Percutaneous Tenotomy

Percutaneous Tenotomy services offered in Coral Gables, FL

Chronic tendon pain can make it difficult to stay active and enjoy everyday activities. When conservative treatments such as rest, physical therapy, or medications fail to provide lasting relief, percutaneous tenotomy may offer a minimally invasive solution. At IVO Miami in Coral Gables, Florida, Dr. Gregory Foremny, MD, specializes in advanced image-guided procedures that target damaged tendon tissue and promote healing. If ongoing tendon pain is affecting your quality of life, call the office to schedule an appointment today.

Percutaneous Tenotomy Q & A

What is percutaneous tenotomy?

Percutaneous tenotomy is a minimally invasive procedure used to treat chronic tendon injuries that have not responded to conservative treatment. The Tenex device uses ultrasonic energy to treat chronic tendon pain. Through a tiny incision, a small needle-like tip delivers high-frequency ultrasonic vibrations that break up and liquefy the damaged, degenerated tendon tissue, which is then suctioned out at the same time. The procedure is performed under live ultrasound guidance, allowing for precise treatment of the affected area. Dr. Foremny received subspecialized training with the Tenex percutaneous tenotomy device during his fellowship.

Percutaneous tenotomy is often considered when chronic tendon pain persists despite months of nonsurgical care. It offers an effective alternative for patients seeking relief without the recovery period typically associated with open surgical procedures.

What conditions can percutaneous tenotomy treat?

Dr. Foremny may recommend percutaneous tenotomy for a variety of chronic tendon conditions, including:

Tennis elbow

Also known as lateral epicondylitis, tennis elbow causes pain on the outside of the elbow due to repetitive stress and tendon degeneration.

Golfer’s elbow

This condition affects the tendons on the inside of the elbow and can lead to pain, weakness, and reduced grip strength.

Patellar tendinopathy

Often called jumper’s knee, this condition involves chronic irritation and degeneration of the tendon connecting the kneecap to the shinbone.

Achilles tendinopathy

Damage to the Achilles tendon can cause persistent pain and stiffness in the back of the ankle.

Rotator cuff tendinopathy

Chronic shoulder tendon injuries may limit the range of motion and make lifting or reaching uncomfortable.

What are the benefits of percutaneous tenotomy?

Compared to traditional surgery, percutaneous tenotomy offers several advantages, including:

Minimally invasive treatment
Small incisions
Reduced recovery time
Precise treatment of damaged tissue
Outpatient procedure with little downtime

Many patients experience gradual improvement as the treated tendon heals over the weeks and months following the procedure.

What can I expect during recovery?

Recovery varies depending on the tendon being treated and the severity of the condition. Patients return home the same day and most can resume light activities shortly afterward. Dr. Foremny may recommend a rehabilitation program to help restore strength, flexibility, and function while supporting optimal healing.

To learn more about percutaneous tenotomy and whether it may be right for you, call IVO Miami today to book your consultation.

WHAT TO EXPECT

PROCEDURE TIME: < I hour
RECOVERY: Gradual / Variable
ANESTHESIA: Local only
SETTING: In-office