Understanding Tenex
When tendon pain persists
Tendons connect muscle to bone and carry the forces that make movement possible. Repeated strain or injury can lead to changes in tendon structure, sometimes accompanied by scar tissue or calcium deposits. These changes may contribute to lasting discomfort and reduced function.
Tenex is intended for selected areas of abnormal tissue rather than every cause of tendon pain. A clinical assessment helps determine whether tissue removal is appropriate.
How the technology works
Developed with input from Mayo Clinic physicians, the Tenex Health TX system uses a small instrument that delivers ultrasonic energy to break down targeted tissue. Irrigation and suction remove the loosened material through the instrument.
Ultrasound imaging allows your provider to view the treatment area throughout the procedure. The aim is to remove the selected damaged tissue while limiting disruption to surrounding healthy structures.
How it differs from an injection
PRP and prolotherapy introduce a preparation into selected tissues. Tenex physically removes abnormal tissue through a small incision. For appropriate patients, it offers a less invasive option than open tendon surgery.
The OWM Approach
Individualized assessment
Your consultation includes a review of symptoms, previous treatment, and the movements that cause discomfort. Examination and relevant imaging help identify the affected tissue and determine whether Tenex is suitable.
Conditions evaluated may include:
- Tennis elbow and golfer’s elbow
- Selected rotator cuff conditions, including calcific tendinopathy
- Patellar tendinopathy
- Achilles tendinopathy
- Chronic plantar fasciitis
- Selected tendon concerns around the outer hip
Targeted treatment
Dr. Kaplan uses real-time ultrasound to guide the instrument toward the identified tissue. The extent of treatment depends on the location and character of the abnormality.
A considered recovery plan
Aftercare may include a period of reduced loading, followed by progressive movement and rehabilitation. Recommendations reflect the demands placed on the treated tendon and your response to the procedure.
The Experience
The treatment area is numbed with local anesthetic before a small opening is made in the skin. The Tenex instrument is introduced under ultrasound guidance to treat the selected tissue.
Once treatment is complete, the instrument is removed and the opening is covered, typically without stitches. Your team provides instructions for dressing care, activity, and follow-up.
Recovery varies by treatment area and the extent of tendon damage. Returning to everyday activity and returning to strenuous exercise may follow different timelines, with improvement developing gradually as rehabilitation progresses.
Potential risks include pain, bleeding, infection, and injury to the tendon or nearby structures. Your provider will discuss these considerations alongside the expected benefits and alternatives before treatment.
