Tenex

What is Tenex?

TENEX is the brand name for percutaneous tenotomy, a minimally invasive procedure used for the treatment of long-term tendon injuries.  Tendon injuries are very common in athletics as well as in regular people involved in normal day-to-day activities and can be extremely painful and debilitating.  Tenex has been in use for over 2 decades but despite being highly effective, it is not well known or commonly used.  The reason for that is not clear

Table of Contents

What types of tendon injuries can be treated with TENEX?

  • Golfers elbow.
  • Tennis elbow.
  • Rotator cuff injury.
  • Runner’s knee.
  • Achilles tendonitis.
  • Plantar fasciitis.

Tenex is a minimally invasive procedure that is used to help.

Why are tendon injuries so hard to treat?

When the tendon becomes injured, it creates small micro tears in the normal tendon structure. The tendon itself does not normally heal very well and can result in scar tissue.  This abnormal tendon is not only weak and dysfunctional but also can be extremely painful.  

The optimal way to heal a tendon is to immediately stop all activity and let it rest. The majority of people are unable to do this due to a number of reasons including: 

  • Lack of proper diagnosis.
  • Not realizing that there is a serious injury.
  • Wanting to continue their sports/activity.
  • Hoping it heals on its own. 

Some tendon injuries will heal on their own but if you have gone three months without improvement options are limited.  For the majority of people with chronic tendon injury, physical therapy and rest does not work and surgery is not very effective.

dr nick sadeghi

Meet Dr. Nick Sadeghi

“The mission of my Regenerative Clinic is to help you feel better, look better, and
maximize your lifespan – feeling as youthful, healthy and active as possible, for as long
as possible.”

If you’re over 35 and feeling tired, gaining weight, losing motivation, struggling in the
gym or watching your libido disappear – you’re not crazy. You’re not weak. And you’re
definitely not alone.

I felt it too.

Using the latest in advanced regenerative and longevity medicine, my practice aims
to treat injuries and roll back time. Our core treatments optimizing natural
processes that occur in our bodies with Hormone Replacement, NAD, Stem Cell
Therapy, Platelet-Rich-Plasma, Peptides, Tenex and other modern treatments.

Dr. Nick Sadeghi

How does Tenex work?

Tenex is an excellent choice for treatment of chronic tendon injury.  It is a small needle-like device that is inserted into the tendon while the doctor uses as ultrasound machine to guide the device to the right place.  

Key Features of the procedure:

  • Minimally invasive.
  • Incision is only a couple of millimeters in length.
  • Device tip vibrates at ultrasonic frequency.
  • Breaks up scar tissue without damaging healthy tendon around it.

Once the damaged and scar tissue is removed from the tendon, normal healthy tendon stem cells can come in and reinitiate the healing process.

It is important to note that the device does NOT cut the tendon.  All the work is from vibration.  The device has a continuous irrigation and suction to flush out and suck away all the debris.

How long does it take?

The procedure is performed under local anesthetic in the office and is pain free.  There is time for setting up and preparation so expect the entire session to take less than 45 minutes.  The actual amount of time of procedure is usually less than 3 minutes. 

What is the recovery process?

Most patients have minimal pain post procedure because there is no cutting or stitches. After the procedure it is important that you rest the area. The reason is once the scar tissue is removed new healthy tendon tissue needs to regrow into that area so it’s important that you don’t reinjure that spot. 

Recovery details:

  • Typical recovery time: 6 to 8 weeks, but normal daily activities can usual restart very quickly.
  • Gradual reintroduction of activity.
  • Guided by your doctor to ensure proper healing and avoid reinjury.

What is the cost?

The cost of Tenex is much less that other similar minimally invasive surgical procedures that require specialized equipment and training.  Additionally, HSA and FSA accounts can be used to cover the expenses.

Conclusion:

If you are suffering from one of the very common tendon injuries and it hasn’t healed after 3 months, the injury is now chronic and will not heal without specific intervention.  Tenex is a very effective, minimally invasive, pain free procedure that can be easily done in the office.  The outcomes are comparable and, in many cases superior to traditional treatments like open surgery which is very painful and invasive with significant downtime.

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