Overview
Percutaneous tenotomy, sometimes performed with the Tenex system, is a minimally invasive procedure for chronic tendon pain (tendinopathy) that has not improved with conservative care.
Under ultrasound guidance, a small instrument is inserted through a tiny incision to break up and remove damaged tendon tissue.
Watch: how Percutaneous Tenotomy (Tenex) works
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
How it works
After numbing the area, the physician uses ultrasound to locate the damaged tissue and inserts a small probe that uses ultrasonic energy to break down and remove it. The incision is closed with a small adhesive strip.
Who it may be for
- Chronic tennis or golfer's elbow
- Plantar fasciitis
- Achilles, patellar or rotator cuff tendinopathy
- Symptoms lasting several months despite conservative care
Your exam and imaging decide whether this treatment is appropriate for you.
What to expect
- Before: ultrasound evaluation of the tendon.
- During: local anesthetic, about 20 to 30 minutes.
- After: short-term protection of the area, then rehabilitation.
Recovery
Many patients return to light activity within days, and gradually to full activity over several weeks. Your instructions may differ.
Risks and side effects
Every procedure has risks. Your physician will review them with you, including:
- Pain or swelling
- Infection (rare)
- Nerve irritation (rare)
- Persistent symptoms
Insurance and cost
Many plans, including Medicare, may cover this treatment when criteria are met. We verify benefits before scheduling. See accepted insurance.
Frequently asked questions
Is it surgery?
It is a minimally invasive procedure performed under local anesthetic through a very small incision.
Will I need stitches?
Usually not. An adhesive strip closes the tiny incision.
When can I return to sports?
It varies by tendon and activity. Your clinician will guide your rehabilitation.
This page is general patient education and does not replace advice from your own clinician. Individual results vary.