Pain, spine & orthopaedic care in Ocean & Monmouth County, NJ
Garden State Medical Center
Patient handout · Pain treatments

Percutaneous Tenotomy (Tenex)

What it is

Side view of the elbow: a tiny tool guided by ultrasound removes damaged tissue from the tendon on the outside of the elbow.

Tenex treats long-term tendon pain, such as tennis elbow. Using ultrasound, the doctor removes damaged tendon tissue through a tiny opening. This may help the tendon heal.

Why it is done

  • Chronic tennis or golfer's elbow
  • Plantar fasciitis
  • Achilles, patellar or rotator cuff tendinopathy
  • Symptoms lasting several months despite conservative care

What to expect

  • Before: The doctor uses ultrasound to look at the tendon.
  • During: After numbing, the doctor uses a tiny tool through a very small opening to remove damaged tissue. It takes about 20 to 30 minutes.
  • After: You protect the area for a short time, then start a rehab program.

Self-care tips

  • Keep your usual routine unless we tell you otherwise.
  • Keep a symptom diary to share with us.
  • Keep up with any home exercises.
  • Come to every visit in your series.

When to call us

  • Redness, swelling or warmth that gets worse
  • Fever or chills
  • Symptoms that get worse

Call 911 for trouble breathing, chest pain, or loss of bladder or bowel control.

Call 732-202-3000

One number for all offices. Questions about this handout? We are glad to help.

Our 7 offices: Whiting · Toms River (Hooper Ave) · Brick · Barnegat · Manahawkin · Freehold · West Long Branch

gsmedicalcenter.org/treatments/percutaneous-tenotomy-tenex-procedure/

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This handout is general information and is not a substitute for medical advice.

Watch and learn

Video: “Animation - Tenex Health TX treats chronic tendonitis and plantar fasciitis pain” from Tenex Health on YouTube. It loads from youtube-nocookie.com only when you press play. Shown for general education; GSMC did not produce it. Watch on YouTube