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  4. Understanding Tenex Surgery: A Minimally Invasive Solution for Chronic Tendon Pain

Understanding Tenex Surgery: A Minimally Invasive Solution for Chronic Tendon Pain

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Discover how Tenex surgery provides a minimally invasive treatment for chronic tendon pain with faster recovery and minimal scarring.

If you're struggling with persistent tendon pain that hasn't responded to conservative treatments, Tenex surgery might be the solution you're looking for. This innovative, minimally invasive procedure offers hope for those suffering from conditions like tennis elbow, plantar fasciitis, or rotator cuff injuries.

Let's explore how Tenex surgery works, its benefits, and what you can expect during recovery to help you make an informed decision about your treatment options.

What is Tenex Surgery?

Tenex surgery, technically known as percutaneous tenotomy, is an advanced ultrasound-guided procedure that precisely targets and removes damaged tendon tissue while preserving healthy tissue. This innovative approach uses specialized ultrasonic energy to break down and remove scarred tendon tissue that causes chronic pain and inflammation.

How Tenex Surgery Works

The Procedure Process

During the procedure, your doctor will use ultrasound imaging to precisely locate the damaged tendon tissue. A small incision, typically less than a quarter-inch long, is made near the affected area. Through this tiny opening, a specialized TX MicroTip instrument is inserted, which uses ultrasonic energy to break down and remove damaged tissue while leaving healthy tissue untouched.

Treatment Areas

Tenex surgery can effectively treat various tendon conditions, including:

  • Tennis elbow (lateral epicondylitis)
  • Golfer's elbow (medial epicondylitis)
  • Rotator cuff tendinopathy
  • Plantar fasciitis
  • Achilles tendinitis
  • Patellar tendinitis

Benefits of Tenex Surgery

This innovative procedure offers several advantages over traditional surgical approaches:

  • Minimally invasive with only a small incision required
  • Local anesthesia instead of general anesthesia
  • Shorter recovery time compared to open surgery
  • Precise targeting of damaged tissue
  • Minimal scarring
  • Quick procedure (typically 20-30 minutes)
  • Same-day return home

Recovery and Rehabilitation

Recovery from Tenex surgery is generally faster than traditional surgical methods. Most patients can return to normal activities within 4-6 weeks, though this varies depending on the treated area and individual healing factors.

Post-Procedure Care

Your healthcare provider will provide specific instructions for post-procedure care, which typically includes:

  • Rest and elevation of the treated area
  • Ice therapy to manage swelling
  • Gradual return to activities
  • Physical therapy exercises
  • Follow-up appointments to monitor healing

Frequently Asked Questions

What are the typical symptoms of chronic tendon pain, and how does it differ from acute pain?

Chronic tendon pain typically presents as persistent discomfort lasting more than three months, unlike acute pain which occurs suddenly and improves with rest. Chronic pain often includes morning stiffness, pain that worsens with activity, and decreased range of motion. The pain may be duller compared to the sharp nature of acute injuries.

How does the Tenex procedure compare to traditional surgical methods for treating tendon issues?

Tenex surgery is minimally invasive, requiring only a small incision and local anesthesia, while traditional surgery often needs larger incisions and general anesthesia. Tenex procedures typically take 20-30 minutes, with faster recovery times and less scarring compared to conventional surgical approaches.

What are the potential benefits and risks of using the Tenex procedure for conditions like rotator cuff injuries or tennis elbow?

Benefits include minimal scarring, quick recovery, and precise targeting of damaged tissue. Potential risks, while minimal, include infection, temporary numbness, and mild post-procedure discomfort. Success rates are generally high, particularly for conditions like tennis elbow and plantar fasciitis.

How long does it typically take to recover from the Tenex procedure, and what activities can I expect to resume afterwards?

Most patients return to normal activities within 4-6 weeks. Light activities can often resume within days, while more strenuous activities may require 6-8 weeks. Your doctor will provide a specific timeline based on your treated condition and healing progress.

Is the Tenex procedure covered by most health insurance providers, and what are the criteria for medical necessity?

Many insurance providers cover Tenex surgery when deemed medically necessary. Typical criteria include documented failure of conservative treatments for at least six months, including physical therapy and medication. It's important to verify coverage with your insurance provider and obtain prior authorization when required.


tenex surgery

tendon pain

percutaneous tenotomy

chronic pain

minimally invasive

ultrasound-guided procedure

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