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Tenex (Tendonitis) Procedure


The Tenex Health TX technology has been clinically proven to improve tendonitis in the elbow, shoulder, hip, knee and ankle and plantar fasciitis pain in the foot, dramatically decreasing pain and improving overall functionality– all without the need for traditional open surgery or arthroscopic surgery. The highly effective treatment uses ultra-sound imaging and patented TX MicroTip technology to provide relief with less pain and minimal downtime. Unlike medicine or injections that mask the problem, Tenex Health TX eliminates it by removing the cause of your pain: the damaged and degenerated tendon tissue.

What is Tenex Health TX®?

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 are 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 Technology is based on advanced technology developed in collaboration with the world-renowned Mayo Clinic.

How does Tenex Health TX work?

TX Procedure - Tendonitis Tennis Elbow with ultrasound

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.

TX Procedure - Tendonitis Tennis Elbow with ultrasound

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.

Active Runner after Tenex Tendonitis Treatment

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.

What to expect during Tenex treatment?

Tenex Health TX Preparation


The area is prepared with a disinfectant soap. Your doctor typically numbs the area with local anesthetic. You are fully awake and alert the entire time.

Ultrasound Identification Tenex Health TX


Using ultrasound imaging, your doctor identifies the specific location of the damaged tendon tissue and for MicroTip positioning.

Micro Incision Tenex Health TX

Micro Incision

Once the damaged tissue is located, your doctor makes a small incision, less than a quarter inch in length, and places the TX MicroTip inside. Most people don’t feel any pain. You might possibly feel a slight pressure.

Damaged Tissue Removal Tenex Health TX

Damaged Tissue Removal

The TX MicroTip uses ultrasonic energy that precisely targets damaged tissue, breaking it down and removing it. This targeted treatment helps ensure the surrounding healthy tissue is left alone.

Post Procedure Tenex Health TX

Post Procedure

When the procedure is completed, your doctor applies a small adhesive bandage. No single stitch or suture is usually required.

Rapid Recovery Tenex Health TX

Rapid Recovery

Because the surrounding healthy tissue is not disturbed, and no stitches are required, typical recovery is 6-8 weeks– 1/4 the recovery time compared to open surgery.

Is Tenex Health TX right for me?

Tenex Treatment Applications

Tenex Treatment is proven to to improve the following conditions:

  • Tendonitis of the Shoulder
  • Tendonitis of the Elbow – Tennis Elbow or Golfer’s Elbow
  • Tendonitis of the Hip or Gluteal Tendonitis
  • Tendonitis of the Knee – Jumper’s Knee
  • Achilles Tendonitis
  • Plantar Fasciitis

If you have pain in one of the above areas and can answer yes to all four questions below, then you may be a prime candidate for Tenex Health TX tendonitis treatment.

  1. Can you point with one finger where your pain is the worst?
  2. Have you experienced pain for 3 months or longer and is it worse upon movement?
  3. Have you tried conservative treatments (ice, rest, physical therapy, braces) to address your pain?
  4. Have you experienced a reduction in or modification to your activity level due to your pain?

VIDEO: Learn more about Tendonitis Treatment and Tenex Health TX

As a percutaneous tenotomy or percutaneous fasciotomy procedure, Tenex Health TX is typically covered by Medicare-approved and private health insurers. It is always recommended that patients consult the treating physician and individual health plan. For more information, visit www.tenexhealth.com.

Stop suffering from chronic tendonitis and see if our team can help remove the root cause of your pain today.

Tenex Patient Testimonial

“If you have a pain, and you’ve gone to Dr. Noy, and he tells you to do Tenex, go do it!.” – Watch the full video here.

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The founding mission of Prestige Orthopaedics & Sports Medicine is to provide safer, more effective and quicker recoveries with less pain and unrivaled service

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