Treatments & Services
Advanced Minimally Invasive Procedures
Percutaneous Tenotomy (The Tenex procedure)
The Tenex procedure is a non-surgical procedure that helps patients who are suffering from chronic tendon pain by removing damaged scar tissue on the tendons. This procedure, developed by Tenex Health, is particularly effective on the tendons of the shoulder, elbow, hip, knee, and ankle injuries. Conditions treated include tennis elbow/golfers elbow, rotator cuff tendonitis, Patellar tendonitis (jumper’s knee), Achilles tendonitis, and Plantar fasciitis.
Tendon pain is typically caused by repetitive strain injury of sports and exercise. The Tenex procedure is known in medical terminology as focused aspiration of scar tissue, percutaneous tenotomy, and percutaneous fasciotomy. This is medical jargon for use a needle to remove the damaged portion of the tendon while preserving the rest of the tendon.
Ideal candidates have sought prior treatment, including injections, rest, immobilization, and physical therapy with 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 scarring, and allows for a quicker and less painful recovery.
Hydrodissection for Peripheral Nerve Compression
Hydrodissection is a minimally invasive, ultrasound-guided procedure used to treat peripheral nerve compression by mechanically separating a nerve from surrounding tissues that may be entrapping or irritating it. During the procedure, our physicians use real-time imaging to precisely guide a needle adjacent to the affected nerve and inject fluid—commonly saline, local anesthetic, dextrose (D5W), corticosteroid or a combination. This fluid creates a physical plane that gently dissects adhesions, offloads mechanical pressure, reduces inflammation, and restores normal nerve gliding. Hydrodissection is increasingly used for conditions such as carpal tunnel syndrome, ulnar neuropathy, meralgia paresthetica, and other entrapment neuropathies, particularly when conservative measures have failed but surgery is not yet indicated.
Capsular Distention (for Frozen Shoulder)
Frozen shoulder, or adhesive capsulitis, is a condition that causes pain and restricted movement in the shoulder. The joint of the shoulder is held together by a joint capsule, which becomes thickened and results in a global restriction of shoulder movement. This manifests with shoulder motion being stuck or frozen in all planes of motion, with loss of mobility especially apparent in external rotation as an early sign.
What causes frozen shoulder?
Frozen shoulder is a poorly understood disease. Genetic and environmental factors likely play an important role.
What are the symptoms of frozen shoulder?
Frozen shoulder progresses in a predictable manner.
- Freezing Stage In the early stages of the disease, patients report constant severe pain which can increase at night-time. This initial painful stage, is known as the ‘freezing’ or stiffening stage and typically lasts about 3 months.
- Frozen Stage The disease then progresses to a ‘frozen’ stage, which can last up to 9-months. This phase is characterized by less pain and marked restriction of movement. This second phase is typically has less painful.
- Thawing stage Finally, the disease enters a ‘thawing’ phase where the range of movement improves and can last up to 18 months.
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