, Ultrasound-guided)
- Brachial Plexus Block (Supraclavicular Approach, Ultrasound-guided)
- Caudal Epidural Steroid Injection
- Celiac Plexus Nerve Block
- Costovertebral Joint Injection
- Epidural for Cancer
- Epidurals Injections
- Facet Joint Injections
- Facet Nerve Blocks
- Fluoroscopic Guided Piriformis Injection
- Interscalene Brachial Plexus Block
- Intracapsular (Glenoid) Injection
- Joint Injection (Therapeutic, Shoulder)
- Kyphoplasty
- Lumbar Epidural Steroid Injection (With and Without Contrast)
- Lumbar Radiofrequency Neurotomy
- Lumbar Sympathetic Block
- Lumbar Transforaminal Epidural Steroid Injection
- Medial Branch Blocks
- Multimodal Anesthesia & Pain Control
- Myofascial Release
- Neuromuscular Re-education Therapy
- Neurostimulation Therapy (Spinal Cord Simulation)
- Peripheral Joint Injections
- Radial Nerve Block
- Radiofrequency Nerve Ablation
- Regenerative Injection Therapy
- Soft Tissue Injection: Shoulder
- Steroid Injections
- Subacromial Injection
- Tenex Health TX (Minimally Invasive Chronic Tendonitis Treatment)
- Thoracic Epidural Steroid Injection
- Thoracic Facet Radiofrequency Neurotomy
- Thoracic Transforaminal Epidural Steroid Injection
- Trigger Point Injections
- Ultrasound Guided Joint Injections
- Ultrasound Guided Ilioinguinal Nerve Block
- Ultrasound Guided Injection for Knee Pain
- Vertebral Augmentation
- Vertebroplasty
- Visco-Supplementation for Arthritis of the Knee
