Tenex, New Technology for Treating Achilles Tendinosis

Tenex is a state-of-the-art treatment for Achilles Tendinosis, but generally is not for Achilles Tendonitis. So let’s first discuss the difference between a Tendonitis condition and one that is a tendinosis?
Tendonitis refers to an inflammation or irritation to a tendon, which subsequently causes pain and tenderness. This is often aggravated with activity. Commonly, tendonitis is treated with rest, ice, and NSAIDs like ibuprofen (Advil).

On the other hand, tendinosis refers to chronic tendonitis caused when the microscopic tears within the tendon begin to scar. During this chronic stage, the inflammation stage needs to be reinitiated in order for the tendon to heal.

What are your Treatment options for Achilles Tendonitis and Tendonitis?

For Achilles Tendonitis, we generally recommend conservative care, such as:

  • Rest with significant restrictions on activity and commonly immobilization in a walking cast for a number of weeks
  • Anti-inflammatory medications to decrease pain and swelling
  • Physical therapy is commonly used after a period of rest and immobilization in order to restore strength and range of motion

For Achilles Tendinosis, the treatment options are different since conservative care did not resolve your issue and has, over time, become a chronic condition.

The first option is an open surgical procedure. This has been the standard way of removing damaged tissue for a long time. It usually requires a fairly large incision on the posterior aspect of the leg.

But there’s a new way to treat this condition that does not require surgery, which is called the Tenex procedure.

Tenex is a percutaneous method for cutting and removing diseased tissue and restoring natural tendon and soft tissue. The Tenex system may be used to address most areas for tendon and soft tissue injuries. The most common areas in the foot and ankle would be the Achilles tendon and the plantar fascia. Tenex combines the MicroTip which utilizes ultrasonic energy to cut and debride damaged tendon with conventional ultrasound imaging for visualization.

Ultrasound guidance used to identify pathologic tissue and guide the Tenex MicroTip during tissue removal.

There are a number of significant advantages of the Tenex Procedure over the traditional open approach, which include:

  • Tenex is performed using local anesthetic therefore general anesthesia is not required
  • Percutaneous procedure avoiding a large surgical incision which in turn significantly decreases infection risk
  • It is generally performed in 20 minutes or less
  • Tenex has a very rapid patient recovery time, between two and six weeks for a full return to normal activity

The doctors at University Foot and Ankle Institute are always learning or helping develop the most up-to-date technologies and procedures in order to offer their patients with the best care.

Our primary goal is to get our patients back to enjoying the activities they love in the timeliest, efficient, safe, and effective way possible. We take great pride at the University Foot and Ankle Institute by providing our patients with the latest procedures available such as the Tenex Procedure for Achilles tendinosis.

For an appointment with one of our doctors at one of our nine Southern California locations please call 877-989-9110 or click to make your appointment online.

Dr. Gary B. Briskin, DPM, FACFAS

Dr. Gary B. Briskin, DPM, FACFAS

As co-founder and co-director of University Foot and Ankle Institute, board-certified Dr. Gary Briskin began his medical training by serving a residency at Flint General Hospital in Michigan. Once completed, he established a practice in Century City Hospital, where he soon became chief of podiatric surgery.

Dr. Briskin is a Diplomat of the American Board of Podiatric Surgery and a Fellow of the American College of Foot and Ankle Surgeons. He also serves as an assistant clinical professor at the UCLA School of Medicine.
Dr. Gary B. Briskin, DPM, FACFAS

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