Tenex Procedure

Tenex procedure at a glance

  • The Tenex procedure is a proprietary method of treating chronic tendon pain that involves locating and removing scar tissue that causes pain as a result of overuse or an active lifestyle.
  • Called Tenex Health TX, the procedure uses ultrasound imaging to locate the source of tendon pain and a small instrument that vibrates at ultrasonic frequencies to break up and remove damaged scar tissue.
  • Tenex procedures are typically performed on an outpatient basis using local anesthesia, and generally take less than 30 minutes.
  • Benefits of the Tenex procedure include fast pain relief, fast return to normal activity and no risks from surgery.

What is the Tenex procedure?

The Tenex procedure is a trademarked, non-surgical procedure that helps patients who are suffering from chronic tendon pain by locating damaged scar tissue on the tendons and removing it. This procedure, developed by Tenex Health, is particularly effective on the tendons of the elbow, shoulder, knee and ankle. It is often used to treat tennis and golf elbow, rotator cuff tendonitis, patellar tendonitis (jumper’s knee), Achilles tendonitis and plantar fascia.

Tendon pain is typically caused by continued trauma or an over usage of joints and muscles that can lead to the development of scar tissue. The Tenex procedure is known in medical terminology as focused aspiration of scar tissue, percutaneous (via needle puncture) tenotomy, and percutaneous fasciotomy (easing tension by removing scar tissue that causes pain).

Ideal candidates for the Tenex procedure are those who have sought prior treatment, including steroid injections, rest, immobilization and rehabilitation, with little to no pain relief. The Tenex procedure offers patients a non-surgical option that is faster than traditional surgeries, creates a smaller incision resulting in less dermal scarring, and allows for a quicker and less painful recovery.

Tenex was approved for use by the FDA in 2012 and is a new procedure. There are many published studies on its safety and effectiveness with more research ongoing.

How is the Tenex procedure performed?

Before the Tenex procedure patients are typically given a local anesthetic that is used to numb the affected area. So in contrast to traditional open surgery, patients stay awake during the process. Ultrasound imaging identifies and precisely locates the patient’s damaged scar tissue within the tendon.

A small incision is made along the affected area, which results in an extremely precise insertion for the physician or doctor and minimal scarring for the patient. The TX1 Tissue Removal System utilizes a small instrument with a needle-like point (the TX MicroTip) that is inserted into the area and high-frequency vibrations break up the damaged scar tissue.

The instrument uses ultrasound frequency that is designed not to damage the surrounding healthy tissue. The Tenex system then gently removes the broken up scar tissue. Instead of applying stitches, the incision is closed using an adhesive bandage and the procedure is complete.

After the procedure, many patients are able to drive home the same day. Patients generally experience a recovery period of four to six weeks. Patients say they feel little to no pain during the Tenex treatments.

Tenex treatment benefits

More than 10 million American’s suffer from chronic tendon pain that affects daily activities, such as participating in exercise and sports activities, picking up heavy objects, and even shaking hands. Tenex is a good option for patients who have been struggling with chronic tendon pain and are looking for an alternative to cortisone shots, physical therapy or traditional tendon repair surgery.

Primary benefits of the Tenex procedure are:

  • Relief of chronic pain
  • Enabling patients to renew vigorous activities
  • A fast recovery time
  • Minimally invasive with a small incision as opposed to open surgery
  • No scarring
  • No risks from the complications of surgery and general anesthesia.