Tenex Health


Often when you have chronic tendonitis, you can easily pinpoint the exact location of your pain. Every time your dog yanks his leash, you step onto the next stair or you hammer a nail, you feel a sharp sting in one precise spot. This pain shouldn’t be ignored; tendons are important body parts that need attention when they are injured.

So what is a tendon? It’s a strong, flexible band of tissue that connects your muscles to the bones in your joints. Tendons and muscles work together to create a pulling force that allows you to twist, grip, grab, move, bend and lift to perform all sorts of activities necessary to your busy life.

When your tendon is damaged, like it is with tendonitis, every movement hurts; even picking up a pound or two is difficult. Understanding what is causing your tendon pain simplifies choosing the solution that works best for you.


Here are some examples of damaging, repetitive behaviors that can cause your tendons harm:

Standing for long periods of time can cause you pain in your heel, ankle or knee Gripping and using the same tool, especially with a twisting motion can cause you pain in your shoulder or elbow Running, tennis, golf, soccer and any other sport or physical activity can cause many different kinds of tendon pain
Walking constantly can cause heel, ankle or knee pain Typing at a computer or texting can cause pain in your shoulder or elbow Activities that require you to continuously reach above your head can cause shoulder pain
Sweeping, mopping, dusting and other cleaning activities that involve repetitive movement can cause many different kinds of pain Cooking and constantly using your arms can cause pain in the elbow Climbing stairs regularly, can cause knee and Achilles pain

Tendon injuries are most often referred to as Tendinosis or Tendonitis. The pain might feel like burning, or cutting, stabbing or walking on shards of sharp, broken glass. However you describe it—it hurts and is interfering with your life.



Why does this happen? The burning, throbbing or sharp sting you feel means your tendon has tissue damage. When your tendon is overused and becomes damaged, it is unable to work at full capacity, causing you pain. If not treated, the micro tears may never heal and your pain will likely become worse, making you suffer for months or years.


Ready for a solution? There are many different treatment options for tendon pain.

Rest Medication Physical therapy Open surgical procedure Tenex Health TX
Description Icing, heating and avoiding activities that cause or make tendon pain worse. Anti-inflammatory or Cortisone injection manage pain and swelling. Usually used in conjunction with rest, medication or surgery to rehabilitate damaged tendon. Removes damaged tendon through 3” or larger incision. Generally uses surgical scalpel (knife). Removes damaged tissue through a microincision and stimulates healing response. Uses gentle ultrasonic technology.
Course of Treatment Causes restrictions on activities and may need to be repeated multiple times. Will have to be done or taken multiple times. Takes multiple visits. Involves general anesthesia, potential risk to healthy tissue and may require physical therapy following surgery. Involves no general anesthesia or stitches. Local anesthetic (numbing medicine) only. Twenty minutes or less to perform. No need for physical therapy or additional treatments. Your individual results may vary.
Recovery May take a year or more to recover. Intended to control the pain, not the cause. May help restore strength and range of motion. Recovery of 6 months or more with restricted activity. Full return to normal activity in 6 weeks or less. Your individual results may vary.

You may be thinking that you have already tried everything for your pain. You may have tried cortisone injections, coablation therapy, shock wave or even platelet rich plasma (PRP) yet even these didn’t help you. Many of these approaches attempt to temporarily mask the pain or try to promote a healing process within the tendon without addressing the source of the pain. Tenex Heath TX is different because we remove the damaged tendon tissue which is the source of pain and thus stimulate a healing response by your body. Without first treating and removing the pain generating damaged tendon tissue, these other treatments may not provide the ideal solution for you to quickly regain your active lifestyle.




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.


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.


When the procedure is completed, your doctor applies a small adhesive bandage (like a Band-Aid); no stitches are required. Because you are awake during the procedure (no general anesthesia), many people are able to drive home immediately following your procedure.


Recovery is rapid with many people being back to normal life 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.